CAMP UNITY: Help for children with Fetal Alcohol Spectrum Disorder

CLICK HERE TO ACCESS ARTICLE: CAMP UNITY: Help for children with Fetal Alcohol Spectrum Disorder

By: Michelle Ruby, Brantford Expositor, 21 July 2014

Accessed on: 25 July 2014

Commentary by: Krystal Glowatski

While the discussions around prevention are more popular than ever, one initiative is focusing on intervention. In Brantford, ON Camp Unity is being offered for the fourth summer. The camp takes in youth ages six to 18 who live with cognitive disabilities such as FASD. The overall goal of the camp is to fill the gap in learning caused by the summer break.

Campers do not have to be diagnosed to participate in the camp, although camp director Nicole Schween states that approximately half of the campers are diagnosed, while many display other problematic symptoms associated to FASD such as ADHD, learning disabilities, and behavioural issues.

The camp features lessons in an informal manner such that campers don’t necessarily realize they are “learning.” Many life skills are taught such as how to use technology, cooking, gardening, arts and crafts, and physical activities. From personal discussions with CBO workers in the world of FASD, it sounds like the campers strengths are being identified, rather than their weaknesses – an effective strategy that has been recommended time and again.

Additionally, the camp feature signs such as caution tape and stop signs, providing clear direction to campers. There is also a room where campers can go to calm down. While this space isn’t described in detail, to be effective with a child living with FASD, such a room should be minimal in stimuli.

While prevention is an important aspect in the approach to FASD, there is no way to 100% prevent FASD in today’s society. Initiatives like this are extremely important in helping those who do have FASD. The event hosted by Dr. Michelle Stewart that was held in Regina, SK in April 2014 focused on how to work with those who have FASD. We will soon be releasing the final report from the workshop titled “FASD at the Frontline: Dialogue and Strategies for New Outcomes,” which will feature many recommendations brought forth by our presenters and participants at this event. If you work at the frontline or know someone living with FASD, stay tuned for an informational and useful final report coming soon!

Free pregnancy tests in bars an effort to curb Alaska’s FASD rates

CLICK HERE TO ACCESS ARTICLE: Free pregnancy tests in bars an effort to curb Alaska’s FASD rates

By: Charlo Green, KTVA Alaska, 20 June 2014

Accessed on: 17 July 2014

Commentary by: Jeanelle Mandes

Last month, Charlo Greene published an article about approaching the prevention of Fetal Alcohol Syndrome Disorder (FASD) using a different method. The University of Alaska Anchorage (UAA) Institute for Circumpolar Health Studies came up with an idea to introduce pregnancy tests in Alaskan bars. Alaska has a high rate of FASD and with this idea; they hope this technique will bring awareness to women who consume alcohol.

Janet Johnstone, with the UAA Institute for Circumpolar Health Studies, believes this approach may help women to think twice when about to consume alcohol if they may be pregnant.

“If someone is drinking at a bar and they see the test, they may just think about it a little more. Also if someone takes the test and finds out they’re pregnant, that hopefully will also have an effect on their drinking,” said Johnstone.

Not only will pregnancy test dispensers be available in bars, but there will also be posters with warning messages will be put up in some restaurants and bars.

With these two methods, there will be surveys provided for women to answer questions about the warning techniques. With the gathered data, the researchers will be able to gain a picture of which system reached out to the women best.

The bars and restaurants will start seeing these by the end of the year and the researchers will expect to have the outcomes within two years.

Others may wonder if these approaches are worth the effort but in a state with a high rate of FASD, many may think any technique is better than no technique.

Q&A: Senator proposes state-funded pregnancy tests in ‘war’ on FASD

Q&A: Senator proposes state-funded pregnancy tests in ‘war’ on FASD

By: Kyle Hopkins, Anchorage Daily News, 20 March 2014

Accessed on: 6 April 2014

Commentary by: Sarah Cibart

FASD prevention is a mission shared by citizens and lawmakers alike. However, the path to achieving the mission varies and could be considered quite controversial.

Pete Kelly, finance co-chairman senator has declared his mission to end FASD through a campaign he’s calling a “war on FASD.” His plan includes: publically funded pregnancy tests in restaurants and bars in Alaska, millions of dollars towards “FASD awareness”, recruiting “citizen helpers” to counsel women to stop drinking before and during pregnancy, as well as further developing ideas in the anti substance abuse “think-tank board” Kelly created earlier this year in Alaska.

“The idea here is that the community is involved, the private sector is involved and the government is involved” says Kelly.

When Hopkins asked senator Kelly if birth control would be equally as accessible as pregnancy tests in Alaskan bars after the “FASD war” had begun, Kelly responded saying “No. Because the thinking is a little opposite. This assumes if you know [you are pregnant] you’ll act responsibly. Birth control is for people who don’t necessarily want to act responsibly.”

Such arguments suggest the primary goal in FASD prevention is changing the behaviours of individual women, rather than considering the larger systemic impacts that contribute to women drinking while pregnant. Although access to pregnancy tests and community counseling may be helpful, greater access to birth control and increasing education surrounding FASD would also be an efficient use of resources.

I suggest watching the full interview Hopkin’s has with Kelly. For further reading, check out Shannyn Moore’s opinion piece in response to Kelly’s campaign at: http://www.huffingtonpost.com/shannyn-moore/free-ept-tests-in-alaska_b_5015941.html

Just released: The international charter on prevention of fetal alcohol spectrum disorder

Just released: The international charter on prevention of fetal alcohol spectrum disorder

Accessed on: 27 Feb 2014

Commentary by: Krystal Glowatski

While this isn’t a news article – this is ‘FASD in the News’ at it’s best!  Just released yesterday is the International Charter on Prevention of Fetal Alcohol Spectrum Disorder.  If you have any interest at all in FASD, I urge you to read this short article.  It highlights every point and argument I can think of surrounding FASD.

Since I can’t say it better, I’m going to provide you with a few of my favourite lines and leave the rest up to you:

 

“Fetal alcohol spectrum disorder is a serious health and social problem, as well as an educational and legal issue, which affects individuals, families, and societies worldwide.”

“Although maternal alcohol consumption during pregnancy is the direct cause of fetal alcohol spectrum disorder, many underlying causes exist for drinking during pregnancy.”

“The perception that fetal alcohol spectrum disorder is affected only by a woman’s choices is a major barrier to effective prevention efforts. Men also have a responsibility.”

“Although public knowledge of fetal alcohol spectrum disorder is high in some countries, it is very low worldwide.”

“Informative materials about fetal alcohol spectrum disorder in regionally-specific languages, and that are relevant to local cultures and systems, are needed.”

 

If this doesn’t get your interest, I don’t know what will.  Please – read, comment, share!  This is a very exciting moment in the world of FASD research and practice.

Group of lawmakers fighting fetal alcohol syndrome

Group of lawmakers fighting fetal alcohol syndrome

By: Matt Buxton (Fairbanks Daily News: Newsminer.com), 3 Feb 2014

Accessed on: 3 Feb 2014

Commentary by: Krystal Glowatski

A group of lawmakers in Alaska have “declared war on fetal alcohol syndrome.”  The new public health campaign known as “Empowering Hope” consists of a variety of members: Kelly, Sen. Anna Fairclough, R-Eagle River, former Doyon executive Norm Phillips, Alaska Mental Health Trust Authority CEO Jeff Jessee, University of Alaska President Mark Hamilton, retired Superior Court Judge Niesje Steinkruger, Val Davidson of the Alaska Native Tribal Health Consortium and former Rep. Reggie Joule.

One of the initiatives the group hopes to instate is “natural responders” within rural communities.  These people would “serve as a rural community’s first responder to help keep a pregnant woman from endangering her unborn child with alcohol.”  Touching on a previous blog I wrote in February, the group will also initiate an awareness campaign to make women aware of the dangers of drinking while pregnant.

Kelly states, “this approach — having and [sic] end-goal of eradicating the problem — is a much-needed departure from traditional thinking.”  I think the widespread, common goal already focuses on eradication, based on all of the talk of prevention across the country, and indeed, internationally.  It will be interesting to see what the following weeks will bring in terms of information on “Empowering Hope’s” plan for the short and long-term.  Perhaps there will be some innovative approaches coming out of Alaska in the near future.

FASD requires more than talk

FASD requires more than talk

By: The StarPhoenix, 22 Jan 2014

Accessed on: 23 Jan 2014

Commentary by: Krystal Glowatski

As a follow-up to the meeting of FASD experts in Saskatoon in mid-January to discuss the issue of FASD in Saskatchewan, The StarPhoenix ran a story titled, “FASD requires more than talk.”

The story outlines the preventable nature of FASD, but also sets the stage for the limitations on prevention as a solution to FASD.  While the solution seems simple – don’t drink while you’re pregnant and you will not produce a child with FASD – there are limitations on the controls government can place over women’s rights when it comes to their bodies.

The article states, “A 1997 Supreme Court decision made it clear… that governments have limited powers in forcibly preventing pregnant women from drinking or having them take solvent-abuse prevention programs in the guise of protecting the fetus.  Women in Canada have the right to control what’s done to their bodies even if society disagrees with how they exercise that right.”

For example, as this article points out, there are many awareness campaigns out there, informing women and girls of the dangers of drinking alcohol while pregnant.  This is an excellent initiative – for some women.

The problem, however, is that while women do not wish harm on their babies, there are issues that need to be addressed which extend beyond awareness.  For example, women often do not know they are pregnant for the first while – something that is often mentioned at conferences on FASD and by advocates promoting prevention through abstaining from alcohol altogether.  If you recall a news blog I wrote in early January about pregnancy test dispensers being placed in pubs, the goal of these dispensers is to offer awareness to women going out for drinks.  By taking a pregnancy test at the earliest possible moment, women can cease drinking immediately, thus reducing the potential harm to their fetus.  However, some women may be struggling with alcohol and other addictions.  The initiative is an inventive one for certain, but I hope there will be further focus on other issues causing FASD – issues such as addiction, trauma, poverty, abuse, and the effects of colonialism.

As the final passage of this article states, “It is the responsibility of governments to try to address the social problems at the root of these issues, including making sure that women have the financial security to take control of their lives.  It may not be cheap, but it costs society less in the long run than dealing with FASD victims for their entire lives.”

Fetal Alcohol Spectrum Disorder experts meet in Saskatoon: Discuss ways to prevent Canadian women from drinking while pregnant

Fetal Alcohol Spectrum Disorder experts meet in Saskatoon: Discuss ways to prevent Canadian women from drinking while pregnant

By: Bre McAdam (News Talk 980 CJME), 20 Jan 2014

Accessed on: 20 Jan 2014

Commentary by: Krystal Glowatski

This week, a two-day meeting in Saskatoon, Saskatchewan was held where FASD experts discussed prevention of FASD in the province.  The experts addressed what has been done in terms of FASD prevention over the past 10 years and worked on a plan for the next decade.

The Canada FASD Research Network estimates that there are 55,708 people in Saskatchewan who might have FASD.  Minister of Social Services, June Draude, states that each of those individuals cost approximately $1.5 million in terms of health care, education, and corrections.  She states that, “…more importantly it has an impact on society as a whole.  The human cost within the family, within the community and within that child.”

Jocelynn Cook, executive director of the Canada FASD Research Network, explained the need to focus on “risky drinking.”  Draude elaborated that there needs to be support for mothers and pregnant women with alcohol addictions, such as detox and providing doctors with the proper information to provide to their patients.

These suggestions come on the heels of recent reports from the Center for Disease Control and Prevention (CDC) that doctors do not often ask their patients about alcohol use.  The CDC states that it’s time for a change, as the risks associated with alcohol consumption can be many and in some cases, severe.  For more on that story visit: http://www.cdc.gov/vitalsigns/alcohol-screening-counseling/

This article supports my commentary from last week, in that there’s often a heavy focus on prevention.  Don’t get me wrong, prevention, if successful, would be the best way to eventually eliminate FASD.  But there are still people in this province – approximately 55,708 people according the Canada FASD Research Network – who may be effected by this disorder and we need to include solutions to these individuals’ plights as well.

Cost of FASD will snowball: Ontario nurses

Cost of FASD will snowball: Ontario nurses

By: Craig Gilbert (London Community News), 14 Jan 2014

Accessed on: 14 Jan 2014

Commentary by: Krystal Glowatski

On Monday, two nurses from the Registered Nurses Association of Ontario (RNAO) presented a case to the Select Committee on Developmental Services, composed of MPPs from all three parties who must put together a report and recommendations for the legislature regarding a comprehensive strategy for children and adults with intellectual disabilities.

The message from the nurses was clear: Prevention is key; if Ontario doesn’t “get out in front of fetal alcohol spectrum disorder (FASD)… we’ll all pay a lot more down the road.”

The nurses made a point to highlight the extent of FASD costs and problems – both problems for the individuals and larger social problems.  They recognized that FASD isn’t only a health issue but also an education and justice issue.  Liberal MPP Soo Wong stepped in to highlight this point by stating, “You might label little Johnny as a behavioural problem when in fact he has a medical condition…  And it’s preventable.  Teachers are not familiar with this term and are therefore not properly supported in the classroom.  It’s not just about the health sector.  It clearly is an education, a justice issue: they intertwine.”

While BC, Alberta, Saskatchewan, and Manitoba have already created comprehensive strategies for dealing with FASD and mental health issues Ontario has yet to do so.  The nurses are calling on the government to set this into motion now.

Currently, FASD Ontario Network of Expertise’s (ONE) website states they are drafting one.

In these projects there is often a heavy focus on prevention.  But what about all of the individuals who have already been diagnosed?  Or worse yet – those who have FASD but don’t even know it.  What should be done about individuals who are in dire need of assessment, diagnosis, and services?

Pub pregnancy test plea to halt FASD

Pub pregnancy test plea to halt FASD

By: Julie Cush (BBC News), December 31, 2013

Accessed on: January 6, 2014

Commentary by: Krystal Glowatski

While Canada gears up to pilot an initiative where pregnancy test dispensers are installed in bar washrooms, it seems the UK is getting ready to experiment with this program as well.  The article articulates how pregnant women are bombarded with advice during pregnancy – and this is undoubtedly true.  However, the author also suggests that if you know you’re pregnant, why take the risk of harming your baby.

This back and forth reasoning in the FASD debates is nothing new.  Although, it is interesting that social awareness is moving forward despite criticism of ‘FASD’ in general in the UK in the past several years.  In June 2007, ‘PulseNews’ published an article stating the BMA was drawing a hardline on drinking during pregnancy, that there should be absolutely NO drinking while pregnant.  Dr. Trefor Roscoe stated in the article, “How far down the road of nannying are we going to go?  If alcohol really was that dangerous in pregnancy it would have been obvious years ago.  I doubt this was drawn up by GPs as GPs live in the real world.”  Moreover, in the past few years, various studies have been coming out of the UK and Denmark stating alcohol during pregnancy is not that harmful – which has produced a controversy all it’s own.

Here we are in 2014, putting pregnancy tests in public washrooms.  Are we moving towards an “FASD moral panic” or a new era of awareness and prevention?

Concerns over FASD funding review

Concerns over FASD funding review

Concerns over FASD funding review

By Heather Meagher, SBS News (October 15th, 2013) (Accessed: October 17th, 2013)

Commentary by Krystal Glowatski

This article addresses the need for FASD funding in Australia.  Previously, 20 million dollars was pledged to FASD by the Australian government, however it is unclear by this article if that money is for research, prevention, or support.  What is clear is that FASD is a major issue in Australia.  The funds that were previously set aside for FASD is now in jeopardy under the new government.

The article points out that, “…half of pregnancies are unplanned and with women binge-drinking more than ever, advocates say this funding is crucial.”  Alcohol abuse, and subsequently, FASD have become hot topics in Australia.  Currently a prevalence research study is being conducted in Fitzroy Crossing called “Marulu: The Lililwan Project”  (See: http://depts.washington.edu/fmffasd/fitzroy-valley for more information).  While alcohol use has been surrounded by research and debate, the rates of FASD in Australian communities is still largely unknown.

What we do know is the range of effects FASD can have on an individual who was exposed to alcohol in utero.  The young woman, Morgan, interviewed in this article has FASD and experiences struggles such as cognitive functioning (problems remembering and understanding) and behavioural issues such as frustration and anger.  While this young woman experiences such inflictions and has shown bravery in publicly discussing her disorder, many others in Australia and indeed, around the world, perhaps don’t even understand that they too are affected by FASD.  Funding is certainly needed to help those: 1) who are dealing with FASD daily, such as Morgan, 2) who don’t yet know what they’re dealing with, in determining a diagnosis, and 3) who are not born yet but have the potential to be effected by FASD.

To hear a recent interview with Morgan about her experience with FASD, see:

http://www.sbs.com.au/insight/episode/watchonline/581/Drinking-When-Pregnant