Framework for FAS Diagnosis and Services

1. Child presents for office visit - Triggers emerge from contact:

developmental problems
facial abnormalities associated with FAS
growth delay or
maternal alcohol use

2. Complete initial evaluation to gather specific data related to the four FAS criteria:

facial malformations
growth abnormalities
neurodevelopmental concerns
maternal alcohol use

3. FAS Referral Criteria Met?

NO - Continue to monitor changes in child's health overtime.

YES - Refer to Specialist for further assessment.

Diagnosis

FAS Fiagnosis confirmed using dysmorphic and anthropometric assessment procedures along with appropriate neurodevelopmental evaluation data.

An Intervention plan is developed using a multidisciplinary team approach.

Services

The Intervention plan is communicated to frontline providers, caregivers, and child with ongoing exchange with the intervention team.

A case management plan is initiated at the community level based on recommendations from the intervention team (i.e., specialty services, community and educational resources).

Source: Bertrand. J., Floyd, R.L., Weber, M.K., O'Connor, M., Riley, E.P., Johnson, K.A., Cohen, D.E., National Task Force on FAS/FAE. Fetal alcohol syndrome: Guidelines for referral and diagnosis. Atlanta, GA: Centers for Disease Control and Prevention; 2004, p.8.