Recommendations from a consensus development workshop on the diagnosis of fetal alcohol spectrum disorders in Australia
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Abstract Background: 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. Methods: A panel of 13 health professionals, researchers, and consumer and community representatives with relevant expertise attended a 2-day consensus development workshop to review evidence on the screening and diagnosis of FASD obtained from a systematic literature review, a national survey of health professionals and community group discussions. The nominal group technique and facilitated discussion were used to review the evidence on screening and diagnosis, and to develop consensus recommendations for the diagnosis of FASD in Australia. Results: 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. Conclusions: 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.
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Watkins, R.; Elliott, E.; Halliday, J.; O'Leary, Colleen marie; D'antoine, Heather; Russell, E.; Hayes, L.; Peadon, E.; Wilkins, A.; Jones, H.; McKenzie, A.; Miers, S.; Burns, L.; Mutch, R.; Payne, J.; Fitzpatrick, J.; Carter, M.; Latimer, J.; Bower, C. (2013)Background: There is little reliable information on the prevalence of fetal alcohol spectrum disorders (FASD) in Australia and no coordinated national approach to facilitate case detection. The aim of this study was to ...
Fetal alcohol spectrum disorder: development of concensus referral criteria for specialist diagnostic assessment in AustraliaWatkins, Rochelle; Elliott, E.; Wilkins, A.; Latimer, J.; Halliday, J.; Fitzpatrick, J.; Mutch, R.; O'Leary, Colleen marie; Burns, L.; McKenzie, A.; Jones, H.; Payne, J.; D'antoine, Heather; Miers, S.; Russell, E.; Hayes, L.; Carter, M.; Bower, C. (2014)Background: Fetal alcohol spectrum disorder (FASD) is known to be under-recognised in Australia. The use of standard methods to identify when to refer individuals who may have FASD for specialist assessment could help ...
Consensus diagnostic criteria for fetal alcohol spectrum disorders in Australia: A modified Delphi studyWatkins, R.; Elliott, E.; Mutch, R.; Payne, J.; Jones, H.; Latimer, J.; Russell, E.; Fitzpatrick, J.; Hayes, L.; Burns, L.; Halliday, J.; D'antoine, Heather; Wilkins, A.; Peadon, E.; Miers, S.; Carter, M.; O'Leary, Colleen marie; McKenzie, A.; Bower, C. (2012)ABSTRACTObjective: To evaluate health professionals’agreement with components of published diagnosticcriteria for fetal alcohol spectrum disorders (FASD) inorder to guide the development of standard diagnosticguidelines ...