FETAL ALCOHOL SPECTRUM DISORDER CASE STUDY By Tracie Ramanand
FETAL ALCOHOL SPECTRUM DISORDER
CASE STUDY
By Tracie Ramanand
MEETING THE FAMILY
I met this couple that had just moved from North Bay
told me about the twin brothers 3 year old Simon and Thomas that they are adopting
and the twins have been diagnosis with Fetal Alcohol Syndrome
They feel overwhelmed because of the diagnosis and the move ,and wonder what services there are in Toronto to help the boys
THE FAMILY
So from what I know the boys are both showing
signs of cognitive delay and are having a hard
time with impulse control
As for the parents I think they would need
services that are close to home
And if they are thinking of putting the boys in
daycare to have good commutation with the
daycare staff
FETAL ALCOHOL SPECTRUM DISORDER
Women drinking alcohol during pregnancy
FASD is one of the top causes of developmental
delay
So result for the mother drinking during her
pregnancy is :
The child falling into one of these characteristics:
Growth Patterns, Facial Features and Central
nervous system problems
#1 GROWTH PATTERNS
Growth is slowed down
Body size is small then the average height for
the child’s age
And both head size and weight are both smaller
as well
#2 FACIAL FEATURES
The middle of the face is very flat
Eye opening is small
Upper lip is thin
From the upper lip to the base of the nose it is
very smooth
CENTRAL NERVOUS SYSTEM
Developmental delay (Cognitive)
Forgetting things
May not understand instructions
Learning disabilities
Poor social skills
Maybe have a hard time understanding right from wrong
Gets distracted easily/or cannot stay focus (impulse control)
CHANGES IN ENVIRONMENT
GROSS/FINE MOTOR
For gross motor you
should have a lot of
movement like:
Dance inside or outside
Having the children try
going up and down the
slide
So they can use their
large muscles
Fine motor is using
things like your fingers
joints
Having a scenery bin with
pasta and cereal that are
shaped like the letter O
Slide on grips for any
item the child might use
and can hold
VISUAL
Lots of natural light coming in
Use non-fluorescent light
The colors on the wall shouldn’t be to bright
Lots of storage
NOISE AND HEARING (AUDITORY)
Have relaxing music
Practice what to do for a fire drill before hand
Have a quite area
COGNITIVE
Reading: make the story shot but keep the
interest of the children in mind
try to do different voices for each character
Ask questions so the children can guess what
happens next
And focus on one topic
Math: count as often as you can
Do matching and sorting actives
not to challenging
Hands on material
Music/ Drama: songs that have actions
Change the words so it is easier to sing
Do it in a small group
and get sound proof ear muffs to reduce sound
MEMORY
Have a consistent, predictable routine that
follows the same pattern
Visual
Hands on activities
New item must be slowly transitioned to the
children and can understand what is going on
ATTENTION DEFICIT HYPERACTIVITY
Have stress relive items : stress ball
Short exercises: deep breathing
SOCIAL
All materials should have illustrations on them
Ask the child to show you what you told them : “
can you show me how to hang up your coat?”
But don’t ask to many questions
And speak slowly
EMOTIONAL
Remind children what happens when they don’t
follow the rules of the classroom
Don’t overwhelm the children with too many
words
AGENCIES IN TORONTO
FAS World Canada 250 Scarborough Golf Club Road
Toronto, ON, M1J3G8
Phone number: 416-264-8000 Fax: 416-264-8222
Have support groups for parents
referrals for respite care
http://www.fasworld.com/contact-us/
Motherisk: The Hospital For Sick Children555 University Avenue
Alcohol and Substance Use Help line:
1-877-327-4636
open from Monday- Friday 9-5
Appointment only
Phone number : 416-813-6780
http://www.motherisk.org/women/index.jsp
Native Child and Family Services St. Michael Hospital
Diagnostic Clinic
464 Young Street, Suite 201
Toronto, ON M4Y 1W9
Phone number : 416-867-3655
Fax: 416-867-3736
NO WEBSITE FOUND I FOUND IT IN THIS LINK
http://www.torontocas.ca/app/Uploads/resources/fasd_booklet.pdf
Mothercraft- Breaking the CycleMargaret Leslie
FASD Diagnostic Clinic
761 Queen Street West, Sutie 107
Toronto, ON M6J 1G1
Phone number : 416 -364-7373
Fax: 416-364-8008
BIBLIOGRAPHY
http://www.internationaladoptionstories.com/phrases-
definitions.htm
http://fasd.alberta.ca/documents/Strategies_Not_Solution
s_Handbook.pdf
https://www.gov.mb.ca/healthychild/fasd/fasdearly_en.p
df
http://www.fasworld.com/contact-us/
http://www.torontocas.ca/app/Uploads/resources/fasd_bo
oklet.pdf