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Challenges and Strengths Experienced by Fetal Alcohol Spectrum Disorder Diagnostic Clinics in Canada

Title: Challenges and Strengths Experienced by Fetal Alcohol Spectrum Disorder Diagnostic Clinics in Canada
Language: English
Authors: Kelly D. Harding (ORCID 0000-0001-8996-8058); Colleen Burns; Christine Lafontaine; Andrew Wrath; Alicia Groom; Katherine Flannigan; Kathy Unsworth; Audrey McFarlane
Source: Journal of Intellectual & Developmental Disability. 2024 49(3):331-341.
Availability: Taylor & Francis. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
Peer Reviewed: Y
Page Count: 11
Publication Date: 2024
Document Type: Journal Articles; Reports - Research; Tests/Questionnaires
Descriptors: Foreign Countries; Fetal Alcohol Syndrome; Clinical Diagnosis; Barriers; Affordances; Clinics; Human Resources; Cultural Relevance; Interpersonal Relationship
Geographic Terms: Canada
DOI: 10.3109/13668250.2023.2293336
ISSN: 1366-8250; 1469-9532
Abstract: Background: The Canadian fetal alcohol spectrum disorder (FASD) diagnostic guideline provides clinicians with the process and procedure to reach an accurate diagnosis. However, organisational structure, culture, and resource utilisation vary. The objectives of this study were to identify the key challenges and strengths of successful FASD diagnostic clinics. Method: Qualitative interviews were conducted with 12 key informants from 10 clinics representing different regions, populations served, and clinic structures. Data analysis was performed using iterative thematic inquiry. Results: Three themes related to challenges and four themes related to strengths were identified. Human resources were identified as both a challenge and strength. Additional challenges were diagnostic capacity and system level support. Additional strengths were clinic adaptability, relational connections, and culturally responsive approaches. Conclusions: FASD clinics are more alike than not in their approach to assessment and diagnosis. Some clinics are facing similar challenges that others have overcome, supporting the need for mentorship and consistent operating standards.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1435544
Database: ERIC