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Neuropsychological Aspects of Prevention and Intervention for FASD in Canada

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Abstract

Fetal alcohol spectrum disorder (FASD) is the leading cause of developmental disability among Canadians. As a result, FASD has emerged as a public health priority in Canada. The current paper provides an overview of FASD in Canada with respect to (1) epidemiology; (2) conceptualizations of FASD by schools, the government, mental health services and the medical community; (3) current research; (4) prevention initiatives; and (5) intervention efforts. Overall, Canada has become a world leader in advancing knowledge about FASD, in part through the establishment of research networks aimed at preventing FASD and improving the lives of individuals affected by the disorder across the lifespan. A nationwide research framework has strengthened the links between research and practice in Canada, and major bodies in Canada appear to be moving towards a more integrated model for conceptualizing FASD, with increased investment in prevention and intervention. Although research and evaluation evidence is emerging, however, the strength of current evidence does not yet allow for prevalence rates or prevention and intervention best practices to be defined with certainty. With quality cross-sectoral research and evaluation that incorporates the lived experiences of parents and individuals with FASD, it will be possible to enhance understanding of facilitators and barriers to service delivery, access and utilization with respect to FASD prevention and intervention in Canada.

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References

  • Abel, E. L. (1998). Fetal alcohol abuse syndrome. New York: Plenum.

    Book  Google Scholar 

  • Alberta Education (2015). Funding manual for school authorities 2015/2016 school year. Retrieved from https://archive.education.alberta.ca/admin/funding/manual/.

  • Alberta Government (2014). Special education coding criteria 2015/2016. Retrieved from https://open.alberta.ca/publications/2368-3627.

  • Alberta Learning (2004). Teaching students with fetal alcohol spectrum disorder: programming for students with special needs series. Retrieved from https://archive.education.alberta.ca/admin/supportingstudent/diverselearning/fasd.aspx.

  • Baydala, L., Worrell, S., & Fletcher, F. (2011). FASD: a preconception prevention initiative. In E. P. Riley, S. Clarren, J. Weinberg, & E. Jonsson (Eds.), Fetal alcohol spectrum disorder: management and policy perspectives of FASD (pp. 151–160). Weinheim: Wiley-Blackwell.

    Google Scholar 

  • Benoit, C., Stengel, C., Marcellus, L., Hallgrimsdottir, H., Anderson, J., MacKinnon, K., & Charbonneau, S. (2014). Providers’ constructions of pregnant and early parenting women who use substances. Sociology of Health & Illness, 36(2), 252–263.

    Article  Google Scholar 

  • Bialystok, L., Poole, N., & Greaves, L. (2013). Preconception care: a call for Canadian guidelines. Canadian Family Physician, 59(10), 1037–1039.

    PubMed  PubMed Central  Google Scholar 

  • Bialystok, L., Poole, N., Greaves, L., & Thomas, G. (2014). Recalculating risk: an opportunity for gender transformative alcohol education for girls and women. In L. Greaves, A. Pederson, & N. Poole (Eds.), Making it better: gender-transformative health promotion (pp. 93–110). Toronto: Canadian Scholars’ Press.

    Google Scholar 

  • Burd, L., Selfridge, R., Klug, M. G., & Juelson, T. (2003). Fetal alcohol syndrome in the Canadian corrections system. Journal of FAS International, 1, e14.

    Google Scholar 

  • Butt, P., Gilksman, L., Beirness, D., Paradis, C., & Stockwell, T. (2011). Alcohol and health in Canada: a summary of evidence and guidelines or low-risk drinking. Retrieved from http://www.ccsa.ca/Eng/topics/alcohol/drinking-guidelines/Pages/default.aspx.

  • Chudley, A. E., Conry, J., Cool, J. L., Loock, C., Rosales, T., & LeBlanc, N. (2005). Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis. Canadian Medical Association Journal, 172(5), S1–S21.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cismaru, M., Deshpande, S., Thurmeier, R., Lavack, A. M., & Agrey, N. (2010). Preventing fetal alcohol spectrum disorders: the role of protection motivation theory. Health Marketing Quarterly, 27, 66–85.

    Article  PubMed  Google Scholar 

  • Clarren, S., & Cook, J. (2013). Meconium screening for fetal alcohol spectrum disorder in pregnancy. Retrieved from www.canfasd.ca.

  • Clarren, S. K., Lutke, J., & Stanghetta, P. (2009). Canadian symposium: refining the evaluation and codification of the brain in persons exposed to alcohol in gestation. Retrieved from http://www.canfasd.ca/wp-content/uploads/2013/02/BrainSymposium_e-version_12-09.pdf.

  • Clarren, S. K., Chudley, A. E., Wong, L., Friesen, J., & Brant, R. (2010). Normal distribution of palpebral fissure lengths in Canadian school age children. Canadian Journal of Clinical Pharmacology, 17(1), e67–e78.

    PubMed  Google Scholar 

  • Clarren, S., Salmon, A., & Jonsson, E. (2011). Prevention of fetal alcohol spectrum disorder FASD: who is responsible? Weinheim: Wiley-Blackwell.

    Book  Google Scholar 

  • Coles, C. D., Kable, J. A., & Taddeo, E. (2009). Math performance and behavior problems in children affected by prenatal alcohol exposure: intervention and follow-up. Developmental and Behavioral Pediatrics, 30, 7–15.

    Article  Google Scholar 

  • Conry, J., & Fast, D. K. (2000). Fetal alcohol syndrome and the criminal justice system. Vancouver: British Columbia Fetal Alcohol Syndrome Resource Society and the Law Foundation of British Columbia.

    Google Scholar 

  • Cook, J. L., Green, C. R., Lilley, C. M., Anderson, S. M., Baldwin, M. E., Chudley, A. E., & Rosales, T. (2016). Fetal alcohol spectrum disorder: a guideline for diagnosis across the lifespan. Canadian Medical Association Journal, 188(3), 191–197.

    Article  PubMed  PubMed Central  Google Scholar 

  • Credé, S., Sinanovic, E., Adnams, C., & London, L. (2011). The utilization of health care services by children with foetal alcohol syndrome in the Western Cape, South Africa. Drug and Alcohol Dependence, 115, 175–182.

    Article  PubMed  Google Scholar 

  • Denys, K., Rasmussen, C., & Henneveld, D. (2011). The effectiveness of a community-based intervention for parents with FASD. Community Mental Health Journal, 47(2), 09–219.

    Article  Google Scholar 

  • Dupuis, T., MacKay, R., & Nicol, R. (2013). Current issues in mental health in Canada: mental health and the criminal justice system. Retrieved from http://www.lop.parl.gc.ca/content/lop/researchpublications/2013-88-e.pdf.

  • Fast, D. K., Conry, J., & Loock, C. A. (1999). Identifying fetal alcohol syndrome among youth in the criminal justice system. Journal of Developmental and Behavioral Pediatrics, 20(5), 370–372.

    Article  PubMed  Google Scholar 

  • Floyd, R. L., Sobell, M., Velasquez, M. M., Ingersoll, K., Nettleman, M., Sobell, L., & Nagaraja, J. (2007). Preventing alcohol-exposed pregnancies: a randomized controlled trial. American Journal of Preventive Medicine, 32(1), 1–10.

    Article  PubMed  PubMed Central  Google Scholar 

  • Grant, T. M., Ernst, C. C., Streissguth, A., & Stark, K. (2005). Preventing alcohol and drug exposed births in Washington State: intervention findings from three parent-child assistance program sites. The American Journal of Drug and Alcohol Abuse, 31(3), 471–490.

    Article  PubMed  Google Scholar 

  • Habbick, B. F., Nanson, J. L., Snyder, R. E., Casey, R. E., & Schulman, A. L. (1996). Foetal alcohol syndrome in Saskatchewan: unchanged incidence in a 20-year period. Canadian Journal of Public Health, 87(3), 204–207.

    PubMed  Google Scholar 

  • Harwood, H. (2000). Updating estimates of the economic costs of alcohol abuse in the United States: estimates, update methods, and data. Rockville: National Institutes of Health.

    Google Scholar 

  • Health Canada (2006). It’s your health: fetal alcohol spectrum disorder. Retrieved from http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/diseases-maladies/fasd-etcaf-eng.php.

  • Hemington, K. S., & Reynolds, J. N. (2014). Electroencephalographic correlates of working memory deficits in children with fetal alcohol spectrum disorder using a single-electrode pair recording device. Clinical Neurophysiology, 125(12), 2365–2371.

    Article  Google Scholar 

  • Hubberstey, C., Rutman, D., Hume, S., van Bibber, M., & Poole, N. (2015). Toward an evaluation framework for community-based FASD prevention programs. Canadian Journal of Program Evaluation, 30(1), 79–89.

    Google Scholar 

  • Institute of Health Economics (2013). Consensus statement on legal issues of fetal alcohol spectrum disorder (FASD). Retrieved from http://www.ihe.ca/publications/legal-issues-offasd-proceedings-from-a-consensus-development-conference-table-of-contents.

  • Job, J. M., Poth, C.-A., Pei, J., Wyper, K., O’Riodan, T., & Taylor, L. (2014). Combining visual methods with focus groups: an innovative approach for capturing the multifaceted and complex work experiences of fetal alcohol spectrum disorder prevention specialists. The International Journal of Alcohol and Drug Research, 3(1), 71–80.

    Article  Google Scholar 

  • Kable, J. A., Coles, C. D., & Taddeo, E. (2007). Socio-cognitive habilitation using the math interactive learning experience program for alcohol affected children. Alcoholism: Clinical and Experimental Research, 31, 1425–1434.

    Article  Google Scholar 

  • Kanevsky, L. S., & Clelland, D. (2013). Accelerating gifted students in Canada: policies and possibilities. Canadian Journal of Education, 36(3), 229–271.

    Google Scholar 

  • Kelly, L., Dooley, J., Cromarty, H., Minty, B., Morgan, A., Madden, S., & Hopman, W. (2011). Narcotic-exposed neonates in a First Nations population in northwestern Ontario. Incidence and implications. Canadian Family Physician, 57, e441–e447.

    PubMed  PubMed Central  Google Scholar 

  • Kerns, K. A., MacSween, J., Vander Wekken, S., & Gruppuso, V. (2010). Investigating the efficacy of an attention training programme in children with foetal alcohol spectrum disorder. Developmental Neurorehabilitation, 13, 413–422.

    Article  PubMed  Google Scholar 

  • Kowlessar, D. L. (1997). An examination of the effects of prenatal alcohol exposure on school-age children in a Manitoba First Nation community: a study of fetal alcohol syndrome prevalence and dysmorphology. Winnipeg: University of Manitoba.

    Google Scholar 

  • Kully-Martens, K. (2013). Mathematics intervention for children with prenatal alcohol exposure and fetal alcohol spectrum disorders. Retrieved from Education and Research Archive.

  • Leenaars, L. S., Denys, K., Henneveld, D., & Rasmussen, C. (2012). The impact of fetal alcohol spectrum disorders on families: evaluation of a family intervention program. Community Mental Health Journal, 48(4), 431–435.

    Article  PubMed  Google Scholar 

  • Loomes, C., Rasmussen, C., Pei, J., Manji, S., & Andrew, G. (2008). The effect of rehearsal training on working memory span of children with fetal alcohol spectrum disorder. Research in Developmental Disabilities, 29(2), 113–124.

    Article  PubMed  Google Scholar 

  • Lupton, C., Burd, L., & Harwood, R. (2004). Cost of fetal alcohol spectrum disorders. American Journal of Medical Genetics, 127C, 42–50.

    Article  PubMed  Google Scholar 

  • MacPherson, P., & Chudley, A. E. (2007). Fetal alcohol spectrum disorder (FASD): screening and estimating incidence in an adult correctional population [PowerPoint slides]. Retrieved from www.events.onlinebroadcasting.com/fas/09707/ppts/correctional.ppt.

  • Marcellus, L., MacKinnon, K., Benoit, C., Phillips, R., & Stengel, C. (2015). Reenvisioning success for programs supporting pregnant women with problematic substance use. Qualitative Health Research, 25(4), 500–512.

    Article  PubMed  Google Scholar 

  • Motz, M., Leslie, M., Pepler, D. J., Moore, T. E., & Freeman, P. (2006). Breaking the cycle: measures of progress 1995–2005. Special Supplement: Journal of FAS International, 4(22), 43–56.

    Google Scholar 

  • Muckle, G., Laflamme, D., Gagnon, J., Boucher, O., Jacobson, J. L., & Jacobson, S. W. (2011). Alcohol, smoking, and drug use among Inuit women of childbearing age during pregnancy and the risk to children. Alcoholism: Clinical and Experimental Research, 35, 1081–1091.

    Article  Google Scholar 

  • Murphy, A., & Chittenden, M. (2005). Time out II: a profile of BC youth in custody. Vancouver: The McGeary Centre Society.

    Google Scholar 

  • Nanson, J. L. (1997). Binge drinking during pregnancy: who are the women at risk? Canadian Medical Association Journal, 156, 107–108.

    Google Scholar 

  • Nash, K., Stevens, S., Greenbaum, R., Weiner, J., Koren, G., & Rovet, J. (2015). Improving executive functioning in children with fetal alcohol spectrum disorders. Child Neuropsychology, 21(2), 191–209.

    Article  PubMed  Google Scholar 

  • Nathoo, T., Poole, N., Bryans, M., Dechief, L., Hardeman, S., Marcellus, L., & Taylor, M. (2013). Voices from the community: developing effective community programs to support pregnant and early parenting women who use alcohol and other substances. First Peoples Child & Family Review, 8(1), 94–106.

    Google Scholar 

  • Ontario Government (2015). 20152016 Education funding: a guide to the grants for students. Retrieved from http://www.edu.gov.on.ca/eng/funding/1516/2015GSNguideEN.pdf.

  • Ospina, M., & Dennett, L. (2013). Systematic review on the prevalence of fetal alcohol spectrum disorders. Edmonton: Institute of Health Economics.

    Google Scholar 

  • Ospina, M., Moga, C., Dennett, L., & Harstall, C. (2011). An overview of systematic reviews on the prevention, diagnosis, and treatment of fetal alcohol spectrum disorder. In S. Clarren, A. Salmon, & E. Jonsson (Eds.), Prevention of fetal alcohol spectrum disorder: who is responsible? (pp. 27–98). Weinheim: Wiley-Blackwell.

    Google Scholar 

  • Oulman, E., Kim, T. H. M., Yunis, K., & Tamim, H. (2015). Prevalence and predictors of unintended pregnancy among women: an analysis of the Canadian Maternity Experiences Survey. BMC Pregnancy & Childbirth, 15, 1–8.

    Article  Google Scholar 

  • Paley, B., & O’Connor, M. J. (2009). Interventions for children with fetal alcohol spectrum disorders: treatment approaches and case management. Developmental Disabilities Research Reviews, 15, 258–267.

    Article  PubMed  Google Scholar 

  • Paolozza, A., Rasmussen, C., Pei, J., Hanlon-Dearman, A., Nikkel, S. M., Andrew, G., & Reynolds, J. N. (2014). Deficits in response inhibition correlate with oculomotor control in children with fetal alcohol spectrum disorder and prenatal alcohol exposure. Behavioural Brain Research, 259, 97–105.

    Article  PubMed  Google Scholar 

  • Parkes, T., Poole, N., Salmon, A., Greaves, L., & Urquhart, C. (2008). Double exposure: a better practices review on alcohol interventions during pregnancy. Vancouver: British Columbia Centre of Excellence for Women’s Health.

    Google Scholar 

  • Peadon, E., Rhys­Jones, B., Bower, C., & Elliott, E. J. (2009). Systematic review of interventions for children with fetal alcohol spectrum disorders. BMC Pediatrics, 9, 35.

    Article  PubMed  PubMed Central  Google Scholar 

  • Pei, J., & Kerns, K. A. (2012). Using games to improve functioning in children with fetal alcohol spectrum disorders. Games for Health Journal, 1(4), 1–4.

    Article  Google Scholar 

  • Pei, J., Rinaldi, C., Rasmussen, C., Massey, V., & Massey, D. (2008). Memory patterns of acquisition and retention of verbal and nonverbal information in children with fetal alcohol spectrum disorders. Canadian Journal of Clinical Pharmacology, 15(1), e44–e56.

    PubMed  Google Scholar 

  • Pei, J., Denys, K., Hughes, J., & Rasmussen, C. (2011). Mental health issues in fetal alcohol spectrum disorder. Journal of Mental Health, 20(5), 438–448.

    Article  PubMed  Google Scholar 

  • Pei, J., Job, J. M., Poth, C., & Atkinson, E. (2013). Assessment for intervention of children with fetal alcohol spectrum disorders: perspectives of classroom teachers, administrators, caregivers, and allied professionals. Psychology, 4(3), 325–334.

    Article  Google Scholar 

  • Pei, J., Atkinson, E., Radil, A., Poth, C., Tremblay, M., Buhr, E., & Dayal, H. (2015). A developmental evaluation of an innovative FASD awareness and prevention initiative. Retrieved from 111.preventionconversationfiles.wordpress.com

  • Pei, J., Leung, W., Jampolsky, F., & Alsbury, B. (2016). Experiences in the Canadian criminal justice system for individuals with fetal alcohol spectrum disorder: double jeopardy? Canadian Journal of Criminology and Criminal Justice, 58(1).

  • Pepler, D. J., Motz, M., Leslie, M., Jenkins, J., Espinet, S. D., & Reynolds, W. (2014). The mother-child study: evaluating treatments for substance-using women. A focus on relationships. Toronto: Mothercraft Press.

    Google Scholar 

  • Poole, N. (2008). Fetal alcohol spectrum disorder (FASD) prevention: Canadian perspectives. Ottawa: Public Health Agency of Canada.

    Google Scholar 

  • Poole, N. (2011). Bringing a women’s health perspective to FASD prevention. In E. P. Riley, S. Clarren, J. Weinberg, & E. Jonsson (Eds.), Fetal alcohol spectrum disorder: management and policy perspectives of FASD (pp. 161–174). Weinheim: Wiley-Blackwell.

    Google Scholar 

  • Poole, N., & Dell, C. A. (2005). Girls, women and substance use. Ottawa: Canadian Centre on Substance Abuse.

    Google Scholar 

  • Poole, N., Chansonneuve, D., & Hache, A. (2013). Improving substance use treatment for First Nations, Metis, and Inuit women: recommendations arising from a virtual inquiry project. First Peoples Child & Family Review, 8(2), 8–23.

    Google Scholar 

  • Poole, N., Schmidt, R., Green, C., & Hemsing, N. (2016). Prevention of fetal alcohol spectrum disorder: current Canadian efforts and analysis of gaps. Substance Abuse Research and Treatment, 10(S1), 1–11.

    Article  PubMed  PubMed Central  Google Scholar 

  • Popova, S., Lange, S., Burd, L., & Rehm, J. (2014). Canadian children and youth in care: the cost of fetal alcohol spectrum disorder. Child & Youth Care Forum, 43, 83–96.

    Article  Google Scholar 

  • Popova, S., Lange, S., Burd, L., & Rehm, J. (2015). The economic burden of fetal alcohol spectrum disorder in Canada in 2013. Alcohol and Alcoholism, 1–9.

  • Premji, S., & Semenic, S. (2009). Do Canadian prenatal record forms integrate evidence-based guidelines for the diagnosis of a FASD? Canadian Journal of Public Health, 100(4), 274–280.

    PubMed  Google Scholar 

  • Rasmussen, C. (2005). Executive functioning and working memory in fetal alcohol spectrum disorder. Alcoholism: Clinical and Experimental Research, 29(8), 1359–1367.

    Article  Google Scholar 

  • Rasmussen, C., & Bisanz, J. (2009). Executive functioning in children with fetal alcohol spectrum disorder: profiles and age-related differences. Child Neuropsychology, 15, 201–215.

    Article  PubMed  Google Scholar 

  • Robinson, G. C., Conry, J. L., & Conry, R. F. (1987). Clinical profile and prevalence of fetal alcohol syndrome in an isolated community in British Columbia. Canadian Medical Association Journal, 37(3), 203–207.

    Google Scholar 

  • Rojas, E. Y., & Gretton, H. M. (2007). Background, offence characteristics, and criminal outcomes of Aboriginal youth who sexually offend: a closer look at Aboriginal youth intervention needs. Sexual Abuse: A Journal of Research and Treatment, 19(3), 257–283.

    Google Scholar 

  • Rowan, M., Poole, N., Shea, B., Gone, J. P., Myota, D., Farag, M., & Dell, C. (2014). Cultural interventions to treat addictions in Indigenous populations: findings from a scoping study. Substance Abuse Treatment, Prevention, and Policy, 9(34), 1.

    Google Scholar 

  • Rutman, D., Hubberstey, C., Poole, N., Hume, S., & vanBibber, M. (2015). Developing and using a common framework to evaluate FASD Programs: results of a three-year Canadian project. International Journal of Mental Health and Addiction, 13(5), 1–12.

    Google Scholar 

  • Salmon, A., & Clarren, S. K. (2011). Developing effective, culturally appropriate avenues to FASD diagnosis and prevention in northern Canada. International Journal of Circumpolar Health, 70(4), 426–433.

    Article  Google Scholar 

  • Sanders, J., & Currie, C. (2014). Looking further upstream to prevent fetal alcohol spectrum disorder in Canada. Canadian Journal of Public Health, 105(6), e450–e452.

    Article  PubMed  Google Scholar 

  • Sarkar, M., Burnett, M., Carriere, S., Cox, L. V., Dell, C. A., Gammon, H., & Wood, R. (2009). Screening and recording of alcohol use among women of child-bearing age and pregnant women. Canadian Journal of Clinical Pharmacology, 16(1), e242–e263.

    PubMed  Google Scholar 

  • Singh, S., Sedgh, G., & Hussain, R. (2010). Unintended pregnancy: worldwide levels, trends, and outcomes. Studies in Family Planning, 41(4), 241–250.

    Article  PubMed  Google Scholar 

  • Streissguth, A. P., Bookstein, F. L., Barr, H. M., Sampson, P. D., O’Malley, K., & Young, J. K. (2004). Risk factors for adverse life outcomes in fetal alcohol syndrome and fetal alcohol effects. Journal of Developmental and Behavioral Pediatrics, 25(4), 228–238.

    Article  PubMed  Google Scholar 

  • Suchman, N., Pajulo, M., Decoste, C., & Mayes, L. (2006). Parenting interventions for drug-dependent mothers and their young children: the case for an attachment-based approach. Family Relations, 55(2), 211–226.

    Article  PubMed  PubMed Central  Google Scholar 

  • Thanh, N. X., & Jonsson, E. (2010). Drinking alcohol during pregnancy: evidence from Canadian Community Health Survey 2007/2008. Journal of Population Therapeutics and Clinical Pharmacology, 17(2), e302–e307.

    PubMed  Google Scholar 

  • Thanh, N. X., Jonsson, E., Moffatt, J., Dennett, L., Chuck, A. W., & Birchard, S. (2015). An economic evaluation of the parent-child assistance program for preventing fetal alcohol spectrum disorder in Alberta, Canada. Administrative Policy in Mental Health, 42, 10–18.

    Article  Google Scholar 

  • Thomas, G., Gonneau, G., Poole, N., & Cook, J. (2014). The effectiveness of alcohol warning labels for reducing drinking in pregnancy: a brief review. International Journal of Alcohol and Drug Research, 3(1), 91–103.

    Article  Google Scholar 

  • Thurmeier, R., Deshpande, S., Lavack, A., Agrey, N., & Cismaru, M. (2011). Next steps in FASD primary prevention. In E. P. Riley, S. Clarren, J. Weinberg, & E. Jonsson (Eds.), Fetal alcohol spectrum disorder: management and policy perspectives of FASD (pp. 161–174). Weinheim: Wiley-Blackwell.

    Google Scholar 

  • Tough, S. C., & Jack, M. (2011). Frequency of FASD in Canada, and what this means for prevention efforts. In E. P. Riley, S. Clarren, J. Weinberg, & E. Jonsson (Eds.), Fetal alcohol spectrum disorder (pp. 27–43). Weinheim: Wiley-VCH.

    Google Scholar 

  • Tough, S., Tofflemire, K., Clarke, M., & Newburn-Cook, C. (2006). Do women change their drinking behaviors while trying to conceive? An opportunity for preconception counselling. Clinical Medicine and Research, 4, 97–105.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tremblay, M., & McLean, B. (2015). Year 6 evaluation report: wellness, resiliency, and partnership program. Retrieved from www.wrapschools.ca.

  • Truth and Reconciliation Commission of Canada (2015). Truth and reconciliation commission of Canada: calls for action. Retrieved from http://www.trc.ca/websites/trcinstitution/File/2015/Findings/Calls_to_Action_English2.pdf.

  • Velasquez, M. M., Ingersoll, K. S., Sobell, M. B., Floyd, R. L., Sobel, L. C., & von Sternberg, K. (2010). A dual-focus motivational intervention to reduce the risk of alcohol-exposed pregnancy. Cognitive and Behavioral Practice, 17(2), 203–212.

    Article  PubMed  PubMed Central  Google Scholar 

  • Walker, M. J., Al-Sahab, B., Islam, F., & Tamim, H. (2011). The epidemiology of alcohol utilization during pregnancy: an analysis of the Canadian maternity experiences survey. BMC Pregnancy and Childbirth, 11, 1–9.

    Article  Google Scholar 

  • Wheeler, J. A., Kenney, K. A., & Temple, V. (2013). Fetal alcohol spectrum disorder: exploratory investigation of services and interventions for adults. Journal on Developmental Disabilities, 19(3), 62–75.

    Google Scholar 

  • Williams, R. J., Odaibo, F. S., & McGee, J. M. (1999). Incidence of fetal alcohol syndrome in northeastern Manitoba. Canadian Journal of Public Health, 90(3), 192–194.

    PubMed  Google Scholar 

  • Yazdani, P., Motz, M., & Koren, G. (2009). Estimating the neurocognitive effects of an early intervention program for children with prenatal alcohol exposure. Canadian Journal of Clinical Pharmacology, 16(3), e453–e459.

    PubMed  Google Scholar 

  • Yukon Education (2007). Making a difference: working with students who have fetal alcohol spectrum disorders. Retrieved from http://www.education.gov.yk.ca/pdf/publications/fasd_manual_2007.pdf.

  • Yukon Government (2002). Yukon education act. Retrieved from http://www.gov.yk.ca/legislation/legislation/page_a.html.

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Pei, J., Tremblay, M., McNeil, A. et al. Neuropsychological Aspects of Prevention and Intervention for FASD in Canada. J Pediatr Neuropsychol 3, 25–37 (2017). https://doi.org/10.1007/s40817-016-0020-1

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