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Intervention for individuals with fetal alcohol spectrum disorders: Treatment approaches and case management†
Article first published online: 3 SEP 2009
Copyright © 2009 Wiley-Liss, Inc.
Developmental Disabilities Research Reviews
Special Issue: Fetal Alcohol Spectrum Disorders
Volume 15, Issue 3, pages 258–267, 2009
How to Cite
Paley, B. and O'Connor, M. J. (2009), Intervention for individuals with fetal alcohol spectrum disorders: Treatment approaches and case management. Dev Disabil Res Revs, 15: 258–267. doi: 10.1002/ddrr.67
- Issue published online: 3 SEP 2009
- Article first published online: 3 SEP 2009
- Manuscript Accepted: 19 MAR 2009
- Manuscript Received: 1 MAR 2009
- Centers for Disease Control and Prevention. Grant Number: U84/CCU925033-01
- fetal alcohol syndrome;
- fetal alcohol spectrum disorders;
- case management
Exposure to alcohol in utero is considered to be the leading cause of developmental disabilities of known etiology. The most severe consequence of such exposure, fetal alcohol syndrome (FAS), is characterized by a distinct constellation of characteristic facial anomalies, growth retardation, and central nervous system (CNS) dysfunction. Some individuals with prenatal alcohol exposure (PAE) do not meet the full criteria for FAS, but instead are diagnosed with partial FAS, alcohol related neurodevelopmental disorder (ARND), or alcohol related birth defects (ARBD). The entire continuum of effects from PAE is increasingly being referred to under the umbrella term of fetal alcohol spectrum disorders (FASDs). An extensive body of research has documented major cognitive, behavioral, adaptive, social, and emotional impairments among individuals with FASDs. Although FAS was identified in the U.S. over 35 years ago, the development, evaluation, and dissemination of evidence-based interventions for individuals with FASDs have lagged behind significantly. Encouragingly, however, in recent years there has been a marked increase in efforts to design and test interventions to remediate the impairments associated with prenatal alcohol exposure. This article will review treatment needs and considerations for individuals with FASDs and their families, current empirically tested treatment approaches, case management issues, and suggestions for future directions in research on the treatment of FASDs. © 2009 Wiley-Liss, Inc. Dev Disabil Res Rev 2009;15:258–267.