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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Thank you! 12
Fetal alcohol spectrum disorders for mental health professionals - a brief review Paula J. Lockhart Fetal alcohol spectrum disorders, characterized by emotional, behavioral, cognitive and/or social disability, is an important condition to those providing mental health treatment worldwide. With no safe level of alcohol consumption found during pregnancy, symptoms at the severe end of the spectrum can be obvious, easily diagnosed and extremely debilitating; at the mild end of the spectrum the disabilities may be subtle, and often attributed to other causes. Common symptomatology in an individual with fetal alcohol spectrum disorders includes: attention problems, impulsivity, mood disorders, conduct and oppositional defiant disorder symptoms, drug and alcohol problems, impaired executive functioning, memory disturbances, learning disabilities, poor social skills and reduced ability to function independently as an adult. Because of the lack of widespread knowledge of this disorder by mental health providers, especially in the absence of mental retardation or dysmorphic features, individuals with fetal alcohol spectrum disorders are often not identified as having an organically based mental health, and/or cognitive disorder; thus reduces their ability to qualify for special support services found to improve long-term outcome. Despite the great need for neuropsychiatric treatment research that could lead to improved fetal alcohol spectrum disorders targeted multilevel mental health, and social support services, there is much the mental health professional can provide at this time to improve the lives of these individuals. Accordingly, the mental health community needs to be prepared, as the disorder becomes more widely recognized by affected patients and their families; they will be requesting formal diagnoses and sensitive, creative options to prenatal alcohol related problems in all areas of neuropsychiatric treatment. Curr Opin Psychiatry 14:463±469. # 2001 Lippincott Williams & Wilkins. The Kennedy Krieger Institute, Baltimore, Maryland, USA Correspondence to Paula J. Lockhart, MD, The Kennedy Krieger Institute, Baltimore, MD, USA E-mail: lockhart@kennedykrieger.org Current Opinion in Psychiatry 2001, 14:463±469 Abbreviations ADHD attention deficit hyperactivity disorder ARND alcohol-related neurodevelopmental disorder CNS central nervous system FAS fetal alcohol syndrome FASD fetal alcohol spectrum disorders # 2001 Lippincott Williams & Wilkins 0951-7367 Introduction Fetal alcohol spectrum disorders (FASD) are leading causes of preventable emotional, behavioral, cognitive, and social dysfunction currently encountered by psychiatrists and other mental health professionals [1 . ,2,3,4 .. ]. Despite the high pro®le these disorders hold in society, this spectrum of conditions often escapes recognition by mental health professionals, and may represent one of the most under treated of the life long developmental disabilities in psychiatry and the other mental health disciplines [4 .. ]. Experts in the ®eld emphasize that there is a great need for an in-depth understanding of these conditions by mental health practitioners because of the high prevalence of these disorders [4 .. ]. Despite the volumes of information known on the neurobiology and neuropsychology of FASD, there remains a paucity of neuropsychiatric treatment research available to help the practitioner [4 .. ]. Parents and guardians who have children with FASD struggle in managing the severe behavior, emotional and cognitive problems of these individuals. They especially struggle with the poor adaptive living skills, developmentally impaired social skills, and dependency that are so characteristic of this population [3]. In addition, the criteria that are required to be eligible for disability assistance is much narrower than the disability itself. This leads to the problem of many individuals not qualifying for the ®nancial assistance they require to support a lifetime of psychosocial dysfunction [3,4 .. ]. This article will highlight the current concepts of prenatal alcohol related disability from a neuropsychiatric perspective. The current body of literature is vast with new and exciting developments, however only speci®c issues will be covered in this article because of space considerations. General approaches to treatment will also be offered, with the understanding that we know far more about the etiology and description of these disorders, but comparatively little about the amelioration of many of these life-long symptoms. Historical perspectives Lemoine et al. of Nates, France, was one of the early investigators who originally observed changes in 127 offspring of mothers with alcoholism that became known as the signs and symptoms of fetal alcohol syndrome 463
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Program Description: The Commonweal
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Conference Information: The Pennsyl
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MONDAY May 15 th , 2006
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Monday Morning Plenary Session “S
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COSIG Co-Occurring Disorders Confer
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M01: The Addiction Psychiatry Couns
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5. Criminal Logic: This is a 3- to
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12 Roadblocks of Communication 1 Or
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3 G.R.A.C.E. G- For Gap. Often our
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5 _________________________________
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7 Overall, what do you gain by drug
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9 2. What time of day would be best
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11 10. What good things would happe
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13 Decisional Balance for Drug Use
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15 ________________________________
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17 Drug use: Antecedents, Consequen
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Certificate of Achievement Temple U
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M06: An Overview: Co-Occurring Diso
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Requirements for CCDP Employment CC
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ecertification cycle (PCB approved
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Work Experience Verification Applic
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Code of Ethical Conduct UNLAWFUL CO
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psychoactive substance impairs the
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Easy Pass for PCB credentialed prof
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CCDP Checklist for applicants with
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TABLE OF CONTENTS Purpose of the Ca
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confidentiality in substance abuse
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Task 4 - Recognize signs and sympto
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individual’s needs and circumstan
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and community resources and service
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3. Social supports and networks for
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COUNSELING Task 1 - Provide a safe,
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CASE MANAGEMENT information. Task 1
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ensure continuity of care whenever
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disciplinary codes of ethics and st
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2. Effective public relations techn
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2. Eliciting accurate evaluation da
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2. There are seven elements in the
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elationship is established with the
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In taking the test, you may find it
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REFERENCES The following resources
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Other Drug Abuse Counselors. Columb
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Stern, T., Herman, J., & Slavin, P.
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2004 PA Certification Board (PCB).
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Prochaska, J.O. & DiClemente, C.C.,
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M12: An Overview of Adolescents and
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G. Benson, 2004 G. Benson 2004 COSI
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M13: Tri-Recovery Process: Improvin
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M15: TIP 42 Treatment for Persons w
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M16: Housing Implications for the O
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DRAFT - Community Based and Recover
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are perceived as necessary for stat
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esponsibility shared with consumers
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or provided at other rehab programs
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Supportive housing is a successful,
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Living on the Edge: Substance Use a
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M26: Dual Recovery: 12-Step Program
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Using Dialectical Behavior Therapy
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Using Dialectical Behavior Therapy
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TUESDAY May 16 th , 2006
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Article by Kenneth Minkoff, MD and
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RESOURCE BIBLIOGRAPHY (2005) 1. Ame
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38. Foundation Associates, Making M
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71. Minkoff K & Cline C, Developing
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co-occurring psychiatric and substa
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T31: Implementing Evidence-Based Pr
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T32: Berks County Adolescent Pilot
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T35: CCISC Implementation in Pennsy
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Volume 1, Issue 5 The Trainers meet
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Volume 1, Issue 1 BLAIR COUNTY’S
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Volume 1, Issue 1 Vision/Mission CO
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Volume 1, Issue 1 3. The population
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Volume 1, Issue 1 Complete
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Volume 1, Issue 1 The forgoing Cons
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Volume 1, Issue 1 Language for Inte
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Volume 1, Issue 1 Language for Inte
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T36: The Co-Occurring Distinction:
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Integration or Occupation? •QUEST
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Coming to a Balance “Rather shall
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Page 449: T41: Offering Positive Incentives t
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Page 458 and 459: Motivational Incentives for Enhance
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Page 503 and 504: Fetal alcohol spectrum disorders fo
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Page 511: Don’t Ask My Child to Fly Bruce R
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Page 523 and 524: 1 Multisystemic Therapy MST Model H
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T55: Creating Co-Occurring Centers
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12. What is the diagnosis: |___| 1
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Fact Sheet A Project to Establish A
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Planning and Implementing a Welcomi
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All organizations signing this memo
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3. Region I organizations will assi
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e) Link organizations with websites
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Planning and Implementing a Welcomi
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Welcome to the Johnson Institute ht
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johnsoninstitute.com - History http
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johnsoninstitute.com - President's
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MISA PILOT TAKES FLIGHT: A PILOT AP
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In Flight Changes for COD in Washin
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Crisis & Counseling Centers Co-occu
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Fact Sheet A Project to Establish A
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Mental Health Network Co-Occurring
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100% Treatment Team Improvement in
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T67: Antisocial Personality Disorde
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Wednesday Morning Plenary Session
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Cultural Clashes in Co-Occurring Di
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W72: Use of Animal Assisted Therapy
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W74: Therapy for Women Facing Traum
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HIEN, COHEN, MIELE, ET AL. for the
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HIEN, COHEN, MIELE, ET AL. TABLE 2.
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HIEN, COHEN, MIELE, ET AL. TABLE 4.
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W75: The MISA/COD Pilot Projects: L
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THE BEAVER COUNTY MODEL • Targets
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Additional Information Contact: Nan
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W76: Friends Connection Peer Suppor
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W77: Treatment for Older Adult with
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W81: The Pennsylvania COSIG Evaluat
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W83: Beaver County Forensic COD Ini
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W84: Improving Assessment and Treat
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Improving Assessment and Treatment
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W86: Fairweather Lodge - An Evidenc
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Housing, Employment, Social and Aut
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Principle VI. Successful Lodges res
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Fidelity to Autonomy Principles 1.
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W87: Physical Disorders and Persons
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W91: Collaborative Care for Concurr
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W96: Stigma & Co-occurring Disorder
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