Factors to be considered as part of a holistic assessment for fetal alcohol spectrum disorder: a scoping review.
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Affiliation(s)
(Reid) Child Health Research Centre, University of Queensland, South Brisbane, QLD, Australia
(Kent) Child Health Research Centre, University of Queensland, South Brisbane, QLD, Australia
(Hewlett) Child Health Research Centre, University of Queensland, South Brisbane, QLD, Australia
(Bagley) La Trobe Rural Health School, La Trobe University, Bendigo, VIC, Australia
(Tsang) Discipline of Child and Adolescent Health, Faculty of Medicine and Health, University of Sydney Children's Hospital Westmead Clinical School, Westmead, NSW, Australia
(Goldsbury) Maori/Indigenous Health Innovation, University of Otago Christchurch, Christchurch, New Zealand
(Williams) Curtin Medical School, Curtin University, Bentin, WA, Australia
(Akison) Child Health Research Centre, University of Queensland, South Brisbane, QLD, Australia
(Holland) Child Health Research Centre, University of Queensland, South Brisbane, QLD, Australia
(Vanderpeet) Child Health Research Centre, University of Queensland, South Brisbane, QLD, Australia
(Doyle) Central Clinical School, University of Sydney, Camperdown, NSW, Australia
(Boaden) School of Social Work, University of New South Wales, Sydney, NSW, Australia
(Hayes) Child Health Research Centre, University of Queensland, South Brisbane, QLD, Australia
(Kent) Child Health Research Centre, University of Queensland, South Brisbane, QLD, Australia
(Hewlett) Child Health Research Centre, University of Queensland, South Brisbane, QLD, Australia
(Bagley) La Trobe Rural Health School, La Trobe University, Bendigo, VIC, Australia
(Tsang) Discipline of Child and Adolescent Health, Faculty of Medicine and Health, University of Sydney Children's Hospital Westmead Clinical School, Westmead, NSW, Australia
(Goldsbury) Maori/Indigenous Health Innovation, University of Otago Christchurch, Christchurch, New Zealand
(Williams) Curtin Medical School, Curtin University, Bentin, WA, Australia
(Akison) Child Health Research Centre, University of Queensland, South Brisbane, QLD, Australia
(Holland) Child Health Research Centre, University of Queensland, South Brisbane, QLD, Australia
(Vanderpeet) Child Health Research Centre, University of Queensland, South Brisbane, QLD, Australia
(Doyle) Central Clinical School, University of Sydney, Camperdown, NSW, Australia
(Boaden) School of Social Work, University of New South Wales, Sydney, NSW, Australia
(Hayes) Child Health Research Centre, University of Queensland, South Brisbane, QLD, Australia
Year
2023
Citation
Alcohol: Clinical and Experimental Research. Vol.47(11), 2023, pp. 2007-2021.
Journal
Alcohol: Clinical and Experimental Research
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Abstract
We undertook a scoping review to identify the factors outside of current fetal alcohol spectrum disorder (FASD) diagnostic criteria to be considered as part of a holistic assessment process. This included physical, social, cultural, mental health and wellbeing factors to inform targeted recommendations and supports to improve outcomes for individuals with FASD. Evidence from this review will be used to inform the revision of the Australian Guide to the Diagnosis of FASD. Six electronic databases were searched. Studies were eligible if they included factors outside of the diagnostic criteria that cover dysmorphology, growth restriction, neurodevelopmental impairments. Data charting and content analysis were performed to synthesize the results. One hundred twenty-one studies were included that spanned 12 key areas These included physical health, sleep, adverse postnatal experiences, substance use/other risk-taking behaviors, contact with the criminal justice system, mental health, First Nations cultural considerations, transition to adult roles, involvement with the out-of-home care system, feeding and eating, strengths/interests/external resources and incontinence. Areas to be considered as part of a holistic assessment and diagnostic process spanned individual, family, and system level factors. Results provide guidance for clinicians on the wide range of factors that could influence long-term health, development, and wellbeing for individuals with prenatal alcohol exposure and FASD. In practice, this guidance can be used to inform an individualized assessment process to facilitate tailored recommendations and supports to best meet the complex needs of individuals living with FASD and their families. (PsycInfo Database Record (c) 2024 APA, all rights reserved)
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Article
Study type
Review article (e.g. literature review, narrative review)
Subjects
Substance use