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Understanding FASD in Correctional Settings: Implications for Practitioners

Understanding FASD in Correctional Settings: Implications for Practitioners

Introduction

Fetal Alcohol Spectrum Disorder (FASD) is a significant public health issue with far-reaching implications, particularly within the criminal justice system. A recent study titled Prevalence and characteristics of adults with fetal alcohol spectrum disorder in corrections: a Canadian case ascertainment study highlights the prevalence of FASD in correctional settings and underscores the need for improved screening and diagnostic measures. This blog post aims to translate the findings of this study into actionable insights for practitioners, particularly those working with justice-involved populations.

Key Findings from the Study

The study conducted in a Northern Canadian correctional facility found that approximately 17.5% of justice-involved adults were diagnosed with FASD. This figure could potentially rise to 31.2% with confirmed prenatal alcohol exposure (PAE). The study's findings are particularly striking when compared to the general population estimates of 2-5% in both Canada and the U.S.

Most participants exhibited significant neurodevelopmental and cognitive deficits, with only a small fraction showing no cognitive impairment. This highlights the critical need for enhanced screening and diagnostic practices in correctional settings to identify and support individuals with FASD.

Implications for Practitioners

For practitioners, particularly those in speech-language pathology and related fields, these findings emphasize the importance of integrating comprehensive FASD assessments into routine evaluations for justice-involved individuals. Here are some actionable steps practitioners can take:

Encouraging Further Research

While the study provides valuable insights, it also highlights the need for further research to better understand the nuances of FASD in correctional settings. Practitioners are encouraged to engage in or support research initiatives that explore the following areas:

Conclusion

The overrepresentation of individuals with FASD in correctional settings calls for immediate action from practitioners and policymakers alike. By implementing data-driven practices and supporting further research, we can work towards better outcomes for individuals with FASD and ultimately reduce their involvement in the criminal justice system.

To read the original research paper, please follow this link: Prevalence and characteristics of adults with fetal alcohol spectrum disorder in corrections: a Canadian case ascertainment study.


Citation: McLachlan, K., McNeil, A., Pei, J., Brain, U., Andrew, G., & Oberlander, T. F. (2019). Prevalence and characteristics of adults with fetal alcohol spectrum disorder in corrections: a Canadian case ascertainment study. BMC Public Health, 19(43). https://doi.org/10.1186/s12889-018-6292-x
Marnee Brick, President, TinyEYE Therapy Services

Author's Note: Marnee Brick, TinyEYE President, and her team collaborate to create our blogs. They share their insights and expertise in the field of Speech-Language Pathology, Online Therapy Services and Academic Research.

Connect with Marnee on LinkedIn to stay updated on the latest in Speech-Language Pathology and Online Therapy Services.

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