203995 Trends and approaches in evidence-based programs for the prevention of Fetal Alcohol Spectrum Disorders (FASD)

Tuesday, November 10, 2009

Callie Gass, BA , SAMHSA FASD Center for Excellence, Rockville, MD
Vinitha Meyyur, PhD , SAMHSA FASD Center for Excellence, Rockville, MD
This session introduces the history of evidence-based programs for the prevention of Fetal Alcohol Spectrum Disorders (FASD). Three approaches to prevention will be presented: 1) case management (CM), 2) motivational interviewing (MI), and 3) screening and brief intervention (SBI) programs. Multiple researchers have demonstrated success with these approaches. The session discusses the reported outcomes of programs using each approach. Commonalities among programs and approaches will be described, as will the various settings where the programs are being implemented.

The CM approach is a long term method that builds a trusting relationship and can span several years. CM includes frequent contact between the advocate and the client. The main target audience of the approach is pregnant or postpartum women with the goal of preventing future births of children prenatally exposed to alcohol. The MI approach is a four-session counseling method designed to motivate individuals to change. In general, the target audience of MI is women of child-bearing age, and the goal is to prevent alcohol-exposed pregnancies by reducing drinking, using effective contraception, or both. The SBI approach is designed to identify pregnant women who are drinking or at risk of drinking during pregnancy. Women who screen positive are then given a brief intervention with the goal of eliminating alcohol use. Women who are dependent on alcohol are referred to specialized treatment programs.

Learning Objectives:
1. Describe the history and types of evidence-based approaches to prevent FASD. 2. Discuss the outcomes of programs utilizing each approach. 3. Examine settings where the programs are being implemented.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have served as the Director of the SAMHSA FASD Center for Excellence for the past 5 years overseeing research and program implementation addressing FASD prevention targeted to women-at-risk of alcohol exposed pregnancy and FASD treatment and intervention for individuals with an FASD. In that capacity I have overseen The Center's research in identifying and disseminating evidence-based practices for the prevention of FASD. The proposed presentation summarizes our findings to date on evidence-based practices for FASD prevention. Previously, I have co-authored several papers and articles, including "Sobering Thoughts: Town Hall Meetings on Fetal Alcohol Spectrum Disorders", Am J Public Health, Dec 2006; 96: 2098 - 2101. I most recently presented a session on community based FASD prevention at CADCA's 19th Annual Leadership Forum. I have also participated in numerous national conferences and meetings on FASD, including annual meetings of the FASD Study Group at the Research Society on Alcohol and the Marcus Institute's Fall Leadership Conference on "Intervention and Treatment for Alcohol-Affected Individuals."
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.