This book presents clinical assessment and management solutions for those people who are exposed to Alcohol in Pregnancy. Over the last few decades we have begun to understand the enduring effects of prenatal alcohol exposure on the developing fetus. The consequence of prenatal alcohol exposure - Fetal Alcohol Spectrum Disorders is a lifelong disorder and affects children and adults. It is a condition which is significantly under-recognised for many reasons. Assessment and diagnosis requires the input of multiple different professionals, and referral pathways are often poorly developed or non-existent.  Information to support and guide these professionals in practical ways, what to do and how to help, remains limited. This book seeks to fill some of that gap by offering professionals, clear and useable research-based information and guidance that will help in their practice whilst also being a useful resource for anyone new to this increasingly recognised area of work.

The book is divided into four broad areas bringing together chapters authored by experts in their field including those with lived experiences. Part one focuses on presenting an overview of the condition, and approaching women about their alcohol use and risk followed by part two focusing more around diagnostic issues. Part three follows with management advice, and part four revolves around policy and health prevention in general. Each chapter is designed to offer insight but also practical tips and support in an accessible manner. The book offers an essential guide for a broad range of health and social care professionals working with this condition.

Part 1 Overview FASD

Alcohol and pregnancy: why is the evidence so confusing
Pathology of FASD: a brief overview
Knowledge and prevalence of FASD in communities
Ethics of consuming alcohol in pregnancy
Part 2 Prevention
Public health strategies and FASD
Alcohol related harm and recognition
Brief interventions for alcohol using women
Midwifery approaches to recognising drinking in pregnant women
Social care issues in manging high risk families
Part 3 Recognition
Physical stigmata in FASD
Ruling out other disorders related to FASD: a diagnosis of exclusion
Growth problems in FASD
Psychometric testing and FASD
Communication assessments used in FASD
Sensory processing in FASD
Overlapping diagnoses in FASD
Recognising a FASD child in the classroom
Attachment and FASD
Changing pattern of presentation in people with FASD with age
Psychiatric difficulties in people with FASD
Multidisciplinary approaches to FASD
Part 4 Management
Managing withdrawal in babies born to mothers abusing
Development of commissioning awareness
Clinical pathways for accessing care: including the role of the advocate
Medication use in people with FASD
Psychological therapies for FASD
Educational strategies for people with FASD
Social care needs for people and families with FASD
Envornmental modifications and management of sensory issues for people with FASD
Family support needs and the role of support groups.