Fetal Alcohol Spectrum Disorder Best Practices Fetal Alcohol Spectrum Disorder

Diagnostic Categories Fetal Alcohol Syndrome (FAS) Partial FAS Alcohol Related Birth Defects (ARBD) Alcohol Related Neurodevelopmental Disorder (ARND)

Visual Aids 7:30amWake up/Clean up room Make your bed Fold your clothes 7:40amHygiene Get shower shoes Line up for hygiene Shower Put clothes on Brush teeth Mouth wash 8:25amPrep for Breakfast Line behavior 8:30amCafé  Get in line  No side talking  Be nice to café staff  Eat  Ask to dump tray  Line up 9:00amGroup Behaviors  Review my star chart  Goals for the day 9:20amPrep for school  Grab school material  Line behavior 9:30amIn Class

Environmental Strategies Structure – Balance between “minimalist environment” and some stimulation. Predictability – Assigned Seating – Alert in Advance of Schedule Changes – Consistent Consequences

Environmental Strategies Recognize Retention Difficulties – Short Sentences – Teach 1 concept at time – Repeat What You Heard – Concrete Language Multi-modality Instruction – Pictorial Cues of Tasks and Routines – Model Behavior

Environmental Strategies Repetition – Repeat Repeat – Repeat Monitored Level of Stimulation – Logical Consequence – Frequent Short Breaks – Re-direct Behavior (change the subject) – Acknowledge anger, over-stimulation

Visual Aids Check List Brush my teeth Shower Comb my hair Change my clothes Clean socks Deodorant

Psychological Testing Peabody Picture Vocabulary Test – The PPVT-IV provides an estimate of the client's verbal intelligence and has been administered to groups who had reading or speech problems, had mental retardation, or were emotionally withdrawn.verbal intelligencereadingspeech problemsmental retardation Vineland Adaptive Behavior Scales, (Vineland-II) – A leading measure of personal and social skills needed for everyday living. WISC/WAIS

Lessons Learned If they tell you they can’t do it, DO NOT accept that they can’t. Fine and Gross Motor Skills – Combining shampoo bottles – Learning to tie shoe laces – Folding clothes If they tell you “yes I understand” they probably don’t. Concrete Thinking – The bubble