Specialized Neurodevelopmental Assessment and Consultation Service: An Innovative Clinic Model for Children with Prenatal Alcohol Exposure Based at an Autism Center
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.
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Posted 13 Aug, 2020
On 07 Nov, 2020
Received 29 Oct, 2020
On 08 Oct, 2020
Received 15 Sep, 2020
On 25 Aug, 2020
On 21 Aug, 2020
Invitations sent on 21 Aug, 2020
On 12 Aug, 2020
On 11 Aug, 2020
On 10 Aug, 2020
Specialized Neurodevelopmental Assessment and Consultation Service: An Innovative Clinic Model for Children with Prenatal Alcohol Exposure Based at an Autism Center
Posted 13 Aug, 2020
On 07 Nov, 2020
Received 29 Oct, 2020
On 08 Oct, 2020
Received 15 Sep, 2020
On 25 Aug, 2020
On 21 Aug, 2020
Invitations sent on 21 Aug, 2020
On 12 Aug, 2020
On 11 Aug, 2020
On 10 Aug, 2020
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