This preprint is under consideration at BMC Pediatrics. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
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Research article
Specialized Neurodevelopmental Assessment and Consultation Service: An Innovative Clinic Model for Children with Prenatal Alcohol Exposure Based at an Autism Center
Cindy Ola
Seattle Children's Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0002-8945-6957
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: While global prevalence of conditions on the fetal alcohol spectrum is surprisingly high, there is insufficient diagnostic capacity so children can be missed or misdiagnosed. This study described an innovative clinic model for screening prenatal alcohol exposure (PAE), assessing children using the DSM-5 diagnostic category for conditions on the fetal alcohol spectrum, and providing consultation.
Methods: A retrospective review of 40 child patients with PAE examined feasibility of the clinic model.
Results: Overall, the SNACS Clinic served families across a wide demographic range raising preschool and school-aged children with diverse neurodevelopmental and behavioral presentations. Study findings informed ongoing quality improvement of the clinic model, and identified provider and hospital-wide training needs.
Conclusions: Findings indicate this clinic is feasible as a method for increasing diagnostic capacity, improving patient services, and potentially preventing misdiagnosis or missed diagnosis of children with PAE. Results can inform best practices for FASD-informed care.
Keywords
Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (ND-PAE), Fetal alcohol spectrum disorder, prenatal alcohol exposure (PAE), diagnostic assessment, consultation
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CURRENT STATUS: Under Revision
Version 1
Posted 13 Aug, 2020
No community comments so far
Editorial decision: Major revision
On 07 Nov, 2020
Review #2 received
Received 29 Oct, 2020
Reviewer #2 agreed
On 08 Oct, 2020
Review #1 received
Received 15 Sep, 2020
Reviewer #1 agreed
On 25 Aug, 2020
Editor assigned
On 21 Aug, 2020
Reviewers invited
Invitations sent on 21 Aug, 2020
Submission checks complete
On 12 Aug, 2020
Editor invited
On 11 Aug, 2020
First submitted
On 10 Aug, 2020
Metrics
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Subject Areas
Pediatrics
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This preprint is under consideration at BMC Pediatrics. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Specialized Neurodevelopmental Assessment and Consultation Service: An Innovative Clinic Model for Children with Prenatal Alcohol Exposure Based at an Autism Center
Cindy Ola
Seattle Children's Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0002-8945-6957
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Revision
Version 1
Posted 13 Aug, 2020
No community comments so far
Editorial decision: Major revision
On 07 Nov, 2020
Review #2 received
Received 29 Oct, 2020
Reviewer #2 agreed
On 08 Oct, 2020
Review #1 received
Received 15 Sep, 2020
Reviewer #1 agreed
On 25 Aug, 2020
Editor assigned
On 21 Aug, 2020
Reviewers invited
Invitations sent on 21 Aug, 2020
Submission checks complete
On 12 Aug, 2020
Editor invited
On 11 Aug, 2020
First submitted
On 10 Aug, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Pediatrics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: While global prevalence of conditions on the fetal alcohol spectrum is surprisingly high, there is insufficient diagnostic capacity so children can be missed or misdiagnosed. This study described an innovative clinic model for screening prenatal alcohol exposure (PAE), assessing children using the DSM-5 diagnostic category for conditions on the fetal alcohol spectrum, and providing consultation.
Methods: A retrospective review of 40 child patients with PAE examined feasibility of the clinic model.
Results: Overall, the SNACS Clinic served families across a wide demographic range raising preschool and school-aged children with diverse neurodevelopmental and behavioral presentations. Study findings informed ongoing quality improvement of the clinic model, and identified provider and hospital-wide training needs.
Conclusions: Findings indicate this clinic is feasible as a method for increasing diagnostic capacity, improving patient services, and potentially preventing misdiagnosis or missed diagnosis of children with PAE. Results can inform best practices for FASD-informed care.
Figure 1
Figure 2
Figure 3