Identifying children who are at risk of FASD in Peterborough: working in a community clinic without access to gold standard diagnosis

Abstract

The number of UK children seen with complex behaviour difficulties where there is a history of exposure to alcohol and/or drugs prenatally appears to be increasing at an alarming rate. Community paediatricians work with vulnerable children and also act as medical advisers to adoption panels, so they have a unique overview of the unmet needs of looked after children affected by Foetal Alcohol Spectrum Disorders (FASD). This article reports on two simple audits of children seen in a community paediatric clinic setting. The first audit counted the number of children seen during a period of two-and-a-half years between April 2010 and August 2013, where there was a clear prenatal history of alcohol exposure. This audit also specifically looked at how many of these children might have Foetal Alcohol Syndrome (FAS) or FASD. Seventy-two children were given such a diagnosis within the time frame. The second audit reported on children looked after and children put forward for adoption during a 12-month period from January 2013 to December 2013. It reported a history of prenatal exposure in 55 out of 160 health assessments for looked after children (34%) and in 34 out of 45 medicals for adoption (75%).