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Recommendations from a consensus development workshop on the diagnosis of fetal alcohol spectrum disorders in Australia

Watkins, Rochelle, Elliott, Elizabeth, Wilkins, Amanda, Mutch, Raewyn, Fitzpatrick, James, Payne, Janet, O'Leary, Colleen, Jones, Heather, Latimer, Jane, Hayes, Lorian, Halliday, Jane, D'Antoine, Heather, Miers, Sue, Russell, Elizabeth, Burns, Lucinda, McKenzie, Anne, Peadon, Elizabeth, Carter, Maureen and Bower, Carol (2013). Recommendations from a consensus development workshop on the diagnosis of fetal alcohol spectrum disorders in Australia. BMC Pediatrics,13:156-1-156-10.

Document type: Journal Article
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Title Recommendations from a consensus development workshop on the diagnosis of fetal alcohol spectrum disorders in Australia
Author Watkins, Rochelle
Elliott, Elizabeth
Wilkins, Amanda
Mutch, Raewyn
Fitzpatrick, James
Payne, Janet
O'Leary, Colleen
Jones, Heather
Latimer, Jane
Hayes, Lorian
Halliday, Jane
D'Antoine, Heather
Miers, Sue
Russell, Elizabeth
Burns, Lucinda
McKenzie, Anne
Peadon, Elizabeth
Carter, Maureen
Bower, Carol
Journal Name BMC Pediatrics
Publication Date 2013
Volume Number 13
ISSN 1471-2431   (check CDU catalogue  open catalogue search in new window)
Start Page 156-1
End Page 156-10
Total Pages 1
Place of Publication United Kingdom
Publisher BioMed Central Ltd.
HERDC Category C1 - Journal Article (DIISR)
Abstract Background
Fetal alcohol spectrum disorders (FASD) are underdiagnosed in Australia, and health professionals have endorsed the need for national guidelines for diagnosis. The aim of this study was to develop consensus recommendations for the diagnosis of FASD in Australia.

Methods
A panel of 13 health professionals, researchers, and consumer and community representatives with relevant expertise attended a 2-day consensus development workshop to review evidence on the screening and diagnosis of FASD obtained from a systematic literature review, a national survey of health professionals and community group discussions. The nominal group technique and facilitated discussion were used to review the evidence on screening and diagnosis, and to develop consensus recommendations for the diagnosis of FASD in Australia.

Results
The use of population-based screening for FASD was not recommended. However, there was consensus support for the development of standard criteria for referral for specialist diagnostic assessment. Participants developed consensus recommendations for diagnostic categories, criteria and assessment methods, based on the adaption of elements from both the University of Washington 4-Digit Diagnostic Code and the Canadian guidelines for FASD diagnosis. Panel members also recommended the development of resources to: facilitate consistency in referral and diagnostic practices, including comprehensive clinical guidelines and assessment instruments; and to support individuals undergoing assessment and their parents or carers.

Conclusions
These consensus recommendations provide a foundation for the development of guidelines and other resources to promote consistency in the diagnosis of FASD in Australia. Guidelines for diagnosis will require review and evaluation in the Australian context prior to national implementation as well as periodic review to incorporate new knowledge.
Keywords Fetal alocohl spectrum disorder
Diagnosis
Consensus
Additional Notes This is an Open Access article distributed under the terms of the Creative Commons Attribution License 3.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Description for Link Link to CC Attribution 3.0 License
Link to published version
URL https://creativecommons.org/licenses/by/3.0/au/legalcode
http://www.biomedcentral.com/1471-2431/13/156/abstract


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