Children prenatally exposed to alcohol and other drugs: what the literature tells us about child welfare information sources, policies, and practices to identify and care for children

Richards, Tammy; Bertrand, Jacquelyn; Newburg-Rinn, Sharon; McCann, H. Scott; Morehouse, Erin; Ingoldsby, Erin M.

doi:10.1080/15548732.2020.1814478

Cited by 8 publications

(4 citation statements)

References 48 publications

(141 reference statements)

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“…Of individuals with FASD living in foster/adoptive care, 78%–80% had not received a diagnosis of FASD prior to the includes studies (Chasnoff, Wells, & King, 2015; Patel et al, 2020). One hindrance to diagnosis may be underreporting of PAE to child protective services due to lack of staff awareness of FASD and/or lack of systematic PAE data collection processes (Richards et al, 2020). Inability to access specialized services for children and adolescents in adoptive/foster care meant that needs were often overlooked (Bakhireva et al, 2018; Chasnoff, Wells, & King, 2015).…”

Section: Resultsmentioning

confidence: 99%

Factors to be considered as part of a holistic assessment for fetal alcohol spectrum disorder: A scoping review

Reid,

Kent,

Hewlett

et al. 2023

Alcohol: Clinical and Experimental Research

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BackgroundA scoping review was undertaken to identify factors outside of current fetal alcohol spectrum disorder (FASD) diagnostic criteria that could be considered as part of a holistic assessment process to enable targeted recommendations and supports to improve outcomes. Evidence will be used to inform the revision of the Australian Guide to the Diagnosis of FASD.MethodsSix electronic databases were searched. Studies were eligible if they included factors outside of the diagnostic criteria that clinicians might need to consider as part of a holistic (i.e., physical, social, mental health and wellbeing) assessment process. Data charting and content analysis was performed for synthesis of results.Results121 studies were included that spanned 12 key areas. This included physical health, sleep, adverse postnatal experiences, substance use/other risk‐taking behaviors, contact with the criminal justice system, mental health, First Nations cultural considerations, transition to adult roles, involvement with the out‐of‐home care system, feeding and eating, strengths/interests/external resources and incontinence.ConclusionsAreas to be considered as part of a holistic assessment and diagnostic process spanned individual, family, and system level factors. The results of the current review provide guidance for clinicians regarding the wide range of factors that may influence long‐term health, development, and wellbeing for individuals with prenatal alcohol exposure and FASD. In practice this guidance can be used to inform an individualized assessment process to facilitate tailored recommendations and supports to best meet the complex needs of those living with FASD and their families.

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Section: Resultsmentioning

confidence: 99%

Factors to be considered as part of a holistic assessment for fetal alcohol spectrum disorder: A scoping review

Reid,

Kent,

Hewlett

et al. 2023

Alcohol: Clinical and Experimental Research

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“…Review authors acknowledged that certain child welfare populations needed to be served better: ethnically and racially diverse families and children [ 67 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 80 , 101 , 102 , 103 , 104 , 105 , 106 , 107 , 108 , 109 , 110 , 111 , 112 ]; families experiencing mental health or substance use concerns [ 53 , 91 , 106 , 113 , 114 , 115 , 116 , 117 , 118 , 119 , 120 , 121 , 122 , 123 , 124 , 125 , 126 , 127 ]; youth transitioning from care [ 54 , 59 , 60 , 62 , 63 , 65 , 96 , 128 , 129 , 130 , 131 , ...…”

Section: Resultsmentioning

confidence: 99%

“…Many of the reviews summarized within this scoping review discussed the importance of relational aspects of service provision, including comprehensive assessment, advocacy, referral, and support. More specifically, many authors noted that children involved in child welfare need comprehensive initial and ongoing assessment that includes, but is broader than mental health symptoms [ 187 , 188 , 189 ], as children may need referral to services and support before serious problems develop, including assessment and referral or support for their social-emotional well-being [ 148 , 188 ]; physical health [ 190 ], including developmental needs [ 99 ], dental care [ 191 ], sexual health [ 172 ], substance use or prenatal substance exposure [ 124 ]; and food-related behaviours [ 192 ]. Assessments of needs were recommended for various service entry and exit times, including entry into care, at regular intervals while in care [ 97 ], as well as exits from care [ 62 ] and transitions to adult mental health services [ 96 ].…”

Section: Discussionmentioning

confidence: 99%

Child Welfare Reform: A Scoping Review

McTavish

McKee

Tanaka

et al. 2022

IJERPH

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While there have been ongoing calls to reform child welfare so that it better meets children’s and families’ needs, to date there have been no comprehensive summaries of child welfare reform strategies. For this systematic scoping review, we summarized authors’ recommendations for improving child welfare. We conducted a systematic search (2010 to 2021) and included published reviews that addressed authors’ recommendations for improving child welfare for children, youth, and families coming into contact with child welfare in high-income countries. A total of 4758 records was identified by the systematic search, 685 full-text articles were screened for eligibility, and 433 reviews were found to be eligible for this scoping review. Reviews were theoretically divided, with some review authors recommending reform efforts at the macro level (e.g., addressing poverty) and others recommending reform efforts at the practice level (e.g., implementing evidence-based parenting programs). Reform efforts across socioecological levels were summarized in this scoping review. An important next step is to formulate what policy solutions are likely to lead to the greatest improvement in safety and well-being for children and families involved in child welfare.

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“…Screening of all children entering child welfare for prenatal exposure to alcohol and other substances is far from routine. Even when prenatal exposure to other substances such as cannabis, cocaine, or opioids is documented in newborn medical records, screening for prenatal alcohol exposure is notably absent in most obstetric, pediatric, and child welfare records ( 11 , 12 ).…”

Section: Introduction: the Prevalence Of Children With Fetal Alcohol ...mentioning

confidence: 99%

Common developmental trajectories and clinical identification of children with fetal alcohol spectrum disorders: A synthesis of the literature

Waite

Burd

2023

Adv. Drug Alcohol Res.

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At an estimated prevalence of up to five percent in the general population, fetal alcohol spectrum disorders (FASD) are the most common neurodevelopmental disorder, at least if not more prevalent than autism (2.3%). Despite this prevalence in the general population, pediatricians and other developmental specialists have thus far failed to diagnose this disability, leaving most children and adults without the supports provided for most other disabilities. This paper will provide a review of clinically relevant literature that describes the developmental challenges of children with fetal alcohol spectrum disorders and addresses similarities to and differences of FASD from other neurodevelopmental disorders such as autism and attention deficit hyperactivity disorder. A subsequent discussion will describe how a diagnosis of an FASD can establish a basis for understanding the developmental and behavioral challenges of children with an FASD, and how specific interventions can help support child development and maximize adult independence.

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Children prenatally exposed to alcohol and other drugs: what the literature tells us about child welfare information sources, policies, and practices to identify and care for children

Abstract: Ingoldsby (2020): Children prenatally exposed to alcohol and other drugs: what the literature tells us about child welfare information sources, policies, and practices to identify and care for children, Journal of Public Child Welfare,

Cited by 8 publications

References 48 publications

Factors to be considered as part of a holistic assessment for fetal alcohol spectrum disorder: A scoping review

Factors to be considered as part of a holistic assessment for fetal alcohol spectrum disorder: A scoping review

Child Welfare Reform: A Scoping Review

Common developmental trajectories and clinical identification of children with fetal alcohol spectrum disorders: A synthesis of the literature

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