FASDs: Social and Emotional Interventions

University of Calgary Shawna Sjoquist Spring 2011

Introduction
General
Review

Overview of Diagnosis

Typical Effects

Deficits

in Social Information Processing

Underpinnings for Intervention

Conceptual Implications

Interventions

Overview of Diagnosis
Fetal

Alcohol Spectrum Disorder (FASD)

Umbrella Term 1 to 4 per 1000 live births annually

Prevalance

Overview of Diagnosis
Spectrum of Disorders

Fetal Alcohol Syndrome (FAS)

Alcohol Related Neurodevelopmental Disorder (ARND)

Prenatal Alcohol Exposure/ Partial FAS

Typical Effects

Reduced IQ levels Academic underachievement Learning Disabilities

Attention Difficulties
Cognitive Impairments

Language Visuoconstructive Skills Memory Executive Functioning Abilities

Deficits in Social Information Processing

Social Information Processing

Difficulty understanding and interpreting social cues Considering the consequences of actions Lack social judgment Poor social communication

Inappropriate social skills

Antisocial behaviors Relational difficulties

Conceptual Underpinnings
Social

Learning Theory

Theory of Mind (ToM) Emotional Understanding

Conceptualization

and Treatment Targets

Sensitivity of perceptions and the family dynamic Informant discrepancies

Implications for Intervention

Impaired
Social

Social Communication

Skill Deficits Overall

Executive

Functioning

Interventions
Video Live

Training

enactment

Modeling Corrective

Feedback

Interventions
Direct

skill instruction

Role

Play

Modeling

Interventions
Self

Management Strategies

Interventions
ToM Use

Intervention Research

of the Cognitive Verb

Parent-Child Interaction Therapy (PCIT)

Theoretical

Assumption for the FASDs population

Modification

Referenced Websites
https://coac.learnalberta.ca/

http://pcit.phhp.ufl.edu/

References

Frankel, F. (2005). Parent-assisted children's friendship training. In E. D. Hibbs & P. S. Jensen (Eds.), Psychosocial treatments for child and adolescent disorders: Empirically based approaches (pp. 693715). Washington, DC: American Psychological Association. Greenbaum, R. L., Stevens, S. A., Nash, K., Koren, G., & Rovet, J. (2009). Social Cognitive and Emotion Processing Abilities of Children With Fetal Alcohol Spectrum Disorders: A Comparison With Attention Deficit Hyperactivity Disorder. Alcoholism: Clinical & Experimental Research, 33(10), 16561670. doi:10.1111/j.1530-0277.2009.01003.x Jacquelyn Bertrand and on behalf of the Interventions for Children with Fetal Alcohol Spectrum Disorders Research Consortium, Interventions for children with fetal alcohol spectrum disorders (FASDs): Overview of findings for five innovative research projects, Research in Developmental Disabilities, Volume 30, Issue 5, September-October 2009, Pages 986-1006, ISSN 0891-4222, DOI: 10.1016/j.ridd.2009.02.003.(http://www.sciencedirect.com/science/article/pii/S0891422209000274) Laugeson, E. A., Paley, B., Schonfeld, A. M., Carpenter, E. M., Frankel, F., & O'Connor, M. J. (2007). Adaptation of the Children's Friendship Training Program for Children with Fetal Alcohol Spectrum Disorders. Child & Family Behavior Therapy, 29(3), 57-69. Retrieved from EBSCOhost. Mattson, S. N., & Riley, E. P. (1998). A review of the neurobehavioral deficits in children with fetal alcohol syndrome or prenatal exposure to alcohol. Alcoholism: Clinical and Experimental Research, 22, 279-294. O'Connor, M J, Frankel, F., Paley, B., Schonfeld, A M, Carpenter, E., Laugeson, E A, & Marquardt, R. (August 2006). A controlled social skills training for children with fetal alcohol spectrum disorders. Journal of Consulting and Clinical Psychology, 74, 4. p.639(10). Retrieved May 26, 2011, from Academic OneFile via Gale: http://find.galegroup.com.ezproxy.lib.ucalgary.ca/gtx/start.do?prodId=AONE&userGroupName=uc algary

References

O'Connor, M. J., Kogan, N., & Findlay, R. (2002). Prenatal alcohol exposure and attachment behavior in children. Alcoholism: Clinical and Experimental Research, 26, 1592-1602. Paley, B., & O'Connor, M. J. (2009). Intervention for individuals with fetal alcohol spectrum disorders: Treatment approaches and case management. Developmental Disabilities Research Reviews, 15(3), 258-267. doi:10.1002/ddrr.67 Peadon, E., Rhys-Jones, B., Bower, C., & Elliott, E J (May 25, 2009). Systematic review of interventions for children with fetal alcohol spectrum disorders. BMC Pediatrics, 9, 35. p.35. Retrieved May 26, 2011, from Academic OneFile via Gale: http://find.galegroup.com.ezproxy.lib.ucalgary.ca/gtx/start.do?prodId=AONE&userGroupN ame=ucalgary Rasmussen, C. (2005). Executive functioning and working memory in fetal alcohol spectrum disorder. Alcoholism: Clinical and Experimental Research, 29, 1359-1367. Schonfeld, A. M., Mattson, S. N., & Riley, E. P. (2005). Moral maturity and delinquency after prenatal alcohol exposure. Journal of Studies on Alcohol, 66, 545-554. Sood, B., Delancey-Black, V., Covington, C., Nordstrom-Klee, B., Ager, J., & Templin, T., et al. (2001). Prenatal alcohol exposure and childhood behavior at age 6 to 7 years: I. Doseresponse effect. Pediatrics, 108(2), 1-9

Streissguth, A. P., & O'Malley, K. (2000). Neuropsychiatric implications and long-term consequences of fetal alcohol spectrum disorders. Seminars in Clinical Neuropsychiatry, 5, 177-190.