Table 1 Clinic Characteristics
From: International survey of diagnostic services for children with Fetal Alcohol Spectrum Disorders
Clinic Site | Funding Source | Services Offered | Training for Professionals | Training for Parents | Referral Criteria | Ages Seen | New referrals seen per year | % of Children seen with FAS/FASD |
|---|---|---|---|---|---|---|---|---|
Canada | ||||||||
Province A13 | State, fee for service | Diagnosis, short term management | Yes | NR | None | All ages | 60 | NR |
Province B14 | State, research, community | Diagnosis, short term management | No | No | Children with verified prenatal exposure to alcohol selected from the waiting list for the Psychology Clinic | 6 to 16 yrs | 15 in pilot period | NR |
Province C | Federal, charitable | Screening, diagnosis, management | NR | Yes | Children of drug treatment programme only | 0 to 6 yrs | 50 to 75 | NR |
Province C16 | Federal funding now ceased; clinic not operational | Diagnosis, short term management | Yes | NR | None | 0 to 12 yrs | 49 | 3/77 |
Province C | State | Screening, diagnosis, management | Yes | Yes | Prenatal alcohol exposure & evidence of CNS (behaviour) | <18 yrs | 40- to 50 | Unknown, most would have ARND |
USA | ||||||||
State Aa | Federal | Diagnosis, short term management | Yes | No | Pre-natal alcohol exposure | Usually <18 years | 150 across network | 2.6/70 |
State B | Self-pay, insurance | Diagnosis | Yes | Yes | None | 0 to 12 yrs | 35 | 10/90 |
State Bb | Insurance, research grants | Screening, diagnosis, management | Yes | No | None | All ages | 100 | 10/10 |
State B | Fee for service | Diagnosis | Yes | No | None | 0 to 21 yrs | 50 | 25/25 |
State B | State | Screening, diagnosis | Yes | No | Prenatal alcohol exposure and contacted telephone information service | All ages | NR | 1/5 |
State C | State & federal funding, fee for service, insurance | Screening, diagnosis, management | Yes | Yes | Prenatal exposure to alcohol or other drugs | 0 to 21 yrs | 200 to 250 | 45/30 |
State Db | Research grants | Screening, diagnosis | No | No | Children of heavy drinkers | NR | NR | NR |
State E | Fee for service, charitable foundation | Diagnosis | Yes | No | FASD highly suspected, but may not be confirmed. | 0 to 21 yrs | 80 | 5/87 |
State F | State & federal | Screening, diagnosis | Yes | Yes | None | 0 to 20 yrs | 100 | 20/30 |
State Gc | Federal | Screening, diagnosis | Yes | NR | Developmental delay, growth parameters < 25th centile, known prenatal alcohol exposure, or previous diagnosis of FAS/FASD | 0 to 18 yrs | 300 | 0.7/3.7 |
State H | State & federal funding, fee for service | Screening, diagnosis, management | Yes | Yes | None | All ages | 300 to 400 | 10/15 |
State I | Sliding fee scale, adoption subsidy, children services, contributions | Screening, diagnosis, management | Yes | Yes | Prenatal Alcohol exposure suspected then referrals screened for suitability | 3 to 18 yrs | 20 | 20/80 |
State J | State | Screening, diagnosis | Yes | Yes | Any prenatal alcohol exposure | All ages | 60 families | 9/vast majority |
State K | Contract, federal, state, fee for service | Screening, diagnosis, short term management | Yes | Yes | Prenatal alcohol exposure, developmental &/or behavioural concerns | 3 to 16 yrs | 24 | 5/95 |
Chile | ||||||||
Clinic A | Research grants (US NIH) | Screening, diagnosis, management | Yes | Yes | Protocol (unspecified) | 0 to 5 yrs | 20 | 8/25 |
South Africa | ||||||||
Clinic A | Research grants (US and local) | Screening, diagnosis, management | Yes | Yes | Birth records from local hospitals | 9 to 24 months & 7 to 12 yrs | Recruited, not referred | Multiple sites, range: 1.9 to 10.3/2.5 to 12.2 |
Clinic Bc | Federal (US Research) | Screening, diagnosis, management | Yes | NR | Developmental delay, growth parameters < 25th centile, known prenatal alcohol exposure, or previous diagnosis of FAS/FASD | 0 to 18 yrs | 1600 | 7.4/NR |
Italy | ||||||||
Clinic Ac | Federal (US Research) | Screening, diagnosis | Yes | NR | Developmental delay, growth parameters <25th centile, known prenatal alcohol exposure, or previous diagnosis of FAS/FASD | 0 to 18 yrs | 543 | 4/NR |
United Kingdom | ||||||||
Clinic A | National Health Service | Diagnosis | Yes | No | None | 14 to 18 yrs | 12 (6 months only) | 0/100 |