An early diagnosis is one of the keys to success.  Understanding FASD, using effective strategies  and and accessing interventions can lead to the best possible outcomes for an individual with FASD.



Getting a diagnosis can be a challenge depending on where you live (in other words, who can make a referral or a diagnosis in your area), how affected you are, your age and the ability to be in contact with your biological mother (for confirmation that alcohol was consumed while you were still a fetus).

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Reasons for Getting a Diagnosis



       ●  There are many reasons why people may pursue a diagnosis.
       ●  It may shed light on certain behaviours or challenges being experienced… and similarly,
           suggest better and more effective strategies.
       ●  Strategies for ADD/ADHD (misdiagnosis) are not proving effective.
       ●  It may provide access to helpful resources.
       ●  Appropriate early interventions can reduce the risk of secondary disabilities 

In Newfoundland & Labrador​

Currently in Newfoundland and Labrador, there is no comprehensive assessment and diagnostic team or service for anyone suspected of having FASD.   Dr. Rosales (St. John’s) is a retired paediatric geneticist who, in the absence of any FASD diagnostic team in Newfoundland and Labrador, continues to diagnose and follow individuals with FASD.

The three physicians that Doctor Rosales trained in Happy Valley-Goose Bay have either moved their practice to another province or are unable to take on many referrals.

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Screening for FASD

A National Screening Tool Kit for Children and Youth Identified and Potentially Affected by FASD has been developed by CAPHC and has been released for wide distribution. The authors of the tool kit have indicated:
It is extremely important that screening is never used as a substitute for full assessment and diagnosis. Screening tools are not perfect and can only predict the likelihood that a child or youth is at-risk for FASD. Misuse of screening tools has the potential to stigmatize individuals and families and runs contrary to the ethical dictate to ‘do no harm’.

Similarly, screening should not be done where there is no access to diagnostic services or in areas where capacity for diagnosis is so limited that an individual must wait a long time to be seen. In these situations screening is likely to be become a ‘de facto’ diagnosis and not serve the needs of the child or youth.”                                                                                                     
                                                                                         (Taken from FASD Screening Toolkit)

Diagnostic Teams​​

The most effective diagnostic teams work together across disciplines. Most teams consist of a physician, psychologist, occupational therapist, speech and language pathologist and a social worker.
                                                                                           (Canadian FASD Diagnostic Guidelines)