Recommendations from a consensus development workshop on the diagnosis of fetal alcohol spectrum disorders in Australia

Watkins, Rochelle E., Elliott, Elizabeth J., Wilkins, Amanda, Mutch, Raewyn C., Fitzpatrick, James P., Payne, Janet M., O'Leary, Colleen M., Jones, Heather M., Latimer, Jane, Hayes, Lorian, Halliday, Jane, D'Antoine, Heather, Miers, Sue, Russell, Elizabeth, Burns, Lucinda, McKenzie, Anne, Peadon, Elizabeth, Carter, Maureen and Bower, Carol (2013) Recommendations from a consensus development workshop on the diagnosis of fetal alcohol spectrum disorders in Australia. BMC Pediatrics, 13 1: . doi:10.1186/1471-2431-13-156


Author Watkins, Rochelle E.
Elliott, Elizabeth J.
Wilkins, Amanda
Mutch, Raewyn C.
Fitzpatrick, James P.
Payne, Janet M.
O'Leary, Colleen M.
Jones, Heather M.
Latimer, Jane
Hayes, Lorian
Halliday, Jane
D'Antoine, Heather
Miers, Sue
Russell, Elizabeth
Burns, Lucinda
McKenzie, Anne
Peadon, Elizabeth
Carter, Maureen
Bower, Carol
Title Recommendations from a consensus development workshop on the diagnosis of fetal alcohol spectrum disorders in Australia
Journal name BMC Pediatrics   Check publisher's open access policy
ISSN 1471-2431
Publication date 2013-10-01
Year available 2013
Sub-type Article (original research)
DOI 10.1186/1471-2431-13-156
Open Access Status DOI
Volume 13
Issue 1
Total pages 10
Place of publication London, United Kingdom
Publisher BioMed
Language eng
Formatted abstract
Background
Fetal alcohol spectrum disorders (FASD) are underdiagnosed in Australia, and health professionals have endorsed the need for national guidelines for diagnosis. The aim of this study was to develop consensus recommendations for the diagnosis of FASD in Australia.

Methods
A panel of 13 health professionals, researchers, and consumer and community representatives with relevant expertise attended a 2-day consensus development workshop to review evidence on the screening and diagnosis of FASD obtained from a systematic literature review, a national survey of health professionals and community group discussions. The nominal group technique and facilitated discussion were used to review the evidence on screening and diagnosis, and to develop consensus recommendations for the diagnosis of FASD in Australia.

Results

The use of population-based screening for FASD was not recommended. However, there was consensus support for the development of standard criteria for referral for specialist diagnostic assessment. Participants developed consensus recommendations for diagnostic categories, criteria and assessment methods, based on the adaption of elements from both the University of Washington 4-Digit Diagnostic Code and the Canadian guidelines for FASD diagnosis. Panel members also recommended the development of resources to: facilitate consistency in referral and diagnostic practices, including comprehensive clinical guidelines and assessment instruments; and to support individuals undergoing assessment and their parents or carers.

Conclusions
These consensus recommendations provide a foundation for the development of guidelines and other resources to promote consistency in the diagnosis of FASD in Australia. Guidelines for diagnosis will require review and evaluation in the Australian context prior to national implementation as well as periodic review to incorporate new knowledge.
Keyword Fetal alcohol spectrum disorder
Diagnosis
Consensus
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article number 156.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Medicine Publications
 
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