Current Canadian Guidelines for Fetal Alcohol Syndrome Disorder, 2015 (FASD) has three categories:

  • FASD with Sentinel Facial Features

    • The three facial features are:

      • Small eye openings

      • Flatter groove between the nose and upper lip

      • Thin upper lip

  • FASD without Sentinel Facial Features

  • At Risk for Neurodevelopmental disorder and FASD


An individual is best assessed by a multi-disciplinary team that can do the medical and neurodevelopmental brain domains assessments.   This type of team includes:

  • Doctor with expertise in FASD and differential diagnosis

  • Occupational therapist

  • Speech-Language pathologist

  • Psychologist

The following neurodevelopmental brain domain should be assessed by the team. 

An individual needs to have impairment in at least

three of the following:

  • Academic Achievement

  • Adaptive Behaviour, Social Skills and Social Communication

  • Attentional Issues

  • Cognition

  • Dysregulation (Affect, Sensory)

  • Executive Functioning

  • Language

  • Memory

  • Motor Development

  • Neuroanatomy / Neurophysiology


Cook JL, Green CR, Lilley CM, et al.; (2015) Canadian Fetal Alcohol Spectrum Disorder Network. Fetal Alcohol Spectrum Disorder: a guideline for diagnosis across the lifespan. CAMJ

Scott, Louise A (2016, March). FASD 101 +: The Practical Realities.  Hamilton Wentworth District School Board.  Hamilton, Ontario.

McLachlin, Kaitlyn (2017, November).  Hamilton FASD Conference 2017.  Moving Forward FASD Conference.  Hamilton, Ontario.

Phone: 905-570-8888

Fax: 905-522-5998

Email: info@fasdhamilton.ca

©2020 by Hamilton FASD Collaborative


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