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FETAL ALCOHOL SPECTRUM DISORDER 

Definition

Fetal Alcohol spectrum disorders (FASD) are a group of conditions that can occur in a person whose mother drank alcohol during pregnancy. Alcohol in the mother’s blood passes through the umbilical cord and into the baby. Children with FASD often have abnormal facial features as well as growth problems. Their height and weight are usually lower than normal. (CDC, 2014). They also might have trouble with moving, speaking and learning. Students who have FASD often show the following symptoms…

  • Poor coordination

  • Hyperactive behavior

  • Difficulty with attention

  • Poor memory

  • Difficulty in math, speech and language

  • Lower IQ’s

  • Poor reasoning and judgment

  • Vision/Hearing problems

In the classroom, children with FASD are affected. They have difficulty learning, paying attention, remembering information and with problem solving. Many issues that appear in the classroom are seen as “behavior problems” rather then a learning disability. It is important for all teachers to understand that the behavior the child may show are out of their control. The child is unable to control these actions and the symptoms shown represent permanent brain damage. (CDC, 2014). 

Instructional Strategies
  • Establish the child’s strengths and Weaknesses

  • Children with FASD need similar support and guidance that is given to other students with disabilities within the classroom.

  • Gain the students attention before giving instructions. Directions should be clear, concise and simple. Directions should be acted out whenever possible. For example, if the directions are to pick up papers, the teacher should walk to the appropriate spot and demonstrate picking up the papers before the student is asked to.

  • Behavior plans are key within the classroom.

  • Children with FASD need positive feedback. This can include a reward system, patience, empathy, a stable environment and consistency

  • Teachers should not expect too little from FASD students but also shouldn’t demand too much.

  • FASD students can bring many gifts to the classroom such as creativity and a sense of humor. 

  • (“FASD in the classroom”, 2017). 

Useful Websites
  • http://www.oregon.gov/ode/educator-resources/2016fallconference/fasd.pdf

    • This link takes you to a book produced by the National Organization of Fetal Alcohol syndrome. It talks about the different ways to work with students with Fetal Alcohol Spectrum Disorder in the education system. It reminds teachers that working with these types of students might be tough but progress takes time. It will take a lot of determination, repetition, and a constant focus on the positive. These educational strategies presented within this handbook are intended to be helpful to all teachers who work with FASD students.

  • http://www.fldoe.org/core/fileparse.php/7690/urlt/0070099-fetalco.pdf

    • This is a resource guide created by the Florida department of Education. It gives an overview of the disorder and the effects of alcohol on the developing fetus. It also provides different expectations to expect from students with FASD. This handbook also provides a variety of different resources for teachers. It discusses how to help these students in the classroom. For example, giving FASD students an opportunity for them to have a quiet time and allow them to regroup.  

  • https://www.nofas.org/parents/

    • This last link provides tools for parents and caregivers. It has brochures, webinars, resources and materials. This link provides parents with many ways to help their children and ways to prevent FASD. 

Research 
  • Clinical and experimental research has published a meta analysis of multiple studies examining how drinking patterns of women during pregnancy can affect the development of their children. The first series of studies included over 10,000 children between the ages of 6 months to 14 years. The authors found that binge drinking during pregnancy was associated with problems with cognition. Based on three additional studies of 11.900 children between the ages of 9 months to 5 years, the authors found that moderate drinking during pregnancy was associated with the child having behavioral problems. The findings support previous findings that suggest harmful effects of binge drinking during pregnancy. (Flak Al et al., 2013).

  •  The journal of pediatrics published a report to help healthcare providers identify, diagnose, refer and care for children with behavioral problems caused by alcohol exposure during pregnancy. Prenatal Alcohol Exposure can cause a group of conditions known as fetal alcohol spectrum disorder. FASD are physical, behavioral, and intellectual disabilities.  The study also found out that the birth defects and developmental from FASD can cause pregnancy problems later in life. FASD is completely preventable if a baby is not exposed to alcohol before birth. (Hagan JF et al.,2016). 

Other

It has been found that about two percent of children in the U.S. show some signs of prenatal alcohol exposure. It wasn’t until the late 70’s that scientists began to recognize the connection between alcohol consumption and birth defects and developmental problems in their children. Today, the problems are more documented. Millions of babies are born worldwide that are affected by the conditions of FASD. FASD can happen for many reasons. In low-resource settings, a combination of biological, social and economic factors might contribute to prenatal alcohol exposure. Pregnant woman might not know how risky drinking during pregnancy can be. Another issue that can might cause FASD in a child is if their mother doesn’t change their drinking habits until they realize they are pregnant. Often they don’t find out until the second trimester when the damage to the fetus might have already occurred.  The diagnosis of FASD can sometimes be difficult. Not all of alcohol-exposed children have the distinctive facial abnormalities and other physical traits associated with this condition. (Understanding FASD-Rise @ Duke, 2016).

 

FASD causes brain damage to the child that is permanent. Although the brain is damaged, it is still able to work, just in different ways. It is very important to acknowledge the link between the brain and the behavior of the student. Behavior is a brain-based activity. FASD is a physical disability and it usually has very few outward signs. It is important for the teacher to always understand that the student is not behaving like this on purpose. It’s not that they WON’T do something, its that they CAN’T do it. (Blaskchke, Maltaverne and Struck, 2009).

 

Primary affects of FASD are those caused by brain damage from alcohol.

  • Information from the 6 senses does not get into the brain correctly.

  • Information is not sorted properly once it is there.

  • Executive function on the stored information is defective.

Sources 

(www.eyelight.com), Eyelight Inc. “FASD Is a Brain Based Disorder.” Fetal Alcohol SpectrumDisorder,  www.fasdwaterlooregion.ca/at-school-1/fasd-in-the-classroom/fasd-is-a- brain-based-disorder.

(www.eyelight.com), Eyelight Inc. “FASD in the Classroom.” Fetal Alcohol Spectrum Disorder,                               www.fasdwaterlooregion.ca/at-school-1/fasd-in-the-classroom.
“Fetal Alcohol Spectrum Disorders (FASDs).” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 3 June 2014, www.cdc.gov/ncbddd/fasd/diagnosis.html.

“Fetal Alcohol Spectrum Disorder Educational trategies.” Http://Www.oregon.gov/Ode/Educator-        Resources/2016fallconference/Fasd.pdf, 2009. 

Fetal Alcohol Syndrome in the Classroom, 2016, www.teachnology.com/teachers/special_ed/disabilities/fas/.

Flak AL, et al. “Key Findings: The Effects of Alcohol Use during Pregnancy and Later                    Developmental Outcomes:   An Analysis of Previous Studies.” Fetal Alcohol Syndrome in         the Classroom, 20 Aug. 2013, www.teach-               nology.com/teachers/special_ed/disabilities/fas/. 

Hagan, JF. “Fetal Alcohol Spectrum Disorders (FASDs).” Centers for Disease Control and   Prevention, Centers for Disease Control and Prevention, 8 Nov. 2016, www.cdc.gov/ncbddd/fasd/features/neurobehavioral-disorder-alcohol.html.

“NIAAA Advances Fetal Alcohol Exposure Research - Fogarty International Center @                NIH.” Fogarty International Center, U.S. Department of Health and Human Services, www.fic.nih.gov/News/GlobalHealthMatters/may-june-2016/Pages/niaaa-fetal-alcohol-     research.aspx

Warren , Kenneth R, et al. “Fetal Alcohol Spectrum Disorders: Research Challenges and Opportunities.” National Institute on Alcohol Abuse and Alcoholism, U.S. Department of Health and Human Services, pubs.niaaa.nih.gov/publications/arh341/4-14.htm.

Zieff, Chandra D, et al. “Understanding Fetal Alcohol Spectrum Disorders     (FASD).” Understanding Fetal Alcohol Spectrum Disorders FASD, 2016, sites.duke.edu/fasd/.

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