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MFT / LCSW

Fetal Alcohol Spectrum Disorders (FASD) in the Juvenile Justice System

11.50 - CE credit hours training

$63.25 - Cost of course

This page contains important information about the course, including training details, a comprehensive course description, learning objectives, and source references. We encourage you to review each section to gain a clear understanding of the course content, educational goals, and supporting materials before beginning your training and taking the POST TEST below.

Target audience and instructional level of this course: foundational
There is no known conflict of interest or commercial support related to this CE program.

Fetal Alcohol Spectrum Disorders (FASD) in the Juvenile Justice System

Follow the link below, read the material and then take the 45 question post test

Read the Course Material:
Fetal Alcohol Spectrum Disorders (FASD) in the Juvenile Justice System

45 Questions

1. "Fetal alcohol spectrum disorders" is an umbrella term describing the range of effects that can occur in an individual whose mother drank alcohol during pregnancy. These effects may include physical, mental, behavioral, and/or learning disabilities with possible lifelong implications.
2. FASD (Fetal Alcohol Spectrum Disorder) is a diagnostic term used by clinicians.
3. It is estimated that FASD occurs in 1 percent of all live births in the United States each year. Many of these infants grow up to commit crimes. One study found that 60 percent of individuals with an FASD ages 12 and older had been in trouble with the law.
4. Tools for Success focuses on assisting professionals who work with youth in the juvenile justice system who have an FASD to develop effective and appropriate interventions. It is designed for all correctional professionals, including advocates, attorneys, social workers, and social and human service providers who interact with children and families affected by FASD.
5. FASD is a lifetime disability. A child does not outgrow it, but early diagnosis along with intensive and appropriate interventions can make an enormous difference in the prognosis of the individual.
6. Because subsequent sections build upon the background information in Module 3, it is recommended that trainers begin every, Tools for Success training with this module or a modified version of this module.
7. Nearly 10% of pregnant women use one or more illegal drugs at some point during their pregnancies (National Institute on Drug Abuse, 1991). Of their newborns, nearly 2% have been exposed to cocaine, 5% to marijuana, and 99% to alcohol.
8. The diagnoses used in "FASD" are not a measure of severity. Terms such as "FAS," "FAE," and "ARND" are all diagnoses that may be found under the broad umbrella of FASD. Again, it is important to note that these diagnostic terms are not necessarily indicative of a certain level of severity.
9. Many people focus on the facial features of FAS as the determining factors in the effects of prenatal exposure to alcohol. However, since most individuals with an FASD do not have these facial features, they cannot be identified easily by their look.
10. All children with an FASD have more physical, developmental, and behavioral problems than other children. These children will have at least two of the following problems: low birth weight, small size for age in weight and length, head circumference below the norm.
11. Every person with an FASD does not have a co-occurring disorder.
12. Children of people who abuse alcohol are at increased risk for developing problems with alcohol due to a possible genetic vulnerability and possible multigenerational history of alcohol abuse.
13. Traumatic brain injury may co-occur with an FASD because those with an FASD are more likely than others to experience a closed head trauma due to taking risks, getting involved in fights and getting into accidents.
14. 12-ounce wine cooler, a 1.5-ounce shot of hard liquor, a 12-ounce beer, and a 5- ounce glass of wine contain different amounts of alcohol.
15. Infants born with an FASD may have a difficult first few months. Some may show behaviors related to alcohol withdrawal. Difficulties may include seizures, sleeping problems, stomach problems, and fussiness.
16. The early school years (age 6 through 11) are often characterized by problems predicting outcomes and understanding consequences, outbursts in behavior, delay in physical maturity, hyperactivity, memory problems, impulsivity, and lack of boundaries.
17. People with an FASD are at greater risk than those without an FASD to develop and/or drug problems.
18. Alcohol can damage the developing brain in a number of ways. The brain may be smaller than normal or may have missing or underdeveloped portions, such as the corpus callosum. The corpus callosum connects the right and left sides of the brain to allow communication between the hemispheres.
19. The left hemisphere of the brain control judgment, inhibition, concentration, selfcontrol, conscience, personality, and emotional traits, as well as cognition, memory, motor speech, and movement skills.
20. Until recently, alcohol use during pregnancy was not considered risky behavior. There are still some providers who say it is okay to drink during pregnancy.
21. The facilitator's checklist for materials needed, should include:
22. The facilitator's checklist for supplies needed, should include:
23. Three of the Tools for Success Modules are:
24. Studies estimate the range of fetal alcohol syndrome (FAS) prevalence due to alcohol exposure during pregnancy from
25. The lifetime cost for each individual with FAS is
26. At an historic summit hosted by the National Organization on Fetal Alcohol Syndrome, which institutions came together to produce and sign onto an unanimous agreement on terminology for fetal alcohol spectrum disorders.
27. Fetal Alcohol Spectrum disorders are:
28. Three of the Dysmorphic features of affected children may include:
29. Which term was used by Dr. Lemoine (1968) in France in the 1960s to describe 127 children that he saw and identified as having the effects of prenatal alcohol exposure?
30. Which terms are used at times to convey that there is no single effect of prenatal alcohol exposure on the fetus or the individual and that the short and long-term effects of prenatal alcohol exposure are far more wide reaching than solely FAS?
31. Some of the likely co-occurring disorders with FASD include:
32. Affected individuals may have problems with transitions from activity to activity, changes in daily routines, or changes in their home environment or work environment. These types of problems could lead to:
33. Behavior problems that can occur due to FASD include:
34. Learning difficulties that can occur due to FASD include:
35. Some of the factors that can contribute to the effects of alcohol on the developing fetus include:
36. Choose the right sentence(s).
37. Choose the correct sentence:
38. Which of the following adjustments can be used to help with communication and encourage more productive and positive outcomes?
39. Coping Strategies include:
40. Youth with undiagnosed disabilities receive harsher treatment at arrest, adjudication, and disposition often display:
41. There are a variety of cultural beliefs that are interpreted as sanctioning alcohol use among pregnant women. Some of these cultural beliefs include inaccurate information or myths. Examples of these myths are that alcohol can make a pregnant woman stronger and can increase the supply of breast milk.
42. Judges tend to be unaware of the learning disabilities in the youth before them. They usually do not question school reports or ask the school to identify underlying causes for failing grades or bad behavior. If they did this, it could result in identification and targeted remediation for youngsters with learning disabilities, since Federal law requires prisons to provide special education services to youth entering the system with an Individualized Educational Plan (IEP).
43. Youth with an FASD are less impulsive and their crimes are more planned; therefore, these youth are at a lower risk of getting caught.
44. Unfortunately, even the best parents and loving homes cannot prevent a child with an FASD from developing further problems. LaDue, et al. (1992) found that in day-today living, attentive parents in tightly structured homes were able to minimize but not eradicate problems.
45. In relation to delinquent juveniles, some important studies that have given us some good information to consider include:

Tools for Success Curriculum - Working With Youth with Fetal Alcohol Spectrum Disorders (FASD) in the Juvenile Justice System

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Training Material

http://archives.drugabuse.gov/TXManuals/BSFT/BSFT2.html#Brief

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Course Description:

"Fetal alcohol spectrum disorders" is an umbrella term describing the range of effects that can occur in an individual whose mother drank alcohol during pregnancy. These effects may include physical, mental, behavioral, and/or learning disabilities with possible lifelong implications. "FASD" is not a diagnostic term used by clinicians. It refers to conditions such as fetal alcohol syndrome (FAS), partial FAS, alcohol-related neurodevelopmental disorder, and alcohol-related birth defects.

It is estimated that FASD occurs in 1 percent of all live births in the United States each year (May and Gossage, 2001). Many of these infants grow up to commit crimes. One study found that 60 percent of individuals with an FASD ages 12 and older had been in trouble with the law (Streissguth, et al., 1996). Youth with an FASD often cycle through the juvenile justice system with no recognition of their disabilities. Through this curriculum, it is hoped that professionals can learn ways to improve the identification and treatment of youth with an FASD in the juvenile justice system.

Tools for Success Curriculum - Working With Youth with Fetal Alcohol Spectrum Disorders (FASD) in the Juvenile Justice System

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Training Material

http://archives.drugabuse.gov/TXManuals/BSFT/BSFT2.html#Brief

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Learning Objectives

After completing this training the health care professional will:

  • Discuss the lifelong effects of prenatal alcohol exposure on brain development
  • Define "fetal alcohol spectrum disorders"
  • Describe the impact FASD has on the family, school, community, and society in general
  • Describe difficulties of individuals with disabilities within the juvenile justice system
  • Explain why youth with an FASD may be more likely to come into contact with the juvenile justice system
  • Describe issues faced by youth with an FASD in the juvenile justice system
  • Identify juvenile justice issues facing youth with an FASD
  • Describe the juvenile court process
  • Summerize importance of identification and assessment of FASD in youth in the juvenile justice system
  • Apply knowledge from this course to practice and/or other professional contexts.
Deborah Stone, PhD, and Ammie A. Bonsu, MPH
Substance Abuse and Mental Health Services Administration (SAMHSA)