{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:04:46Z","timestamp":1787162686565,"version":"build-2736575974"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T00:00:00Z","timestamp":1723507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Developmental outcomes for children and young people with fetal alcohol spectrum disorder (FASD) are optimised if their needs are identified early. Yet, health workers miss vital opportunities to identify and respond to FASD due to a lack of support, knowledge and skills.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Through surveys and interviews, our study investigated what child and family health workers in an Australian metropolitan local health district understand, already do and want to learn about FASD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study provided evidence of low FASD knowledge and confidence and a lack of referral options with some workers \u2018patching together\u2019 care planning in a \u2018referral black hole\u2019. Qualitative data provided insight into how skilled clinicians engage families in FASD assessment and negotiate gaps in clinical knowledge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusions<\/jats:title>\n                    <jats:p>Health workers in this study requested high\u2010quality training and the development of FASD practice guidelines to improve role clarity and clinical impact when working with FASD populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dar.13917","type":"journal-article","created":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T21:14:36Z","timestamp":1723583676000},"page":"1505-1514","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Identifying and responding to fetal alcohol spectrum disorder in child and family health: Lessons from an exploratory mixed methods study"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2065-5982","authenticated-orcid":false,"given":"Susan","family":"Evans","sequence":"first","affiliation":[{"name":"Australian College of Applied Professions  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0558-8993","authenticated-orcid":false,"given":"Barbara R.","family":"Lucas","sequence":"additional","affiliation":[{"name":"Physiotherapy Department Royal North Shore Hospital  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2592-7238","authenticated-orcid":false,"given":"Lauren Ann","family":"Monds","sequence":"additional","affiliation":[{"name":"Specialty of Addiction Medicine, Faculty of Medicine and Health The University of Sydney  Sydney Australia"},{"name":"Drug and Alcohol Services, Northern Sydney Local Health District  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1776-3974","authenticated-orcid":false,"given":"Mark","family":"Montebello","sequence":"additional","affiliation":[{"name":"Drug and Alcohol Services, Northern Sydney Local Health District  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,13]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Australian Medical Association.Position Statement: Fetal Alcohol Spectrum Disorder (FASD).2016."},{"key":"e_1_2_9_3_1","unstructured":"Commonwealth of Australia.Department of health. National Fetal Alcohol Spectrum Disorder (FASD) Strategic Action Plan 2018\u20132028.2018."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13696"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2020.20010086"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/13668250.2020.1824612"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/13668250.2020.1865649"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.14335"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2021-322703"},{"key":"e_1_2_9_10_1","unstructured":"Senate Community Affairs References Committee.Effective approaches to prevention diagnosis and support for Fetal Alcohol Spectrum Disorder March 2021."},{"key":"e_1_2_9_11_1","unstructured":"Australian Institute of Health and Welfare National Drug Strategy Household Survey 2021. Drug Statistics series. 2020 no. 32. PHE 270. Canberra AIHW."},{"key":"e_1_2_9_12_1","unstructured":"BowerC ElliottE The Steering Group.Report to the Australian Government Department of Health: \u201cAustralian Guide to the diagnosis of Fetal Alcohol Spectrum Disorder (FASD)\u201d.2016."},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16111936"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1179558119838872"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.14152"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.alcohol.2018.06.002"},{"key":"e_1_2_9_17_1","unstructured":"The Royal Australian College of General Practitioners.Submission to the Senate Standing Committee FASD Inquiry. Melbourne Australia. Available from:https:\/\/www.racgp.org.au\/FSDEDEV\/media\/documents\/RACGP\/Reports%20and%20submissions\/2019\/RACGP-response-effective-approaches-to-prevention-diagnosis-and-support-for-FASD.pdf. 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