An Interdisciplinary Approach to Increasing Access to Care for Individuals with Fetal Alcohol Spectrum Disorders
Main Article Content
fetal alcohol spectrum disorders, FASD, interdisciplinary care, access to care
Fetal alcohol spectrum disorders (FASD) have a prevalence of roughly 1 in 20, making it one of the most prevalent disorders in the United States (May et al., 2018). However, FASD has a diagnostic rate of less than 1%, resulting in late diagnosis, identification, and intervention (May, Baete, & Russo, 2014; May, Chambers, Kalberg, et al, 2018; Cleveland, Deere, Kyzer, & Smith, 2020). Only a handful of physicians regularly diagnose FASDs, even further decreasing access to care (Manning & Hoyme, 2007). In response, the Specialty Diagnostic Resource Center (SDRC) in Arkansas developed the following interdisciplinary approach to FASD diagnosis. Seventy-seven individuals ages four months to 37 years were evaluated for Other Specified Neurodevelopmental Disability: Neurodevelopmental Disability Associated with Prenatal Alcohol Exposure (ND-PAE) between April 2020 and February 2022; 54 individuals were diagnosed. Trends were identified for individuals given a ND-PAE diagnosis and analyzed, with Spearman-rho analysis conducted. As FASDs are widely underdiagnosed, an approach similar to SDRC may assist other interdisciplinary teams in efforts to increase access both to diagnosis and intervention.
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