The Neurobehavioral Approach (NB) has been found to be extremely helpful to those families implementing this model by improving outcomes in working with those with an FASD. Since FASD is truly brain damage with developmental and structural differences that cannot actually be seen with the naked eye, differences are shown behaviorally. We can accommodate behavioral differences and capitalize on strengths to maximize success. The NB model teaches us to utilize a brain based approach to our interactions with the person with an FASD. As a physical disability, albeit invisible, using this model we learn to make environmental adaptations, as we would do with visible physical disabilities. The NB approach takes into account that each person with an FASD is an individual and has differing challenges and strengths. Diane Malbin's book, FASD: Trying Differently Rather Than Harder, describes this model. Training is available through trainers of Fetal Alcohol Syndrome Consultation, Education, and Training Services FASCETS. Fortunately, NCFASD Informed is able to offer these workshops in North Carolina; make sure you are signed up for newsletters from our nonprofit and also follow our Facebook page. Both will announce upcoming workshops utilizing this model. In addition, the organization Families Affected by Fetal Alcohol Spectrum Disorder utilizes this approach in their webinars and onsite workshops.
Triumph Today is a unique series in a parent curriculum by A Renewed Mind, Double ARC Center for FASD. This series includes two courses on developing and using interventions and strategies. The Double ARC Center has worked with children with Fetal Alcohol Spectrum Disorders for over 25 years and is nationally recognized as a leader in the field.
Guided Growth is research-based information that can guide schools and families in their efforts to address the needs of prenatally exposed children by developing appropriate interventions for behavioral and learning problems.
One very important consideration in interacting with those with an FASD is that relationship is extremely important for their understanding of what you are saying and for their learning of navigate the world. Some days remaining constant in that connection to your loved one is very hard, but it is absolutely vital. Connection if far more important than consequences. In fact, you will usually find that consequences do not inhibit similar behavior in the future. This is due to executive functioning difficulties which are part and parcel of those with brain damage from exposure to alcohol in utero. Indeed, these difficulties produce the hallmark symptoms of ADHD, which is the reason so many with an FASD are misdiagnosed with ADHD.
While not specific to FASD, the Infant-Toddler Program "provides supports and services for families and their children, birth to three who have special needs. Research shows that this time period is critical. It offers a window of opportunity to make a positive difference in how a child develops and learns. Sixteen Children's Developmental Services Agencies (CDSAs) across North Carolina work with local service providers to help families help their children succeed." (quote from website)
North Carolina Systemic, Therapeutic, Assessment, Resources and Treatment (NC START) is a is a statewide community crisis prevention and intervention program for individuals age 6 and above with intellectual/developmental disabilities and co-occurring complex behavioral and/or mental health needs.
Below are the current evidence based interventions* designed to assist families and children with an FASD. Unfortunately, some of these are geographically based in the area where they were developed; they are definitely worth utilizing if they are available in your locale and if they fit the needs of your loved one.
|Math Interactive Learning Experience (MILE)||This program uses adaptive materials and tutoring methods to improve math knowledge/skills.|
Group program to improve social skills, peer interactions, and parent understanding of FASD.
|Parents and Children Together (PACT)||
This group program improves behavior regulation skills, executive functioning, and parent effectiveness.
|Families Moving Forward (FMF)||This is a positive parenting intervention for those with children between 4 and 12 years old who have behavior problems and FASD. It utilizes a behavioral consultation model combining behavior support with motivational interviewing and other validated treatment techniques.|
|Language to Literacy Program||
Designed to improve receptive and expressive language skills, as well as early literacy skills, this is a classroom based program.
This is a computer based program which teaches basic safety skills.
|This computer based program helps teens develop skills to regulate their feelings, make healthier choices, and avoid risky behaviors such as using alcohol or other drugs|
* There are 3 equally weighted "Pillars" of evidence based practice/interventions: Patient Values, Clinical Expertise, and Relevant Research.
Summary table (2017) of broad range of interventions Intervention Table