Service Delivery

Children and youth with fetal alcohol spectrum disorders: summary of intervention recommendations after clinical diagnosis.

Jirikowic et al. (2010) · Intellectual and developmental disabilities 2010
★ The Verdict

After an FASD diagnosis, expect speech, OT, and mental-health referrals most often, and add parent training to round out the plan.

✓ Read this if BCBAs who sit on interdisciplinary FASD diagnostic teams or write follow-up care plans.
✗ Skip if Practitioners looking for single-subject treatment data; this paper catalogs referrals, not intervention outcomes.

01Research in Context

01

What this study did

Jirikowic et al. (2010) looked back at 120 kids who got an FASD diagnosis at one clinic. They counted which follow-up services the team recommended most often.

The paper is a narrative review, not an experiment. It lists referral patterns, not treatment outcomes.

02

What they found

Speech-language therapy topped the list. Occupational therapy and mental-health supports came next.

These three referrals showed up again and again, making them a useful checklist for other clinics.

03

How this fits with other research

Pei et al. (2017) tracked the same clinic and found families actually followed through on school and developmental referrals more than others. This turns the 2010 list into real-world uptake data.

Benallal et al. (2026) scoping review adds parent-training programs like Children’s Friendship Training. These programs line up with the 2010 mental-health referrals, showing the field is moving toward family-centered care.

Pruner et al. (2020) interviewed parents of toddlers at risk for FASD. They liked early-intervention referrals but said social-emotional and respite supports were missing. This extends the 2010 findings by showing gaps families still feel.

04

Why it matters

Use the big-three referral list—speech, OT, mental health—as a quick audit for any FASD assessment you review. If one is missing, ask why. Pair these with parent-mediated options from newer reviews to cover both child and family needs.

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Pull your last three FASD reports and check that speech, OT, and mental-health referrals are listed; add a parent-training line if it’s missing.

02At a glance

Intervention
not applicable
Design
narrative review
Sample size
120
Population
other
Finding
not reported

03Original abstract

Children with fetal alcohol spectrum disorders (FASDs) present with a wide range of developmental disabilities; however, clinical standards of care after a diagnosis are not well established. This retrospective review summarizes the types of intervention recommendations generated by an interdisciplinary FASD diagnostic team for 120 children ages 0.2 to 16.5 years receiving an FASD diagnosis at the University of Washington FAS Diagnostic & Prevention Network Clinic. Intervention recommendations documented in a FASD diagnostic summary report and submitted to each patient's medical record were subject to masked review and content analysis. Intervention recommendations were compared across 3 FASD diagnostic groups and selected demographic variables. The results show the type and frequency of services, supports, and resources recommended to a clinical sample of children with FASD.

Intellectual and developmental disabilities, 2010 · doi:10.1352/1934-9556-48.5.330