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This study aims to understand service users' experiences at a recently established student-led interprofessional neurodevelopmental clinic for children and adolescents with suspected or confirmed prenatal alcohol exposure.

Date:
May 2023
Journal name:
Australian and New Zealand Journal of Public Health
Authors:
Khari Nicola Garavelis, Nicole Hayes, Tanya A Rose, Maree Maloney, Karen Liddle, Karen Moritz, Matthew Gullo, Hannah L Gullo, Rebeccah McMah, Helen Heussler, Natasha Reid.
Page last updated 21 April 2023

This paper explores the available literature to understand how risks regarding prenatal alcohol exposure are perceived.Three dimensions of risk perceptions were identified—perceived susceptibility, perceived severity, and affective risk perception. Three influencing factors of these dimensions were also identified: information, sociocultural, and individual. These dimensions and influencing factors were brought together to create the proposed novel Pregnancy Alcohol Risk Perception (PARP) conceptual model.

Date:
February 2023
Journal name:
Chronic Disease Prevention and Control
Authors:
May N. Erng, Natasha Reid, Karen M. Moritz, Mieke van Driel.
Page last updated 20 April 2023

Underpinned by an Indigenist research methodology, this article presents findings from a collaboration of Aboriginal and non-Aboriginal peoples to develop an Australian Fetal Alcohol Spectrum Disorder (FASD) Indigenous Framework during 2021 to 2023. The FASD Indigenous Framework unfolds the changes that non-Aboriginal clinicians and Aboriginal peoples each need to make in their respective ways of knowing, being and doing in order to facilitate access to healing-informed, strengths-based and culturally responsive FASD knowledge, assessment, diagnosis and support services among Aboriginal peoples. These knowledges were mapped against Aboriginal cultural responsiveness and wellbeing frameworks and collaboratively and iteratively reflected upon throughout. This article brings together Aboriginal wisdom (strengths-based, healing-informed approaches grounded in holistic and integrated support) and Western wisdom (biomedicine and therapeutic models) in relation to FASD.

Date:
March 2023
Journal name:
International Journal of Environmental Research and Public Health
Authors:
Nicole Hewlett, Lorian Hayes, Robyn Williams, Sharynne Hamilton, Lorelle Holland, Alana Gall, Michael Doyle, Sarah Goldsbury, Nirosha Boaden, Natasha Reid.
Page last updated 31 March 2023

There have been significant advances in assessment processes and diagnostic criteria since the effects of prenatal alcohol exposure were first described in the medical literature. However, a key issue that continues to plague the FASD field is a lack of agreement regarding terminology, and criteria for describing and diagnosing FASD. A significant opportunity exists for the FASD field to work together and utilise the best available evidence to advance an empirically based approach to FASD diagnosis.

Date:
February 2023
Journal name:
Alcohol: Clinical and Experimental Research
Authors:
Natasha Reid
Page last updated 21 March 2023

Consequences for children born with birth defects and developmental disabilities encompassed by FASD are profound, affecting all areas of social, behavioural and cognitive functioning. Given the strong evidence for a core deficit in executive functioning, underpinned by impaired self-regulation skills, there has been a growing focus on the development of interventions that enhance or support the development of executive functions. This review aims to synthesise the evidence for structured psychological interventions that explicitly aim to improve executive function in children. The review also sought to ascertain if the effectiveness of interventions were influenced by characteristics of the intervention, participants or type of executive function targeted by the intervention.

Date:
November 2022
Journal name:
Campbell Systematic Reviews
Authors:
Joseph Lee Betts, Elizabeth Eggins, Ned Chandler-Mather, Doug Shelton, Haydn Till, Paul Harnett, Sharon Dawe.
Page last updated 20 March 2023

FASD is a high prevalence but underdiagnosed group of disorders affecting between 17 and 36% of individuals in criminal justice settings. Little research has been completed on how to best support individuals with these conditions in criminal justice settings. This article proposes a renewed focus on applying and adapting the Risk-Need-Responsivity (RNR) approach to individuals with FASD in criminal justice settings. This will assist in better determining the needs and interventions likely to effect change and reduce recidivism for this prominent criminal justice-based population. The RNR approach has been used with multiple corrections populations to determine the need and most appropriate interventions, as well as how to best allocate scarce resources. As the prevalence of FASD becomes better understood and recognized, evidence-based approaches to addressing this specific sub-population are necessary to effect change and reduce recidivism and ongoing involvement in the criminal justice system.

Date:
January 2023
Journal name:
Frontiers in Pyschology
Authors:
Jerrod Brown, Joe Arvidson, Megan N Carter, Vanessa Spiller.
Page last updated 7 March 2023

Individuals with fetal alcohol spectrum disorder (FASD) are over-represented within the justice system and have significant employment challenges. This scoping review aims to ascertain available employment resources for FASD individuals particularly those involved in the justice system. Secondary aims of this study were to determine available evidence-based interventions for the justice workforce and employment providers.

Date:
February 2023
Journal name:
BMJ Open
Authors:
Marie M A Nankoo, Kirsten R Panton, James P Fitzpatrick, Carmela F Pestell.
Page last updated 7 March 2023

Early diagnosis of children with fetal alcohol spectrum disorder (FASD) assists in implementing critical early support. The challenge lies in having a diagnostic process that enables valid and reliable assessment of domains of functioning in young children, with the added complexity that many children will also have co-occurring exposure to childhood adversity that is likely to impact these domains. This study examines diagnostic assessment of FASD in young children using the Australian Guide to the Diagnosis of FASD. Ninety-four children (aged 3 to 7 years) with confirmed or suspected prenatal alcohol exposure were referred to two specialist FASD clinics for assessment in Queensland, Australia.

Date:
February 2023
Journal name:
Alcoholism, clinical and experimental research
Authors:
Sharon Dawe, Elizabeth Eggins, Joseph Betts, Heidi Webster, Tania Pomario, Jessica Doak, Ned Chandler-Mather, Denise Hatzis, Haydn Till, Paul Harnett, Andrew Wood, Doug Shelton.
Page last updated 7 March 2023

This review paper gives a comprehensive overview of FASD research globally. This paper includes a review of: international prevalence of FASD and FASD; the mechanisms and pathophysiology of prenatal alcohol exposure; diagnosis, screening and prevention; management; quality of life; and outlook.

Date:
February 2023
Journal name:
Nature Reviews Disease Primer
Authors:
Svetlana Popova, Michael E. Charness, Larry Burd, Andi Crawford, H. Eugene Hoyme, Raja Mukherjee, Edward Riley, Elizabeth Elliott.
Page last updated 28 February 2023

This study captures an international perspective on current FASD diagnostic criteria, as well as potential barriers and facilitators towards a globally unified approach to FASD diagnosis. A lack of collaboration was identified as a key barrier, while strong leadership in guideline creation and implementation emerged as a central facilitator. These barriers and facilitators can be used to guide future collaborative efforts towards implementing consistent diagnostic criteria.

Date:
November 2022
Journal name:
International Journal of Environmental Research and Public Health
Authors:
Natasha Reid, Dianne C Shanley, Jayden Logan, Codi White, Wei Liu , Erinn Hawkins.
Page last updated 6 February 2023