Reviews alcohol screening tools and interventions for use with pregnant women and women of childbearing age to prevent fetal alcohol spectrum disorders (FASD). Also, outlines methods for identifying individuals with FASD and modifying treatment accordingly.

Contents

• Consensus Panel
• What Is a TIP?
• Foreword
• How This TIP Is Organized
• Preface
• Executive Summary
• Part 1. Background and Clinical Strategies for FASD Prevention and Intervention
  • Chapter 1. Prevention of Alcohol-Exposed Pregnancies Among Women of Childbearing Age
    • Introduction
    • Professional Responsibility to Screen
    • Procedures for Screening
    • Selecting an Appropriate Prevention Approach
    • Procedures for Referral
    • Working with Women Who May Have an FASD
  • Chapter 2. Addressing FASD in Treatment
    • Introduction
    • 1 The Starting Point: Observing Indicators
    • 2 Functional Observation and History/Interviewing
    • 3 Assessment (External or Through an In-House Assessment Team)
    • 4 Tailoring Treatment for Individuals with an FASD
    • 5 Working with the Family
    • 6 Transition and Connection to Community Supports
  • Chapter 3. Clinical Vignettes
    • Introduction
    • The Culturally Competent Counselor
    • Areas of Clinical Focus
    • Clinical Vignettes
• Part 2. Administrator's Guide to Implementing FASD Prevention and Intervention
  • Introduction
  • Chapter 1. The Administrative Response to FASD in Behavioral Health Settings
    • Why SAMHSA Created an Implementation Guide as Part of This TIP
    • Why Address FASD Prevention and Intervention?
    • Thinking About Organizational Change
    • The Role of the Administrator in Introducing and Supporting New Clinical Practices
  • Chapter 2. Building an FASD Prevention- and Intervention-Capable Agency
    • Introduction
    • Assessment and Planning Before Implementation
    • Addressing Policies and Procedures
    • Addressing Relevant Regulations
    • Addressing Staff Competence
    • Addressing Community Relationships
    • Addressing Financial Considerations
    • Addressing Continuity and Fidelity
• Appendix A Bibliography
• Appendix B Selected Screening Instruments for Identifying Alcohol Use Among Women
• Appendix C Public and Professional Resources on FASD
• Appendix D The FASD 4-Digit Code Caregiver Interview Checklist: Profiles of FASD
• Appendix E Comparison of Current FASD Diagnostic Systems
• Appendix F Sample Crisis/Safety Plan
• Appendix G Services and Supports Checklist
• Appendix H Operational Standards for Fetal Alcohol Spectrum Disorders (FASD): A Model
• Appendix I Stakeholders Meeting Participants
• Appendix J Field Reviewers
• Appendix K Acknowledgments
• Part 3. Literature Review
  • Part 3, Section 1 Literature Review
  • Part 3, Section 2 Links to Selected Abstracts and Books
  • Part 3, Section 3 General Bibliography

This publication was produced by Northrop Grumman under the FASD Center for Excellence contract number HHSS283201200017I/HHSS28342002T with the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS). Patricia B. Getty, Ph.D., Jon Dunbar-Cooper, M.A., C.P.P., CDR Josefine Haynes-Battle, R.N., B.S.N., M.S.N., and LCDR Daniel A. Bailey, M.S., M.B.A., served as the Center for Substance Abuse Prevention (CSAP) FASD Center for Excellence Contracting Officer Representatives, with Dr. Getty providing guidance, comments, and contributions throughout the development and review of this publication.

Suggested citation:

Substance Abuse and Mental Health Services Administration. Addressing Fetal Alcohol Spectrum Disorders (FASD). Treatment Improvement Protocol (TIP) Series 58. HHS Publication No. (SMA) 13-4803. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.

The views, opinions, and content of this publication are those of the authors and do not necessarily reflect the views, opinions, or policies of SAMHSA or HHS.