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Understanding the Spectrum of Prenatal Alcohol Exposure part 1

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Cheryl Wissick, SC FASD Collaborative

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Understanding the Spectrum of Prenatal Alcohol Exposure part 1

  2. 2. OBJECTIVES • What do you know? Pre evaluation • What do you want to know? • Establish a personal goal for today • FASD: Just the facts • Awareness • Prevention
  4. 4. TRUE OR FALSE • Low to moderate Drinking will not cause FASD because many doctors say it is ok to have a drink occasionally, especially in the third trimester.
  5. 5. WE DON’ T KNOW HOW MUCH ALCOHOL CAUSES FASD • We cannot predict how much alcohol exposure will lead to a FASD. • Surgeon General Recommends NONE. • What constitutes one drink is much smaller than what we usually consider. • Genetics, diet, and vitamins play a factor
  6. 6. WHAT IS A STANDARD DRINK? • 12 oz. of beer • 4 oz. of wine • 1 ½ oz. of liquor • 12 oz wine spritzer • NO alcohol in any form is safe during pregnancy. • USDA: Moderate alcohol consumption for women is ONE Drink a day
  7. 7. The group most at risk for having a child with FASD would be young single women. TRUE OR FALSE
  8. 8. FALSE • The group most at risk for having children with FASD are white educated women over 30, middle or upper class. • FASD is more prevalent in middle to upper class situations than lower class. • Binge drinking has increased for women in general. • Not just alcoholics have babies with FASD
  9. 9. You know a child has been affected by alcohol by the way he/she looks. TRUE OR FALSE Wissick, 2015
  10. 10. FALSE •You do not know whether someone has been affected by alcohol due to their facial features. •Facial effects decrease as children age •FASD is mostly INVISIBLE
  11. 11. Students with FASD can have average or above intelligence TRUE OR FALSE
  12. 12. TRUE • Students with FASD can have a range of abilities from severe intellectual disabilities to learning disabilities (IQ range 20-110) • Students with FASD can be labeled as having ADHD, ODD, Personality disorder, Learning Disability, Depression but FASD is the umbrella • Leading preventable cause of ID but only 25% have an intellectual disability or IQ below 70
  13. 13. Alcohol does the same amount of damage as cocaine and heroin or other opiods. TRUE OR FALSE
  14. 14. FALSE • Alcohol causes more long term damage as cocaine or heroin. • Alcohol has long range effects on behavior and brain functioning. • FASD is a lifelong disorder. • The scare of the crack babies was over publicized.
  15. 15. COMPARISON EFFECTS OF DRUGS Effects Alcohol Cocaine Marijuana Low Birth Weight X X Intellect, Developmental X X Organ Damage X Hyperactivity X X
  17. 17. FASD & AUTISM • Estimates are that more children are affected by alcohol than the number of students identified as having autism spectrum disorders- Current estimates range from 1 in 100 to 1 in 20. • FASD is not as publicized due to stigma • FASD 90% NOT diagnosed • Good data are not collected on the incidence of FASD – only birth records of mothers “known” to drink are recorded. • Both are neurodevelopmental in origin
  18. 18. FASD is separate from mental heath disorder and substance use disorder. TRUE OR FALSE
  19. 19. FALSE • FASD is the umbrella -- brain disorder • Treatment of the co-occurring issues must be different if the person also has FASD • Misdiagnoses: ADHD, ODD, Conduct Disorder • Co-Occurring: Schizophrenia, Depression, Bipolar, Reactive Attachment, TBI, Borderline personality disorder
  20. 20. The best way to work with children and adults with FASD is to enable and foster dependency TRUE OR FALSE
  21. 21. TRUE • We need to provide them with modeling, support, coaching • Use a strength based approach and tell them what they do right • Typical rewards/consequences do no work • Be consistent • Provide alternatives for behavior • Support Interdependency
  22. 22. FAST FACTS • FASD – 100% preventable, 0% curable • FASD lasts a lifetime • If you are pregnant, don’t drink. • If you drink, don’t get pregnant. • Exposure to any alcohol can affect the brain development at any time during pregnancy. • FASD leading preventable cause of ID & DD in Western World