Fetal Alcohol Spectrum Disorder and the Corrections System

Burd, Larry

doi:10.1007/978-1-0716-2613-9_8

Cited by 3 publications

(4 citation statements)

References 30 publications

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“…8,10,22,24,25 More targeted screening in high-risk populations and settings where individuals with FASD are thought to be disproportionately represented, such as among siblings of those diagnosed with FASD, and within the child welfare and legal systems, may also lead to improved understanding, and tailored supports and interventions to support healthy trajectories. 10,14,36,37,58,59 Further, screening for FASD at intake and through a range of programs and services supporting mental health, substance use, women's health, and even vocational and housing supports, may result in more effective identification of unique client strengths and needs, and the application of FASD-informed approaches to improve service delivery and outcomes. 1,10,47,51,60 Care must also be taken to ensure that FASD surveillance and inquiry is applied objectively, in line with evidence, and without bias in light of structural racism and ongoing inaccurate and harmful stereotyping leading to assumptions about disproportionate risk for FASD in some communities and populations.…”

Section: Adopting An Implementation Science Frameworkmentioning

confidence: 99%

Toward Effective Identification of FASD

McLachlan

Dunleavy

Grubb

2022

Journal of Fetal Alcohol Spectrum Disorder

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The need to improve identification and understanding of individuals who have fetal alcohol spectrum disorder (FASD), including their strengths and challenges, is being increasingly recognized. Identification of FASD via screening is an important system-level intervention that may serve to improve early and accurate recognition of individuals who may have FASD, facilitate the provision of appropriately tailored support and interventions, and in doing so, foster healthy and positive outcomes for individuals and families. Effective and ethical implementation of FASD screening practices requires consideration of several factors for success, ensuring that resulting benefits outweigh potential harms. Using an implementation science framework, this topical review aims to provide an overview of these key considerations in order to guide further research and support practice and decision-making for service providers, organizations, and policy makers in the implementation of FASD identification and screening practices. These include prioritizing partnerships with stakeholders; taking a person-centered and ethical approach to FASD identification and screening; applying rigorous methodological research approaches to screening tool development, validation, and evaluation; increasing broader FASD awareness and response capacity at the system level; and advocating for continued policy reform and resources to enhance effective community-based support andinterventions following identification.

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Section: Adopting An Implementation Science Frameworkmentioning

confidence: 99%

Toward Effective Identification of FASD

McLachlan

Dunleavy

Grubb

2022

Journal of Fetal Alcohol Spectrum Disorder

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“…hope, willingness to change, resilience) and unique brain‐based differences, may lead to ineffective care (Pei et al., 2016) and perpetuate stigma associated with FASD, which can lead to further adverse outcomes and risk factors for this population (Roach & Bailey, 2009). As such, screening for FASD, and future validation studies, should be undertaken using person‐centred philosophies, incorporating trauma‐, gender‐ and culturally informed practices that help to minimise stigma and adverse effects (Burd et al., 2004; Kapasi et al., 2022; Reid et al., 2023; Rutman, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…FASD screening has been proposed as an important system‐level practice that can help professionals across the criminal legal system improve recognition and understanding of individuals with FASD (Binnie & Trussler, 2013; Goh et al., 2008; MacPherson et al., 2011). Screening can offer a resource‐efficient way to identify people who may have FASD using developed tools and or/procedures, thus informing who may benefit from further diagnostic assessment as well as appropriate supports and adjustments to practice, thereby facilitating improved outcomes (Autti‐Rämö, 2016; Binnie & Trussler, 2013; Brown et al., 2018; Burd et al., 2004; Grubb et al., 2021; McLachlan et al., 2022; Pedruzzi et al., 2021). Recent systematic literature reviews focused on FASD screening across ages and settings have reported that although many FASD screening tools are available, there is limited research supporting their psychometric properties (Grubb et al., 2021; Lim et al., 2022).…”

Section: Introductionmentioning

confidence: 99%

Screening and identification of fetal alcohol spectrum disorder in criminal legal settings: A realist review

Jewell,

Dunleavy,

Faitakis

et al. 2024

Criminal Behav Ment Health

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BackgroundScreening for fetal alcohol spectrum disorder (FASD) has been identified as a promising approach to improve recognition, understanding and effective response to the unique needs of those with FASD in criminal legal settings. However, to date, there has been limited synthesis of relevant screening tools, indicators, or implementation considerations in this context.AimsThe present review aimed to synthesise evidence and develop a conceptual framework for understanding how, when, why, for whom and by whom FASD screening tools, items and/or indicators and characteristics serve to accurately identify people with FASD in criminal legal contexts, with consideration of individual and system needs relevant to effective implementation and response.MethodsA preregistered search was conducted using a modified realist review framework for both peer‐reviewed articles and grey literature. Included sources were available in English, which focused on individuals with prenatal alcohol exposure and/or FASD with criminal legal involvement and offered new empirical evidence. Sources were reviewed using the Quality Control Tool for Screening Titles and Abstracts by Second Reviewer framework, extracted using a structured coding form and narratively synthesised.ResultsThe search yielded 52 sources, 11 FASD screening tools designed for or applied in criminal legal settings and 38 potential FASD indicators or characteristics relevant to identifying people who may have FASD in criminal legal settings, organised into six conceptually related domains. There was limited evidence supporting the psychometric properties of screening tools across populations or settings, though growing evidence highlights the promise of some instruments. Although few studies characterised potential considerations to be made when implementing a screening tool or approach, both system and individual level needs related to recognising and effectively responding to FASD in criminal legal contexts were identified, and findings revealed strong support among legal and clinical professionals regarding the need for FASD screening in these settings.ConclusionsFindings of this review can be used to inform the development, selection, implementation and evaluation of FASD screening tools in criminal legal settings and underscore a continued need for enhanced resources, policy and cross‐sectoral response to better support the needs of people with FASD in the criminal legal contexts.

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“…O consumo excessivo de álcool pelas gestantes parece contribuir para o aumento dos índices de mortalidade infantil, já que é responsável por aumentar de 3 a 7 vezes na probabilidade de ocorrer, nas crianças, a síndrome da morte súbita (Burd, 2008). Além disso, pode acarretar em diversos efeitos deletérios permanentes no *As palavras álcool e etanol serão usadas no documento de maneira intercambiável.…”

Section: Introductionunclassified

A exposição ao enriquecimento ambiental durante a gestação reduz os prejuízos causados pelo etanol no comportamento materno e no desenvolvimento da prole em camundongos.

Marianno

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Fetal Alcohol Spectrum Disorder and the Corrections System

Cited by 3 publications

References 30 publications

Toward Effective Identification of FASD

Toward Effective Identification of FASD

Screening and identification of fetal alcohol spectrum disorder in criminal legal settings: A realist review

A exposição ao enriquecimento ambiental durante a gestação reduz os prejuízos causados pelo etanol no comportamento materno e no desenvolvimento da prole em camundongos.

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