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
This image provides an idea about how a diagnosis can be made. Central Nervous System (CSN) refers to the above brain domains that need to be assessed.
The following neurodevelopmental brain domain should be assessed by the team.
An individual needs to have impairment in at least
three of the following:
*Adaptive Behaviour, Social Skills and
*Dysregulation (Affect, Sensory)
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.