Authors:
Watkins R, Elliott E, Wilkins A, Mutch R, Fitzpatrick J, Payne J, O'Leary C, Jones H, Latimer J, Hayes L, Halliday J, D'Antoine H, Miers S, Russell E, Burns L, McKenzie A, Peadon E, Carter M, Bower C
Authors notes:
BMC Pediatrics. 2013;13(1):156
Keywords:
Fetal alcohol spectrum disorder, Diagnosis, Consensus
Abstract:
Fetal alcohol spectrum disorders (FASD) are underdiagnosed in Australia, and health professionals have endorsed the need for national guidelines for diagnosis.
The aim of this study was to develop consensus recommendations for the diagnosis of FASD in Australia.
The use of population-based screening for FASD was not recommended.
However, there was consensus support for the development of standard criteria for referral for specialist diagnostic assessment.
Participants developed consensus recommendations for diagnostic categories, criteria and assessment methods, based on the adaption of elements from both the University of Washington 4-Digit Diagnostic Code and the Canadian guidelines for FASD diagnosis.
Panel members also recommended the development of resources to: facilitate consistency in referral and diagnostic practices, including comprehensive clinical guidelines and assessment instruments; and to support individuals undergoing assessment and their parents or carers.
These consensus recommendations provide a foundation for the development of guidelines and other resources to promote consistency in the diagnosis of FASD in Australia.
Guidelines for diagnosis will require review and evaluation in the Australian context prior to national implementation as well as periodic review to incorporate new knowledge.