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There is growing evidence that people with FASD may benefit from integrated service delivery (ISD), but little is known about ISD elements and processes for this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Using a multi\u2010method approach involving a literature review, analysis of programme data, and staff interviews, we examined how ISD is enacted at a rural Canadian FASD centre, and identified facilitators, barriers, and potential impacts of ISD at the centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We describe key elements of integrated FASD programming and identify important contextual factors and themes related to ISD barriers, facilitators, and impacts: (1) connection, (2) freedom and autonomy, (3) client\u2010centred care, (4) learning and growth, (5) and reframing expectations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study may help to inform a roadmap for enhancing FASD service delivery and guiding FASD research and policy in Canada and beyond.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jar.13277","type":"journal-article","created":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T03:37:54Z","timestamp":1725507474000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Integrated service delivery for individuals with fetal alcohol spectrum disorder"],"prefix":"10.1111","volume":"37","author":[{"given":"Katherine","family":"Flannigan","sequence":"first","affiliation":[{"name":"Canada Fetal Alcohol Spectrum Disorder Research Network  Vancouver British Columbia Canada"},{"name":"Department of Educational Psychology University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devon C.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Department of Educational Psychology University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Murphy","sequence":"additional","affiliation":[{"name":"Lakeland Centre for Fetal Alcohol Spectrum Disorder  Cold Lake Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Pei","sequence":"additional","affiliation":[{"name":"Canada Fetal Alcohol Spectrum Disorder Research Network  Vancouver British Columbia Canada"},{"name":"Department of Educational Psychology University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,4]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.7870\/cjcmh-2019-009"},{"key":"e_1_2_10_3_1","unstructured":"BadryD Felske A. 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