A Pilot Community Intervention for Young Women with Fetal Alcohol Spectrum Disorders
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Fetal Alcohol Syndrome, a permanent birth defect caused by maternal alcohol use during pregnancy, is a leading preventable cause of mental retardation. Neuropsychological deficits have been well documented, however interventions developed have not been evaluated. We describe a successful 12-month community pilot intervention with 19 young women with Fetal Alcohol Spectrum Disorders (FASD). Improved outcomes (including decreased alcohol and drug use, increased use of contraceptives and medical and mental health care services, and stable housing) were obtained by implementing a community intervention model of targeted education and collaboration with key service providers, and by using paraprofessional advocate case managers as facilitators.
- Abel, E. L. & Sokol, R. J. (1987). Incidence of fetal alcohol syndrome and economic impact of FAS-related anomalies. Drug and Alcohol Dependence, 19(1), 51–70.
- Bookstein F., Streissguth A., Sampson P., Connor P., & Barr H. (2002). Corpus callosum shape and neuropsychological deficits in adult males with heavy fetal alcohol exposure. Neuroimage, 15, 233–251.
- Carmichael Olson, H. & Burgess, D. M. (1997). Early intervention for children prenatally exposed to alcohol and other drugs In. M. J. Guralnick (Ed.), The effectiveness of early intervention (pp. 109–146). Baltimore, MD: Paul H. Brookes Publishing Company.
- Clarren, S. (2002). Matrices track problems and interventions. Iceberg, 12(3),3–5.
- Coles, C. D. & Lynch, M. (2000). Adolescents with disabilities: Insights for individuals with FAS/E. In J. Kleinfeld (Ed.), Fantastic Antone grows up: Adolescents and adults with fetal alcohol syndrome (pp. 247–258). Anchorage: University of Alaska Press.
- Connor, P., Sampson, P., Bookstein, F., Barr, H., & Streissguth, A. (2000). Direct and indirect effects of prenatal alcohol damage on executive function. Developmental Neuropsychology, 18, 331–354.
- Ernst, C. C., Grant, T. M., Streissguth, A. P., & Sampson, P. D. (1999). Intervention with high-risk alcohol and drug-abusing mothers: II. Three-year findings from the Seattle model of paraprofessional advocacy. Journal of Community Psychology, 27(1),19–38.
- FAS/E Support Network of B.C. (2003). A manual for community caring: Identification, understanding, and intervention: Fetal alcohol spectrum disorder (FASD). Order from: www.fetalalcohol.com or email@example.com. Phone: (604) 507–6675. Surrey: B.C. Canada.
- Grant, T. M., Ernst, C. C., & Streissguth, A. P. (1999). Intervention with high-risk alcohol and drug-abusing mothers: I. Administrative strategies of the Seattle model of paraprofessional advocacy. Journal of Community Psychology, 27(1),1–18.
- Grant, T., Streissguth, A., & Ernst, C. (2002). Benefits and challenges of paraprofessional advocacy with mothers who abuse alcohol and drugs and their children. Zero To Three 23(2), 14–20.
- Hagerman, R. (1999). Fetal alcohol syndrome. In R. Hagerman (Ed.).Neurodevelopmental disorders: Diagnosis and treatment (pp. 3–59), New York: Oxford University Press.
- Institute of Medicine (1996). Fetal alcohol syndrome: Diagnosis, epidemiology, prevention, and treatment. In Stratton, K. R. Howe, C. J. & Battaglia, F. C. (Eds.), Washington D.C.: National Academy Press.
- Kodituwakku, P., Handmaker, N., & Cutler, S. (1995). Specific impairments in self-regulation in children exposed to alcohol prenatally. Alcoholism, Clinical and Experimental Research, 19, 1558–1564.
- Mattson, S., Goodman, A., Caine, C., Delis, D., & Riley, E. (1999). Executive functioning in children with heavy prenatal alcohol exposure. Alcoholism, Clinical and Experimental Research, 23, 1808–1815.
- Mattson, S. N. & Riley, E. P. (1998). A review of the neurobehavioral deficits in children with fetal alcohol syndrome or prenatal exposure to alcohol. Alcoholism, Clinical and Experimental Research, 22, 279–294.
- McGahan, P., Griffith, J., & McLellan, A. T. (1986). Composite scores from the Addiction Severity Index: Manual and computer software. Philadelphia, PA: Veterans Administration Press, PVAMC.
- McLellan A. T., Kushner H., Metzger D., Peters R., Smith I., Grissom G., Pettinati H., & Argeriou M. (1992). The fifth edition of the Addiction Severity Index. Journal of Substance Abuse Treatment, 9, 199–213.
- McLellan, A. T., Luborsky, L. Cacciola, J., Griffith, J. E., Evans, F., Barr, H. L., & O'Brien, C. P. (1985). New data from the Addiction Severity Index: Reliability and validity in three centers. Journal of Nervous and Mental Disorders, 173, 412–423.
- O'Malley K.D. & Hagerman R.J. (1998). Developing clinical practice guidelines for pharmacological interventions with alcohol-affected children. In Centers for Disease Control and Prevention (Eds.), Intervening with children affected by prenatal alcohol exposure: Proceedings of a special focus session of the interagency coordinating committee on fetal alcohol syndrome (pp. 145–77). Chevy Chase, MD: National Institute on Alcohol Abuse and Alcoholism.
- Randall, C. (2001). Alcohol and pregnancy: Highlights from three decades of research. Journal of Studies on Alcohol, 62, 554–558.
- Roebuck, T. M., Mattson, S. N., & Riley, E. P. (1998). A review of the neuroanatomic findings in children with fetal alcohol syndrome or prenatal exposure to alcohol. Alcoholism, Clinical and Experimental Research, 22, 339–344.
- Smith, I. & Coles, C. (1991). Multilevel intervention for prevention of fetal alcohol syndrome and effects of prenatal alcohol exposure. In M. Galanter (Ed.), Recent developments in alcoholism: Children of alcoholics (Vol. 9, pp. 165–180). New York: Plenum Press.
- Streissguth, A. P. (1997). Fetal alcohol syndrome: A guide for families and communities. Baltimore: Paul H. Brookes Publishing Company.
- Streissguth, A. P., Aase, J. M., Clarren, S. K., Randels, S. P., LaDue, R. A., & Smith, D. F. (1991).Fetal alcohol syndrome in adolescents and adults. Journal of the American Medical Association, 265, 1961–1967.
- Streissguth, A. P., Bookstein, F. L., Barr, H. M., Sampson, P. D., O'Malley, K., Kogan Young, J. (2004). Risk factors for adverse life outcomes in fetal alcohol syndrome and fetal alcohol effects. Developmental and Behavioral Pediatrics, 25(4), 228–238.
- Streissguth, A. P., & O'Malley, K. (2000). Neuropsychiatric implications and long-term consequences of fetal alcohol spectrum disorders. Seminars in Clinical Neuropsychiatry, 5, 177–190.
- United States Department of Health and Human Services (National Institute on Alcohol Abuse and Alcoholism). (2000). Prenatal exposure to alcohol. Alcohol Research & Health, 24,32–41.
- Zanis, D. A., McLellan, A. T., Canaan R., & Randall, M. (1994). Reliability and validity of the ASI in a homeless sample. Journal of Substance Abuse Treatment, 11, 541–548.
- A Pilot Community Intervention for Young Women with Fetal Alcohol Spectrum Disorders
Community Mental Health Journal
Volume 40, Issue 6 , pp 499-511
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- fetal alcohol syndrome