Getting Familiar with the Alaska FASD Diagnostic Teams

1
Getting Familiar with the Alaska FASD Diagnostic
Teams

• Ric Iannolino and Vickie Tinker, FASD Program
  Coordinators

2
How This Can Help You!

• Diagnosis provides an authoritative source of
  information to assist a RPTC with the development
  of treatment plans and the schools to develop
  Individual Education Plans for their clients. It
  also allows parents and professionals to work as
  a team with a mutual understanding of the
  strengths, needs, and challenges that must be
  addressed in their planning process.

3
The Team Diagnostic Process

• University of Washington Diagnostic Model
• Physician
• Psychologist
• Speech Language Pathologist
• Occupational Therapist or Physical Therapist
• Parent Navigator
• Team Coordinator

4
Team Roles

• Physician
• Caregiver interview gathering information
• Records review
• Physical exam
• Facial measurements
• OFC
• Height/weight
• Neurological signs

5
Team Roles

• Psychologist
• Neuropsychological
• Executive functioning
• IQ
• Impulsiveness
• Co-morbidities/mental health issues

6
Team Roles

• Speech/Language Pathologist
• Communication, both written and verbal, both
  receptive and expressive, are clues to brain
  function
• SLP also addresses organizational, sequencing
  difficulties

7
Team Roles

• OT/PT
• Sensory integration issues
• Gross motor/fine motor coordination
• Neurological deficits
• Structural problems

8
Team Roles

• Parent Navigator
• Advocates for caregivers
• Helps them through diagnostic process
• Assists in connecting them with services
• A listening ear and compassionate heart through
  grieving process
• Mentoring sharing hope

9
Team Roles

• Coordinator
• Takes referrals
• Initial interview process
• Collects, reviews, maintains records
• Schedules clinics
• Some level of case management with family
• Often, main source of FASD education in community

10
Four Digit Diagnostic Code

• Designed at University of Washington
• Clarren and Astley
• Not the ONLY diagnostic model, but a good one
• Widely used internationally

11
Four Digit Diagnostic Code
12
Interpreting the FASD Diagnosis

• Fetal Alcohol Syndrome
• Static Encephalopathy
• Neurobehavioral Disorder
• Sentinel Physical Findings

13
FASD Diagnostic Teams in AK

• Anchorage
• Juneau
• Fairbanks
• Kenai Peninsula
• Mat-Su
• Upper Tanana
• Kodiak
• Bethel
• Sitka

Fairbanks
Tok
Mat-Su
Anchorage
Bethel
Juneau
Kenai Pen.
Sitka
Kodiak