Fetal Alcohol Spectrum Disorders Screening and Interventions

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18 Jul 2021

CEUs OPD CPD Hours are available for this presentation at AllCEUs a https 3A 2F 2Fwww allceus com 2Fmember 2Fcart 2Findex 2Fproduct 2Fid 2F127 2Fc 2F a or in Australia at a https 3A 2F 2Faustralia allceus com 2Fmember 2Fcart 2Findex 2Fproduct 2Fid 2F127 2Fc 2F a Want to listen to it as a podcast instead Subscribe to Counselor Toolbox Podcast Also check out our other podcasts Happiness Isn't Brain Surgery and Addiction Counselor Exam Review AllCEUs provides multimedia counseloreducation and CEUs for LPCs LMHCs LMFTs and LCSWs as well as addiction counselor precertification training and continuing education Live Interactive Webinars 5 Unlimited Counseling CEs for 59 Specialty Certificates starting at 89 including AddictionCounselor RecoveryCoach PeerSupportSpecialist TraumaInformedCare BehavioralHealthTechnician Etherapy addiction and mentalhealth counselors socialworkers and marriage and family therapists can earn CEUs for this and other presentations at AllCEUs com AllCEUs courses are accepted in most states because we are approved as an education provider for NAADAC the States of Florida and Texas Boards of Social Work and Mental Health Professional Counseling the California Consortium for Addiction Professionals and Professions Objectives Where to begin Explore the scope of the problem Identify the impact of the impairments across life domains Discuss specific issues for adolescents Identify special issues for suicide intervention Explore techniques to modify the treatment environment to accommodate the needs of a person with an FASD Stats National Institute on Alcohol Abuse and Alcoholism the prevalence of FAS in the general population ranges from 2 to 5 for the entire continuum of FASD 94 of individuals with an FASD also have a mental illness 73-80 of children with full-blown FAS are in foster or adoptive placement 61 of adolescents with an FASD experienced significant school disruptions Stats cont The prevalence of FASD in the child welfare system is approximately 17 to 19 times higher than that in the general population in North America meta-analysis published online September 9 in Pediatrics 12 8 is the average age children with an FASD begin having trouble with the law a https 3A 2F 2Fwww mofas org 2F2014 2F05 2Ffasd-and-the-criminal-justice-system 2F 29 a 60 of people with an FASD have a history of trouble with the law What is FASD FASD is not a diagnostic term but is an umbrella term encompassing four categorical diagnostic entities Fetal alcohol syndrome FAS Partial FAS Alcohol-related neurodevelopmental disorder Alcohol-related birth defects Impact of Functional Impairment Problems in multiple domains interferes with treatment success including inability to Remember program rules or follow multiple instructions Remember and keep appointments or to get lost on the way there Independently make appropriate decisions about treatment needs goals Appropriately interpret social cues Observe appropriate boundaries either with staff or other clients Attend to and not disrupt group activities Process information readily or accurately Act one's age When indicators occur in any these domains and particularly when they occur across multiple domains it is worthwhile to apply the FASD 4-Digit Code Caregiver Interview Checklist Astley 2004b Special Considerations for Adolescents Evidence shows that adolescents will commonly exhibit learning and behavior challenges especially in Adaptive function getting along from day to day Remaining organized and regulated Learning information slowly especially what is said to them Tending to forget things they have recently learned Making the same mistakes over and over Impulsivity finding it hard to inhibit responses Social communication leaving out important details being vague Suggestibility and therefore easily influenced by others Immature social skills too friendly trusting difficulty recognizing dangerous situations Differential Dx There is some evidence for distinguishing between children with FASD and children with ADHD Using the four-factor model of attention it has been shown that children with FASD have difficulties with encoding taking in and processing information and shift shifting attention hyperfocus children with ADHD have problems with focus and sustain Using Mirsky 1989 4 factor model of attention Distinguishing between attention-deficit hyperactivity and fetal alcohol spectrum disorders in children clinical guidelines Neuropsychiatr Dis Treat 2010 6 509 515 Modifying Treatment Making it Safe Even with compensatory strategies the person with an FASD may Be less able to use judgment consider consequences or understand abstract situations