understanding the spectrum of prenatal alcohol exposure part 1
TRANSCRIPT
O C T O B E R 3 , 2 0 1 7
UNDERSTANDING THE SPECTRUM OF PRENATAL
ALCOHOL EXPOSURE?
Wissick & Rife, 2017
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
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.
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
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
The group most at risk for having a
child with FASD would be young
single women.
TRUE OR FALSE
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
You know a child has been
affected by alcohol by the way
he/she looks.
TRUE OR FALSE
Wissick, 2015
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
Students with FASD can have
average or above intelligence
TRUE OR FALSE
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
Alcohol does the same amount of
damage as cocaine and heroin or
other opiods.
TRUE OR FALSE
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.
COMPARISONEFFECTS OF DRUGS
Effects Alcohol Cocaine Marijuana
Low Birth
Weight
X X
Intellect,Developmental
X X
Organ
Damage
X
Hyperactivity X X
FASD IS MORE PREVALENT THAN AUTISM
TRUE OR FALSE
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
FASD is separate from mental heath
disorder and substance use disorder.
TRUE OR FALSE
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
The best way to work with children and
adults with FASD is to enable and foster
dependency
TRUE OR FALSE
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
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