fetal alcohol spectrum disorder - university of illinois ... alcohol spectrum disorders: ......
TRANSCRIPT
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Fetal Alcohol Spectrum Disorders:
Early Childhood Presentation and
Developmental Trajectories
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Early Intervention Training Program at the
University of Illinois at Urbana-Champaign
presents
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Fetal Alcohol Spectrum Disorders:
Early Childhood Presentation and
Developmental Trajectories
Kathleen Kastner, M.D.Developmental and Behavioral Pediatrics Fellow
Department of Pediatrics
University of Chicago
Debbie FrekeParent
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Today’s Presenters
Kathleen Kastner, M.D.
Developmental and Behavioral Pediatrics Fellow
Department of Pediatrics
University of Chicago
Debbie Freke
Parent
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Today’s Moderators
Maria Matticks
Consultant
Early Intervention Training Program , UIUC
Michaelene M. Ostrosky
Head and Goldstick Family Scholar, Special Education, University of Illinois
Alissa Jones
Research Specialist
Early Intervention Training Program, UIUC
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Survey & Certificate
complete survey to get certificate
Look for “unique” email AFTER the webinar with the survey from
Early Intervention Training Program ([email protected])
This webinar has ILLINOIS EI credit as well as ILLINOIS STATE LICENSURE* credit
If you joined as a group, each individual will need to complete the unique survey for credit
*OT, PT, SLP, SW, Nutrition/Dietitian
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Who do we have participating with us today?
A. Parent/caregiver
B. Early Interventionist
C. CFC Staff
D. Administrators
E. Other (list in Chat Room)
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Fetal Alcohol Spectrum Disorders:
Early Childhood Presentation and
Developmental Trajectories
Kathleen Kastner, M.D.Developmental and Behavioral Pediatrics Fellow
Department of Pediatrics
University of Chicago
Debbie FrekeParent
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Prenatal Alcohol Exposure
Numerous historical references to the dangers of alcohol consumption while pregnant
1960s: Fetal alcohol syndrome was first described•Prior to this, alcohol was seen as ―innocuous‖ by some
•Even used as a treatment for some conditions associated with pregnancy
1981: Surgeon General Advisory
1989: ―The Broken Cord‖ by Michael Dorris
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What percentage of pregnant women
in the US report drinking alcohol in
the previous month?
• 0.5%
• 2%
• 10%
• 35%
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http://www.cdc.gov/ncbddd/fasd/data.html
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Alcohol use in pregnancy
www.samhsa.gov/
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www.NOFAS.org
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Drinking 1 glass of wine daily in the
3rd trimester is considered safe.Yes - True
No - False
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JAMC, 25 NOV 2003, 169 (11), 1184.
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Timing Matters!
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Prenatal Alcohol
Exposure
BehavioralEmotional
CognitiveAdaptive
Physical
Executive
Function
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Scope of the Problem
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Parent perspective- foster care/adoption
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www.NOFAS.org
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Central Nervous System Impact
• Neurogenesis
• Growth and Differentiation of Neurons
• Migration
• Synaptogenesis
• Apoptosis
• Plasticity
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DIAGNOSIS
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Fetal Alcohol Syndrome is diagnosed at
the time of birth.
True or False?
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Fetal Alcohol Spectrum Disorders
Umbrella Term describing several diagnoses:
Fetal alcohol syndrome
Partial fetal alcohol syndrome
Alcohol-related birth defects
Alcohol-related neurodevelopmental
disorder
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http://neafan.ca
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Fetal Alcohol Spectrum Disorders
Pediatrics. 2000;106:358-361
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Fetal Alcohol Syndrome Criteria
Facial Abnormalities
• Smooth Philtrum
• Thin Vermillion Border
• Short Palpebral Fissures
Growth Impairment
• Prenatal or postnatal height or weight at or below the 10th percentile, documented at any one point in time (adjusted for age, sex, gestational age, and race or ethnicity)
CNS Abnormalities
• Structural
• Neurological
• Functional
***All 3 criteria categories must be present for diagnosis***
**Documented prenatal alcohol exposure is NOT needed
to meet criteria**
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FAS Facial Features
AAP FASD Toolkit
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Rating 4 or 5 meets criteria for FASAstley, fasdpn.org
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Palpebral Fissure Length
• Caliper measurement
• Computer aided
measurement
• Measurement at or below
the 10th percentile
Astley, fasdpn.org
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Palpebral Fissure Length
Astley et al. 2011
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Palpebral Fissure Length
Astley et al, University of Washington
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Wattendorf et al, 2005
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CNS Abnormalities
Structural
Head circumference (occipital-frontal circumference – OFC) at or below the
10th percentile adjusted for age and sex. Clinically significant brain abnormalities
observable through imaging
NeurologicNeurologic problems not due to a
postnatal insult or fever, or other soft neurologic signs outside normal limits
FunctionalPerformance substantially below that
expected for an individual’s age, schooling, or circumstances
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CNS Functional Abnormalities
Global
• cognitive or intellectual deficits representing multiple domains of deficit (or significant developmental delay in younger children) with performance below the third percentile (2 standard deviations below the mean for standardized testing).
Functional
• deficits below the 16th percentile (1 standard deviation below the mean for standardized testing) in at least 3 domains
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Partial Fetal Alcohol Syndrome
Pediatrics. 2000;106:358-361
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Alcohol Related Birth Defects
Pediatrics. 2000;106:358-361
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Alcohol Related Neurodevelopmental
Disabilities (ARND)
Pediatrics. 2000;106:358-361
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ARND Diagnostic Criteria
Astley 2011
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ND-PAE
• Neurobehavioral Disorder
Associated with Prenatal
Alcohol Exposure
• DSM-5
• Published in 2013
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Differential Diagnosis• Genetic Syndromes (Williams, Noonan, 22q, Trisomy 21)
• Other teratogen exposures (Toluene, Valproate)
• ADHD (co-morbidity)
• Trauma (co-morbidity)
• Autism Spectrum Disorder (co-morbidty)
Hoyme et al. Pediatrics 2005;115:39-47
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Parent perspective- Diagnostic journey
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NEUROBEHAVIORAL OUTCOMES
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Prenatal Alcohol
Exposure
BehavioralEmotional
CognitiveAdaptive
Physical
Executive
Function
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EARLY CHILDHOOD SYMPTOMS
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Infancy
• Sleep
• State regulation
• Autonomic regulation
• Increased activity levels
• Increased stress
response
• Habituation
• Developmental delays
huffingtonpost.co.uk
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Toddlers
• Behavioral concerns
• Executive function
• Memory impairment
• Sensory processing
• Emotional regulation
• Developmental
delays
• Visual motor integration
• Math skills
• Speech delay
www.goodtoknow.co.uk
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Parent perspective- Early childhood
symptoms
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CHILDHOOD AND ADOLESCENCE
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Cognitive Outcomes
Stagnor
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Executive Function
Brown, T.E.
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Executive Function
Impaired attention
Cognitive planning
& Difficulties
with abstract reasoning
Time Money HonestyFigures of speech/
sarcasm
Processing speed
Set shifting
Deficiencies in memory
and problem solving
Difficulty with impulse
control
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ADHD and FASD
ADHD is the most commonly reported mental health diagnosis in FASD
FASD/ADHD is different than ADHD alone:
• Earlier presentation
• Primarily inattentive symptoms
• Worse adaptive function
• Improved response to Mixed amphetamine vs. Methylphenidate (some evidence)
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Adaptive Function
• Daily living skills
• Communication
• Social difficulties
• Facial emotional
recognition
• Understanding of social
cues
• FASD vs. ASD
http://blog.tdsbusiness.com
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FASD vs. ASD
Bishop et al, 2007
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Primary & Secondary Disability
http://fasdcenter.samhsa.gov/educationTraining/courses/FASDTheCourse/module4/mod4_ct_sd_pg1.aspx
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Life Span
http://fasdcenter.samhsa.gov/images/courses/fasdcourse/age12_LGE.jpg
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Parent perspective- Childhood and
adolescent symptoms
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Fetal Alcohol Spectrum Disorders cannot
be treated.
True or False?
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INTERVENTION
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Management
Aspects of
Management
TherapyBehavioral
support
Parent
Training &
SupportMedication
Educational
Supports
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FASD Specific Interventions
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Parent perspective- Management
and Support
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Resources
SAFA: Self-
Advocates with
FASD in Action
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Take-Home Points
Alcohol-related disabilities are completely preventable!
Neurocognitive and behavioral problems from prenatal alcohol exposure are lifelong
Early recognition, diagnosis, and therapy for any condition along the FASD continuum can result in improved outcomes
• No amount of alcohol intake should be considered safe
• There is no safe time in pregnancy to drink alcohol
• All forms of alcohol pose similar risk
• Binge drinking poses dose-related risks to the developing fetus
During pregnancy:
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ReferencesWilliams et al, ―Fetal Alcohol Spectrum Disorders.‖ Pediatrics. 2015: 136(5), e1395-e1406
Wattendorf et al, ―Fetal Alcohol Spectrum Disorders.‖ American Family Physician. 2005: 72(2), p279-285.
Astley et al, ―Canadian Palpebral Fissure Length Growth Chart.‖ Journal of Population Therapeutics and Clinical Pharmacology. 2011: 18(2), e231-e241.
Astley et al, www.fasdpn.org
‖Fetal Alcohol Spectrum Disorders Program.‖ American Academy of Pediatrics. 2015, www.aap.org
Paley, B. ―Early Intervention for Children with Fetal Alcohol Spectrum Disorders.‖ Encyclopedia on Early Childhood Development. 2011.
Jacobson et al, ―Effects of Prenatal Alcohol Exposure on Child Development.‖ NIH National Institute on Alcohol Abuse and Alcoholism. Accessed 2.24.16. http://pubs.niaaa.nih.gov/publications/arh26-4/282-286.htm
Mattson et al, ―Fetal Alcohol Spectrum Disorders: Neuropsychological and Behavioral Features.‖ Neuropsychology Review. 2011: 21(2). p81-101.
‖Fetal Alcohol Spectrum Disorders: Competency Based Curriculum Development Guide.‖ US Department of Health and Human Services and Centers for Disease Control. http://www.cdc.gov/ncbddd/fasd/curriculum/
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Thank you for your participation!
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Survey & CertificateYou will receive email with survey from Early Intervention Training Program ([email protected])
Must complete unique survey to get certificate
Certificate will be emailed after survey completion (within 24 hours)
Issues with survey or certificate, please contact us at [email protected]
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Let’s Keep in Touch!
The Early Intervention Training Program at
the University of Illinois
The Children’s Research Center
Champaign, IL 61820
51 Gerty Drive, Room 105
Join Our Facebook Group
Early Intervention Training Program at The University of Illinois
Follow us on Twitter
@EITPIllinois
Visit our WebsiteEITP.education.illinois.edu
Thank you for supporting the children
and families of Illinois!