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Y Ingrid Goh
Albert E Chudley
Sterling K Clarren
Gideon Koren Koren
Elaine Orrbine
Ted Rosales
Charlotte Rosenbaum


Fetal alcohol spectrum disorder, screening


Fetal alcohol  spectrum  disorder  (FASD)  is the most common  cause of neurobehavioural  handicap  in North America. Screening for FASD may facilitate diagnosis and hence management of these children. We present a variety of screening tools for the identification of children at risk for FASD.


We critically reviewed and evaluated published and practiced methods for their potential of screening suspected  cases,  their  epidemiological  characteristics  (sensitivity,  specificity,  positive  and  negative predictive values) [Phase I], as well as their feasibility [Phase II].


The following five tools were selected for the FASD screening toolkit: screening fatty acid ethyl esters in neonatal  meconium,  the  modified  Child  Behaviour  Checklist,  Medicine  Wheel  tool,  Asante  Centre Probation Officer Tool, and maternal history of drinking and drug use.


The toolkit for FASD screening aims at screening different populations, from the newborns to youth and at-risk mothers. It is anticipated that the toolkit will facilitate diagnosis of FASD.

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