FETAL ALCOHOL SPECTRUM DISORDER
CASE STUDY
By Tracie Ramanand
MEETING THE FAMILY
 I met this couple that had just moved from
North Bay
 told me about the twin brothers 3 year old
Simon and Thomas that they are adopting
 and the twins have been diagnosis with Fetal
Alcohol Syndrome
 They feel overwhelmed because of the
diagnosis and the move ,and wonder what
services there are in Toronto to help the boys
THE FAMILY
 So from what I know the boys are both showing
signs of cognitive delay and are having a hard
time with impulse control
 As for the parents I think they would need
services that are close to home
 And if they are thinking of putting the boys in
daycare to have good commutation with the
daycare staff
FETAL ALCOHOL SPECTRUM DISORDER
 Women drinking alcohol during pregnancy
 FASD is one of the top causes of developmental
delay
 So result for the mother drinking during her
pregnancy is :
The child falling into one of these characteristics:
Growth Patterns, Facial Features and Central
nervous system problems
#1 GROWTH PATTERNS
 Growth is slowed down
 Body size is small then the average height for
the child’s age
 And both head size and weight are both smaller
as well
#2 FACIAL FEATURES
 The middle of the face is very flat
 Eye opening is small
 Upper lip is thin
 From the upper lip to the base of the nose it is
very smooth
CENTRAL NERVOUS SYSTEM
 Developmental delay (Cognitive)
 Forgetting things
 May not understand instructions
 Learning disabilities
 Poor social skills
 Maybe have a hard time understanding right from
wrong
 Gets distracted easily/or cannot stay focus
(impulse control)
CHANGES IN ENVIRONMENT
GROSS/FINE MOTOR
 For gross motor you
should have a lot of
movement like:
 Dance inside or outside
 Having the children try
going up and down the
slide
 So they can use their
large muscles
 Fine motor is using
things like your fingers
joints
 Having a scenery bin with
pasta and cereal that are
shaped like the letter O
 Slide on grips for any
item the child might use
and can hold
VISUAL
 Lots of natural light coming in
 Use non-fluorescent light
 The colors on the wall shouldn’t be to bright
 Lots of storage
NOISE AND HEARING (AUDITORY)
 Have relaxing music
 Practice what to do for a fire drill before hand
 Have a quite area
COGNITIVE
 Reading: make the story shot but keep the
interest of the children in mind
 try to do different voices for each character
 Ask questions so the children can guess what
happens next
 And focus on one topic
 Math: count as often as you can
 Do matching and sorting actives
 not to challenging
 Hands on material
 Music/ Drama: songs that have actions
 Change the words so it is easier to sing
 Do it in a small group
 and get sound proof ear muffs to reduce sound
MEMORY
 Have a consistent, predictable routine that
follows the same pattern
 Visual
 Hands on activities
 New item must be slowly transitioned to the
children and can understand what is going on
ATTENTION DEFICIT HYPERACTIVITY
 Have stress relive items : stress ball
 Short exercises: deep breathing
SOCIAL
 All materials should have illustrations on them
 Ask the child to show you what you told them : “
can you show me how to hang up your coat?”
 But don’t ask to many questions
 And speak slowly
EMOTIONAL
 Remind children what happens when they don’t
follow the rules of the classroom
 Don’t overwhelm the children with too many
words
AGENCIES IN TORONTO
 FAS World Canada
250 Scarborough Golf Club Road
Toronto, ON, M1J3G8
Phone number: 416-264-8000 Fax: 416-264-8222
Have support groups for parents
referrals for respite care
 http://www.fasworld.com/contact-us/
 Motherisk: The Hospital For Sick Children
555 University Avenue
Alcohol and Substance Use Help line:
1-877-327-4636
open from Monday- Friday 9-5
Appointment only
Phone number : 416-813-6780
 http://www.motherisk.org/women/index.jsp
 Native Child and Family Services
St. Michael Hospital
Diagnostic Clinic
464 Young Street, Suite 201
Toronto, ON M4Y 1W9
Phone number : 416-867-3655
Fax: 416-867-3736
NO WEBSITE FOUND I FOUND IT IN THIS LINK
http://www.torontocas.ca/app/Uploads/resources/fasd_booklet.pdf
 Mothercraft- Breaking the Cycle
Margaret Leslie
FASD Diagnostic Clinic
761 Queen Street West, Sutie 107
Toronto, ON M6J 1G1
Phone number : 416 -364-7373
Fax: 416-364-8008
BIBLIOGRAPHY
 http://www.internationaladoptionstories.com/phrases-
definitions.htm
 http://fasd.alberta.ca/documents/Strategies_Not_Solution
s_Handbook.pdf
 https://www.gov.mb.ca/healthychild/fasd/fasdearly_en.p
df
 http://www.fasworld.com/contact-us/
 http://www.torontocas.ca/app/Uploads/resources/fasd_bo
oklet.pdf
 http://www.motherisk.org/women/contactUs.js
p

FASD

  • 1.
    FETAL ALCOHOL SPECTRUMDISORDER CASE STUDY By Tracie Ramanand
  • 2.
    MEETING THE FAMILY I met this couple that had just moved from North Bay  told me about the twin brothers 3 year old Simon and Thomas that they are adopting  and the twins have been diagnosis with Fetal Alcohol Syndrome  They feel overwhelmed because of the diagnosis and the move ,and wonder what services there are in Toronto to help the boys
  • 3.
    THE FAMILY  Sofrom what I know the boys are both showing signs of cognitive delay and are having a hard time with impulse control  As for the parents I think they would need services that are close to home  And if they are thinking of putting the boys in daycare to have good commutation with the daycare staff
  • 4.
    FETAL ALCOHOL SPECTRUMDISORDER  Women drinking alcohol during pregnancy  FASD is one of the top causes of developmental delay  So result for the mother drinking during her pregnancy is : The child falling into one of these characteristics: Growth Patterns, Facial Features and Central nervous system problems
  • 5.
    #1 GROWTH PATTERNS Growth is slowed down  Body size is small then the average height for the child’s age  And both head size and weight are both smaller as well
  • 6.
    #2 FACIAL FEATURES The middle of the face is very flat  Eye opening is small  Upper lip is thin  From the upper lip to the base of the nose it is very smooth
  • 7.
    CENTRAL NERVOUS SYSTEM Developmental delay (Cognitive)  Forgetting things  May not understand instructions  Learning disabilities  Poor social skills  Maybe have a hard time understanding right from wrong  Gets distracted easily/or cannot stay focus (impulse control)
  • 8.
  • 9.
    GROSS/FINE MOTOR  Forgross motor you should have a lot of movement like:  Dance inside or outside  Having the children try going up and down the slide  So they can use their large muscles  Fine motor is using things like your fingers joints  Having a scenery bin with pasta and cereal that are shaped like the letter O  Slide on grips for any item the child might use and can hold
  • 10.
    VISUAL  Lots ofnatural light coming in  Use non-fluorescent light  The colors on the wall shouldn’t be to bright  Lots of storage
  • 11.
    NOISE AND HEARING(AUDITORY)  Have relaxing music  Practice what to do for a fire drill before hand  Have a quite area
  • 12.
    COGNITIVE  Reading: makethe story shot but keep the interest of the children in mind  try to do different voices for each character  Ask questions so the children can guess what happens next  And focus on one topic
  • 13.
     Math: countas often as you can  Do matching and sorting actives  not to challenging  Hands on material
  • 14.
     Music/ Drama:songs that have actions  Change the words so it is easier to sing  Do it in a small group  and get sound proof ear muffs to reduce sound
  • 15.
    MEMORY  Have aconsistent, predictable routine that follows the same pattern  Visual  Hands on activities  New item must be slowly transitioned to the children and can understand what is going on
  • 16.
    ATTENTION DEFICIT HYPERACTIVITY Have stress relive items : stress ball  Short exercises: deep breathing
  • 17.
    SOCIAL  All materialsshould have illustrations on them  Ask the child to show you what you told them : “ can you show me how to hang up your coat?”  But don’t ask to many questions  And speak slowly
  • 18.
    EMOTIONAL  Remind childrenwhat happens when they don’t follow the rules of the classroom  Don’t overwhelm the children with too many words
  • 19.
    AGENCIES IN TORONTO FAS World Canada 250 Scarborough Golf Club Road Toronto, ON, M1J3G8 Phone number: 416-264-8000 Fax: 416-264-8222 Have support groups for parents referrals for respite care  http://www.fasworld.com/contact-us/
  • 20.
     Motherisk: TheHospital For Sick Children 555 University Avenue Alcohol and Substance Use Help line: 1-877-327-4636 open from Monday- Friday 9-5 Appointment only Phone number : 416-813-6780  http://www.motherisk.org/women/index.jsp
  • 21.
     Native Childand Family Services St. Michael Hospital Diagnostic Clinic 464 Young Street, Suite 201 Toronto, ON M4Y 1W9 Phone number : 416-867-3655 Fax: 416-867-3736 NO WEBSITE FOUND I FOUND IT IN THIS LINK http://www.torontocas.ca/app/Uploads/resources/fasd_booklet.pdf
  • 22.
     Mothercraft- Breakingthe Cycle Margaret Leslie FASD Diagnostic Clinic 761 Queen Street West, Sutie 107 Toronto, ON M6J 1G1 Phone number : 416 -364-7373 Fax: 416-364-8008
  • 23.
    BIBLIOGRAPHY  http://www.internationaladoptionstories.com/phrases- definitions.htm  http://fasd.alberta.ca/documents/Strategies_Not_Solution s_Handbook.pdf https://www.gov.mb.ca/healthychild/fasd/fasdearly_en.p df  http://www.fasworld.com/contact-us/  http://www.torontocas.ca/app/Uploads/resources/fasd_bo oklet.pdf
  • 24.