Neuropsychological Aspects of Prevention and Intervention for FASD: International Perspectives

Petrenko, Christie L. M.; Davis, Andrew S.

doi:10.1007/s40817-017-0036-1

Cited by 8 publications

(4 citation statements)

References 13 publications

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“…Close to five decades of research has led to valuable insights regarding the wide range of effects of PAE on brain structure and function, from genetic factors and cellular mechanisms to brain abnormalities and neurocognitive impairment [ 14 , 17 , 27 , 28 ]. Continued global increase in alcohol consumption [ 6 , 7 ], under-diagnosis and misdiagnosis [ 10 , 11 ], and a paucity of available treatments [ 22 , 23 ] highlight the crucial need for novel intervention for individuals affected by PAE. Furthermore, nearly half of all pregnancies are unplanned, and many children with PAE/FASD are only identified postnatally as a result of child protection proceedings, foster-care and adoption screening, state-supported early developmental screenings, and pediatric evaluations, pointing to the urgent need for both prenatal and postnatal interventions with the potential to improve long-term neurocognitive outcomes in this vulnerable population.…”

Section: Discussionmentioning

confidence: 99%

“…Importantly, these deficits persist into adulthood, and individuals with FASD can experience lifelong cognitive and physical impairment, psychiatric comorbidity, incarceration, homelessness, and other psychosocial challenges [ 9 , 21 ]. Although the literature on effective treatments for FASD has been growing, at present, very few interventions exist specifically for this population [ 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

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Prenatal and Postnatal Choline Supplementation in Fetal Alcohol Spectrum Disorder

Ernst

Gimbel²,

Water³

et al. 2022

Nutrients

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Fetal alcohol spectrum disorder (FASD) is common and represents a significant public health burden, yet very few interventions have been tested in FASD. Cognitive deficits are core features of FASD, ranging from broad intellectual impairment to selective problems in attention, executive functioning, memory, visual–perceptual/motor skills, social cognition, and academics. One potential intervention for the cognitive impairments associated with FASD is the essential nutrient choline, which is known to have numerous direct effects on brain and cognition in both typical and atypical development. We provide a summary of the literature supporting the use of choline as a neurodevelopmental intervention in those affected by prenatal alcohol. We first discuss how alcohol interferes with normal brain development. We then provide a comprehensive overview of the nutrient choline and discuss its role in typical brain development and its application in the optimization of brain development following early insult. Next, we review the preclinical literature that provides evidence of choline’s potential as an intervention following alcohol exposure. Then, we review a handful of existing human studies of choline supplementation in FASD. Lastly, we conclude with a review of practical considerations in choline supplementation, including dose, formulation, and feasibility in children.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prenatal and Postnatal Choline Supplementation in Fetal Alcohol Spectrum Disorder

Ernst

Gimbel²,

Water³

et al. 2022

Nutrients

View full text Add to dashboard Cite

show abstract

“…Appropriate early intervention services can favorably impact some common challenges experienced by children with an FASD, including word comprehension, learning, naming, academic skills, visual motor integration, and fine motor speed and/or coordination. 59,60 Children with an FASD who are also 3 years old or older can receive services through the school system, local mental health agencies, or in private therapy under educational, physical, and/or mental health diagnoses. Care coordination across systems is a key construct that can help patients and families with an FASD navigate the complex array of services needed to support a child or youth with an FASD.…”

Section: Community Partnerships In Education Mental and Behavioral mentioning

confidence: 99%

“…In addition, children with an FASD can receive services through local mental health agencies or in private therapy under educational, physical, and/or mental health diagnoses. 60 Some individuals with an FASD can receive adult services from various state agencies for life. Proper services often help individuals with an FASD maximize their long-term potential.…”

Section: Community Partnerships In Education Mental and Behavioral mentioning

confidence: 99%

The Role of Integrated Care in a Medical Home for Patients With a Fetal Alcohol Spectrum Disorder

Turchi

Smith

2018

Pediatrics

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Fetal alcohol spectrum disorder (FASD) is an umbrella term used to describe preventable birth defects and intellectual and/or developmental disabilities resulting from prenatal alcohol exposure. The American Academy of Pediatrics has a previous clinical report in which diagnostic criteria for a child with an FASD are discussed and tools to assist pediatricians with its management can be found. This clinical report is intended to foster pediatrician awareness of approaches for screening for prenatal alcohol exposure in clinical practice, to guide management of a child with an FASD after the diagnosis is made, and to summarize available resources for FASD management.

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Fetal alcohol spectrum disorder and confabulation in psycholegal settings: A beginner’s guide for criminal justice, forensic mental health, and legal interviewers

Brown

Jonason

Asp

et al. 2021

Behavioral Sci & The Law

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Fetal alcohol spectrum disorders (FASD) are neurodevelopmental/neurobehavioral conditions caused by prenatal alcohol exposure (PAE). Impairments caused by PAE contribute to the over‐representation of individuals with FASD in the United States juvenile and adult criminal justice systems. These same impairments can equally impact on individuals with FASD who are witnesses to or victims of crime who also have to navigate the complexities of the criminal justice system. Difficulties include increased susceptibility to confabulation throughout the legal process that, in turn, can contribute to increased rates of poor outcomes including false confessions and wrongful convictions. Individuals with FASD are particularity at risk of confabulation when they are subjected to tactics, such as stressful and anxiety‐provoking situations, threats, and leading, suggestive, or coercive questioning. Many professionals in the forensic context are unfamiliar with FASD or related confabulation risk and may unintentionally utilize tactics that intensify impacts of pre‐existing impairment. This article serves as a beginner’s guide for professionals working in criminal justice settings by (a) providing research‐based overviews of FASD and confabulation, (b) describing how FASD may lead to confabulation, and (c) suggesting ways that professionals can modify protocols when interacting with individuals with FASD. Suggestions in this article hold the potential to decrease the risk of confabulation in the criminal justice system and decrease problematic outcomes, such as false confessions and wrongful convictions among individuals with FASD.

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Neuropsychological Aspects of Prevention and Intervention for FASD: International Perspectives

Cited by 8 publications

References 13 publications

Prenatal and Postnatal Choline Supplementation in Fetal Alcohol Spectrum Disorder

Prenatal and Postnatal Choline Supplementation in Fetal Alcohol Spectrum Disorder

The Role of Integrated Care in a Medical Home for Patients With a Fetal Alcohol Spectrum Disorder

Fetal alcohol spectrum disorder and confabulation in psycholegal settings: A beginner’s guide for criminal justice, forensic mental health, and legal interviewers

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