Australian guide to the diagnosis of foetal alcohol spectrum disorder: A summary

Bower, Carol; Elliott, Elizabeth J; Zimmet, Marcel; Doorey, Juanita; Wilkins, Amanda; Russell, Vicki; Shelton, Doug; Fitzpatrick, James; Watkins, Rochelle

doi:10.1111/jpc.13625

Cited by 79 publications

(157 citation statements)

References 10 publications

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“…The current study detailed the profile of children referred to a FASD diagnostic service in the Sunshine Coast, operating within an Australian CDS providing broad‐based assessment and intervention services for a range of child development and behavioural presentations (Queensland Health Hospital and community health service). This study was the first to report the diagnostic profile of children assessed using the Australian Guide, within a community CDS setting.…”

Section: Discussionmentioning

confidence: 99%

“…Children are routinely referred to the Sunshine Coast CDS MDT by general practitioners (GPs), allied health practitioners (AHPs), child health nurses and paediatricians, following concerns regarding two or more areas of significant difficulty in their behaviour and development. In early 2016, MDT staff were initially trained in FASD assessment using the 4‐Digit Code, and upon publication later adopted the Australian Guide as a clinical diagnostic process. The MDT staff embedded AUDIT‐C questionnaires to screen for PAE history during the initial interview at intake, for all children presenting with developmental and behavioural concerns.…”

Section: Methodsmentioning

confidence: 99%

“…The teratogenic effects of alcohol prenatally not only impact brain functioning, but can also cause dysmorphic features and congenital malformations in multiple organ systems, including growth (head circumference and overall growth <10th percentile), the structure of the face, ears, eyes, limbs, heart and kidneys. Several diagnostic procedures exist internationally; however, the Australian Guide to the Diagnosis of FASD , created in 2010, and revised in March 2016, provides a clear and, easy to use, diagnostic process for clinicians, and is readily available for download from the FASD Hub , administered by the Australian Government Department of Health. In addition, the FASD Hub has published six e‐modules assisting with the professional development of clinicians working in FASD assessment and diagnosis.…”

mentioning

confidence: 99%

“…The Australian Guide to the Diagnosis of FASD (referred to as the ‘Australian Guide’ from here on) presents a process to assess for the presence of severe neurodevelopmental impairment. A minimum of three areas of impairment from 10 domains of the central nervous system structure or function are measured as part of a FASD assessment.…”

mentioning

confidence: 99%

“…These include: brain structure/neurology (e.g. microcephaly, structural brain deformities such as abnormalities of the corpus callosum, seizure disorder and specific neurological disorders, such as cerebral palsy, without other identifiable cause), motor skills, cognition, language, academic achievement, memory, attention, executive functioning, affect regulation and adaptive behaviour (including social skills and communication) . According to the Australian Guide, a diagnosis of FASD can include: FASD with three sentinel facial features (SFF), FASD with less than three SFF, and in special circumstances an at risk of FASD diagnosis may be given.…”

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confidence: 99%

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Community‐based child development service fetal alcohol spectrum disorder assessment: A retrospective clinic audit

Webster

Doak

Katsikitis

2020

J Paediatrics Child Health

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Aims:The aims of the current study were to: (i) report on the diagnostic profile of a group of children assessed for fetal alcohol spectrum disorder (FASD) using the Australian Guide to the Diagnosis of FASD; and (ii) to provide information and recommendations for paediatricians and/or multidisciplinary teams conducting FASD assessments, including utilising the Australian Guide to the Diagnosis of FASD, and details of how to do FASD assessment. Methods: A retrospective chart review was conducted using relevant demographic and diagnostic data from children assessed for FASD within a community child development service. Results: Results showed the widespread impact of FASD on the brain, with all children showing some level of impairment in at least 5 out of 10 of the neurodevelopmental domains assessed for FASD. Majority of children were diagnosed with co-morbid attention deficit hyperactivity disorder, however, many additional co-morbid diagnoses were evident. Conclusions: The current study detailed the profile of children assessed for FASD and was the first to report the diagnostic profile of children assessed using the Australian Guide to the Diagnosis of FASD within a community child development service. Several recommendations are provided to assist paediatricians and multidisciplinary teams involved in child development assessments.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Community‐based child development service fetal alcohol spectrum disorder assessment: A retrospective clinic audit

Webster

Doak

Katsikitis

2020

J Paediatrics Child Health

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The neurocognitive profiles of justice involved people with foetal alcohol spectrum disorder: A systematic review

Khalifa

Magee

Shirazi

et al. 2021

Behavioral Sci & The Law

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Foetal alcohol spectrum disorder (FASD) is highly prevalent in criminal justice settings. Despite increased awareness of the neurocognitive deficits among justice-involved individuals with FASD, no systematic evaluation of the literature in the field has been conducted to date. We aimed to conduct a systematic review of the literature on the neurocognitive profiles of justice-involved individuals with FASD, by searching five key electronic databases, dissertations database, and Google scholar, up to January 2021. The findings indicate that when contrasted with comparison groups, justice-involved individuals with FASD display significant impairment in a greater number of neurocognitive domains including intellectual capacity, executive function, language, academic achievements, motor skills, and adaptive living skills. The relatively small number of the studies included in the review, along with the confounding effects of comorbidities among study participants, precludes drawing firm conclusions about the true extent and implications of neurocognitive deficits in this population. To advance the field further, there is an urgent need to conduct robust studies involving larger samples of justice-involved individuals with FASD and suitable comparison groups. Advancing knowledge in the field can have important implications for understanding of the antecedents of offending behaviour in this

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Vision, future, cycle and effect: A community life course approach to prevent prenatal alcohol exposure in central Australia

Lemon

Swan-Castine

Connor

et al. 2021

Health Prom J of Aust

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Australian guide to the diagnosis of foetal alcohol spectrum disorder: A summary

Cited by 79 publications

References 10 publications

Community‐based child development service fetal alcohol spectrum disorder assessment: A retrospective clinic audit

Community‐based child development service fetal alcohol spectrum disorder assessment: A retrospective clinic audit

The neurocognitive profiles of justice involved people with foetal alcohol spectrum disorder: A systematic review

Vision, future, cycle and effect: A community life course approach to prevent prenatal alcohol exposure in central Australia

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