239233 Improving child health outcomes through prevention and intervention among women at risk of alcohol-exposed pregnancies

Monday, October 31, 2011: 10:50 AM

Jill Hensley, MA , SAMHSA FASD Center for Excellence, Rockville, MD

Fetal Alcohol Spectrum Disorders (FASD) is an umbrella term describing the range of effects that can occur in an individual whose mother drank alcohol during pregnancy. Approximately 40,000 babies are born each year in the United States with FASD, and the public health costs for Fetal Alcohol Syndrome (FAS) alone are estimated at over $6 billion a year. Project CHOICES, Screening and Brief Intervention (SBI), and the Parent-Child Assistance Program (P-CAP) are three evidence-based interventions being implemented nationally through an initiative funded by the Substance Abuse and Mental Health Services Administration to prevent FASD. The interventions address risk of alcohol-exposed pregnancies by targeting women at various stages, including pre-conception, pregnancy, and following birth. The programs also offer a range of approaches in intensity and duration, including: brief interventions (SBI), 4-session interventions (CHOICES), and 3-year case management (P-CAP). Data will be shared on integrating approaches to meet community needs and on client outcomes.


Data are based on face-to-face interviews with the participating women. Each intervention utilizes a separate screening and follow-up assessment battery of instruments to determine program eligibility, participation completion, and outcomes.


Results have shown interventions as affective in helping women to: 1) achieve abstinence (42% - 96%); 2) utilize effective contraception (74%); and/or 3) utilize partner, family, and community support in achieving goals. Findings are based on two years of data.


Three prevention/intervention approaches will be compared and discussed based on current data and outcomes as viable strategies to improve infant and child health community-wide.

Learning Areas:
Implementation of health education strategies, interventions and programs
Program planning
Social and behavioral sciences

Learning Objectives:
1. Name three evidence-based strategies for preventing alcohol exposed pregnancies 2. Compare strategies for meeting different population needs and addressing risk factors

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I oversee the programs that are the subject of this presentation for the FASD Center for Excellence.
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.