Service Delivery

Connecting People with People: Diagnosing Persons with Fetal Alcohol Spectrum Disorder Using Telehealth.

Whittingham et al. (2021) · Journal of autism and developmental disorders 2021
★ The Verdict

Telehealth can reliably extend FASD diagnosis to families who once faced years of travel and waiting.

✓ Read this if BCBAs helping rural or remote teams set up developmental assessment pathways.
✗ Skip if Practitioners who only work in cities with on-site diagnostic clinics.

01Research in Context

01

What this study did

The authors reviewed past reports on using telehealth to diagnose fetal alcohol spectrum disorder.

They focused on rural and remote areas where experts are scarce.

The paper ends with practical tips for starting a tele-diagnosis program.

02

What they found

Telehealth lets trained teams see children, talk with families, and score tests without long travel.

The review shows the approach is doable and can reach kids who otherwise wait years.

03

How this fits with other research

Sutherland et al. (2025) give hard numbers: telehealth autism exams matched in-person results 90% of the time.

That study extends this review by proving high accuracy, not just feasibility.

Meimei et al. (2022) pool many ASD tools and find good sensitivity, backing the wider claim that remote diagnosis works for neurodevelopmental conditions.

Stainbrook et al. (2019) add that once telemedicine autism clinics opened, rural referrals and show-ups rose—evidence that families will use the service.

04

Why it matters

If you serve rural clients, you can now refer them to telehealth FASD clinics with confidence.

Use the review’s checklist to ask local teams about cameras, internet speed, and cultural support.

One quick win: schedule a short tech trial run before the formal exam to cut no-shows.

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Email your local diagnostic team and ask if they offer telehealth FASD slots—if not, share this review’s implementation checklist.

02At a glance

Intervention
not applicable
Design
narrative review
Population
developmental delay
Finding
not reported

03Original abstract

Fetal alcohol spectrum disorder (FASD) is a diagnostic term used to describe an array of structural, neurocognitive, and behavioral effects that result from prenatal alcohol exposure. While ongoing efforts have been made to increase the capacity of communities to provide early FASD diagnosis, there continues to be on-going challenges, particularly for remote and rural communities. Telehealth is the use of technology to connect communities at a distance and has been effectively used in medicine for several decades. This literature review describes the use of telehealth in FASD and other developmental disabilities and makes recommendations for how telehealth can be used to facilitate the assessment and diagnosis of FASD in rural and remote communities.

Journal of autism and developmental disorders, 2021 · doi:10.1016/B978-0-12-386495-6.00002-3