What are the best interventions for FASD? How do we fix it?
Ann Streissguth, a pioneering researcher in FASD, did a study of 400+ people who had been diagnosed with an FASD, to pinpoint exactly what behaviors were associated with FASD. The study, published in 1996, not only created a portrait of the difficulties and strengths associated with prenatal alcohol exposure, but it revealed something interesting about individuals with FASD who were experiencing best outcomes, vs. the statistical high poor outcomes that most individuals with FA experience in adulthood: homelessness, jail, mental health and substance abuse issues.
Several factors differentiated those who were avoiding poor outcomes. Early diagnosis and identification, family education and support, involvement in DDS services and lack of violence in the home.
In other words, when primary caregivers know what FASD is, understand the brain differences in people with an FASD, and are supported in that understanding, this can prevent bad outcomes for individuals with FA.
No other intervention study to date has given us such powerful information.
We cannot fix the brain damage caused by fetal alcohol exposure in utero. But we can create healthy, supportive family systems by providing quality FASD education and family support.
Changing the way we view behavior, examining our reaction to behavior, and understanding behavior as a product of brain function is the key. Understanding this and putting it into action are two different things, however. Putting it into action can be very difficult, especially if surrounded by people, family, professionals, and a society that sees behavior as a choice, no matter what brain differences an individual has.
A great book about how to understand FASD as a brain difference, and behaviors as clues to brain function, is FASD: Trying Differently Rather Than Harder, by Diane Malbin. Our trainings follow a brain-based approach to FASDs.