“Anticipating problems and figuring out how to solve them is... it’s productive. Likewise, coming up with a plan of...

“Anticipating problems and figuring out how to solve them is actually the opposite of worrying:
it’s productive. Likewise, coming up with a plan of action isn’t a waste of time if it gives you
peace of mind.”
This quote from astronaut Chris Hadfield in his recent book, An Astronaut’s Guide to Life on Earth (2013)
is one of his comments on conventional wisdom and how he approaches his most challenging experiences both in
space and on earth. Throughout his bestseller, there are many analogies to be made to the work we are involved with. His continuous message and theme is to be prepared, anticipate challenges and practice how you
will prevent or mitigate them. Hadfield describes astronauts as being, “highly methodical and detailoriented….preparation is not only about managing external risks, but about limiting the likelihood that you’ll un-‐
wittingly add to them.” For many clinic coordinators, and others who are responsible for collecting necessary
medical, family history background and prenatal alcohol exposure information, you understand the importance of
being “methodical and detail-oriented”. If you haven’t picked up Hadfield’s book, I recommend it as a good read.
With spring season, there are numerous training and conference opportunities. The annual Lakeland
Centre for FASD training this May 22, 23, 2014 at the University of Alberta will provide expertise in the area of
post clinic diagnosis intervention, with Dr. Jacquie Pei, Dr.Tracy Jirikowic, Dr. H. Rajani and Brenda M. Knight presenting. This years’ training, as in previous years, will allow clinic team members the opportunity to network
with colleagues and other clinic members. We anticipated this training to be popular, but didn’t realize it would
fill to capacity so quickly. Unfortunately, there are no further registrations accepted due to limits of the venue.
The Bi-annual FASD conference in Vancouver this April is also well-attended by many Alberta clinic team members, agencies and government personnel. Last year, Lakeland Centre for FASD hosted an “Alberta-Social Networking Evening” at the conference hotel in Vancouver. This opportunity to connect with others was so popular
and well-attended that we are doing this get-together again, Thursday April 10th evening in Vancouver. Please
watch for details that will be posted at the conference bulletin board, and emailed to all clinics over the next few
weeks. Training keeps us current and informs us of best-practices and evidence-based research that increases
accountability and consistency in our clinic practices. Please forward any training, workshops and other presenters and we will do our best to include in upcoming Links Newsletters. Email: [email protected]
INSIDE THIS ISSUE
Clinic Highlight:
Lakeland Centre for FASD
Leaders in Assessment
& Diagnostics:
Lynne Abele-Webster– OT
Odds & Ends
FASD TIP
AB FASD Clinic
Contact Information
Practice Points
Training Information
March 2014 Vol. 11
Clinic Highlight: Lakeland Centre for FASD
The Lakeland Centre for FASD has been providing FASD assessment and diagnostic
services and follow-up support in the Lakeland region of north eastern Alberta since November 2000. The Centre has developed a broad range of services aimed at preventing future FASD births and supporting those who have been born with FASD. With funding
from a variety of provincial and federal government sources, local private donors, and
community fundraising, the Centre provided the first model of rural-service delivery in
North America and has become a leading voice for FASD programming in Canada.
Currently there are 3 mobile diagnostic clinics that see children, youth and adults in
our region. The Centre has diagnosed 500 children since November 2000. The teams consist of in-kind and contracted professional clinic members who travel to communities
where referred patients reside.
Following the diagnosis, the family and client are linked with an FASD Coordinator to help
agencies, schools and others involved with the client and family understand and implement
the diagnostic recommendations and to assist them in connecting with the services they
need. In the 15 years since the Lakeland area began addressing FASD, the service landscape has changed and we have contributed to that change. The work of our staff has been
noted across North America, particularly for the contribution of an innovative and effective
rural service delivery model that provides life-span services.
The adult diagnostic team differs from the children’s team in the number of referred
adults they can diagnose, due to the complexity of issues facing adults, and with team
membership (e.g. representation from employment, PDD, mental health, justice, Psychiatry). Since 2001, the team has diagnosed over 100 adults.
Adult clients are also linked to a Coordinator to support them during and following
the clinic process, with the same goal of advocacy and support as in the children's model.
This support is provided without condition for as long as the client needs this service.
A new team that accepts referrals for complex youth was developed in 2012. The
team is comprised of professionals from either the adult or the children teams who are able
to best address the complex issues presenting for these youth.
The Lakeland Centre is one of the few clinics in the country that has a direct link to
prevention services by referring women who are may be in the cycle of addiction and pregnancy to the PCAP (Parent Child Assistance Program), also operated by the Centre.
The communities where we do our work have courageously stepped up to the plate
in addressing the many issues coming from FASD.
Our clients are courageous and resourceful people. We pay tribute to their desire to
make life better for themselves and their families and we recommit ourselves to their support.
leaders in assessment & diagnostics
Lynne Abele-Webster, Occupational Therapist
Hello everyone who has FASD and everyone involved
in helping people with FASD.
I am Lynne Abele-Webster, an occupational therapist
(OT) and mother of a handsome and successful young
man who has FASD. Yes, indeed, read on.
I have worked at the Glenrose Rehabilitation Hospital
on FASD Clinic Services for 12 years. I have assessed
children from the ages of two years to 17 years 11
months. On our team, the OT assesses motor skills,
visual perception, soft neurological signs, and sensory
processing. Assessment findings give us information
Lynne & her husband, Eric
about how the child’s brain is working. These findings
are put together with those of other team members to help us determine if a child has FASD or not.
Visual perception is the way that the brain interprets what the eyes see. Soft neurological signs
give a general idea of how the brain functions. For example, the child’s ability to reach across their
midline from one side of the body to the other tells us how one side of the child’s brain is communicating with the other.
Sensory processing is the way that the brain interprets and reacts to sensation that the body receives.
Recent research indicates that the sensory processing of children who have FASD has been misunderstood. The finding of research for my masters degree was very similar the findings of other
published studies.
Children with FASD generally do not react to specific types of sensation such as bright lights, or
loud noises, or touch. However, they seem to have difficulty screening input, that is, they have difficulty paying attention to input that they should. But they also have difficulty ignoring input that
should be ignored. Children with FASD appear to struggle to control their overall arousal level.
They become over-aroused in response to all kinds of input.
As we all know, abilities and challenges vary greatly from one person with FASD to another.
Some individuals may have adverse responses to specific types of input, such as touch or taste.
Now for the stuff that I really enjoy talking about, my son. He came into our lives when he was 7
years old, a lovely boy, who had some horrendous behaviour initially. Over time and with counseling for trauma, his behaviour improved tremendously. He thrived with education that used the assessment information to target his learning style. He is now an adult who has friends, enjoys snowboarding, and is succeeding at his job and continuing education. He qualifies to enter postsecondary education to become a tradesman. I’m so proud of my son that I’m almost obnoxious!
“Competence means keeping your head in a crisis, sticking with a task even when it
seems hopeless, and improvising good solutions to tough problems when every second
counts. It encompasses ingenuity, determination and being prepared for anything. It’s
mostly a matter of changing your perspective.”
Chris Hadfield, Astronaut
FASD Treatment Improvement Protocol (TIP)*
Fetal Alcohol Spectrum Disorder (FASD) is an umbrella term describing the range of effects that can occur in an individual whose mother drank alcohol during pregnancy. These effects may include physical, men-­‐
tal, behavioral, and/or learning disabili es with lifelong implica ons for the affected individual, the moth-­‐
er, the family, and the community. While FASD is considered preventable, the life circumstances leading to an FASD are challenging, are o en related to social determinants of health, and can be grounded in historical and intergenera onal trauma.
FASD frequently co-occurs with substance abuse and mental health issues and tradi onal treatment ap-­‐
proaches are not generally successful. Treatment modifica ons for addressing substance abuse and men-­‐
tal health are usually required to support successful outcomes for individuals with FASD. The Canada FASD Research Network (CanFASD) received support from the Government of Alberta through the FASD-Cross Ministry Commi ee to develop a Treatment Improvement Protocol (TIP) for FASD based on Canadian research and prac ce, and to pilot the TIP in Alberta. The goal of the TIP is to improve outcomes for those iden fied at risk for having FASD or having a child with FASD. Service provid-­‐
ers par cipa ng in this pilot include Addic on Services Edmonton, Mé s Child and Family Services Society (Edmonton), CASA Child, Adolescent and Family Mental Health (Edmonton), and Aventa Addic on Treat-­‐
ment for Women (Calgary).
The TIP consists of comprehensive informa on resources, screening and referral tools, and training. A total of 121 caseworkers have par cipated in the 3-hour TIP training program. Case consulta on is includ-­‐
ed as part of the follow-up for TIP trainees to support them using the screening tools, and to help them decide whether or not to refer their client for a diagnos c assessment or to an appropriate interven on for alcohol use during pregnancy. Both the Edmonton Fetal Alcohol Network and the Calgary Fetal Alcohol Network are ready to provide ongoing support to caseworkers needing up-to-date referral informa on for clients wai ng for FASD-related supports and services.
As part of the pilot project, a research study is being conducted to determine the efficacy and feasibility of the TIP before it is implemented beyond the pilot study. The goal of the research study is to determine the number of individuals screening posi ve for FASD (either for being at risk of having FASD or for having a child with FASD), how many individuals want to pursue the referral for an assessment or service, and how many individuals go on to access the recommended service or diagnos c assessment. Ethics approv-­‐
al for this study has been received, and the 121 trained caseworkers are ready to begin screening and col-­‐
lec ng data for a six-month period (February to July, 2014). Early results from the evalua on of the TIP training program indicate that the informa on on FASD has been well received. One pilot site has indicated their willingness to implement screening for alcohol use during pregnancy and for FASD as part of their standardized intake process. The research will provide evi-­‐
dence of the efficacy of this approach, and will also iden fy any systemic barriers to providing mely ac-­‐
cess to FASD assessment and other FASD-related services.
___________________________________
*The CanFASD Research Network adapted this TIP with permission from the TIP prepared by the FASD Center for Excellence at the Substance Abuse and Mental Health Services Administra on of the United States Department of Health and Human Services.
Practice Points: Role of Health Care Providers in Caring for Individuals with FASD
Submitted by: Dr. Gail Andrew, MDCM, FRCP(C);; Dr. Hasmukhlal (Hasu) Rajani, MBBS, FRCP(C);; Dr. Leigh Wincott, B.Sc.(Hons), MD FRCP(C). Individuals with FASD have a neurodevelopmental disability, which is often invisible, and has a signifi-­
cant impact on the person, extending over the life span. The majority of health issues seen in individuals with FASD is not specific to alcohol exposure, and may overlap with problems that occur in individuals with a neurodevelopmental disability from other causes. Often adverse early infancy and childhood events have also negatively influenced developmental and mental health.
Individuals living with FASD can have significant health issues and require a “Medical Home” and conti-­
nuity of care by a health care provider (HCP) who gets to know them. In childhood if the child moves in the foster care system, every effort should be made to maintain the same HCP. In adults with FASD, having easy access to an HCP with whom they have a trusting and nonjudgmental relationship can sig-­
nificantly improve quality of life and prevent many health complications. Thorough history taking with the individual living with FASD and a reliable caregiver is required along with general physical and neurologi-­
cal exams. Screening for mental health disorders is needed. Prenatal alcohol exposure (PAE) places the fetus and the newborn at a higher risk for adverse congeni-­
tal, familial and postnatal outcomes. As such the HCP needs to be vigilant regarding the higher incidence of health issues in these individuals. The following list provides just some examples of the health moni-­
toring role of HCP:
Growth Deficiency: Small stature of less than the 10% is one criteria of full FAS but it is essential to do a differential diagnosis to rule out other causes of growth deficiency, such as malabsorption (celiac, short gut syndrome);; pituitary growth hormone deficiency;; nutritional deprivation;; genetic syndromes;; or famili-­
al short stature (need parental stature).
Facial Dysmorphology: The characteristic face of FAS is found in about 10% of those prenatally ex-­
posed to alcohol but there are genetic syndromes that have a similar face and need to be considered, such as Williams, Arskog, 22 Q deletions. Other exposures such as Fetal Hydantoin Syndrome also need to be considered. Differential diagnosis is again needed. Individuals with prenatal alcohol exposure may have other minor dysmorphic features such as hockey stick palmar creases but there is the question whether this is from the alcohol or part of a genetic abnormality. Current genetic testing is identifying more abnormalities on chromosomes that may be linked to the observed differences. Physicians can re-­
quest a microarray through genetic labs if indicated.
ARBD (Alcohol Related Birth Defects): This is the term from the Institute of Medicine (1996) to highlight that other developing organ systems in the fetus can be damaged or disrupted by exposure to alcohol. There is a long list but the most important for the HCP to check include: vision (strabismus and myopia);; hearing (malformations, sensorineural hearing loss that can impact language development);; heart (septal defects, arrhythmias that have major implications of side effects to certain medications);; cleft palate. It should be noted that these malformations are also common in the general population and in other genet-­
ic syndromes and not just associated with PAE
Seizures: The incidence of seizures was found to be higher in a study of FASD compared to the general population, not surprising given the disruption in brain development by PAE. Clinical presentation of the seizures can be subtle such as “tuning out”, so the HCP needs to do a careful history from caregivers who know that child, teen or adult. Doing an EEG test is recommended if there is a clinical suspicion. Epileptic abnormalities on the EEG may need treatment with an anticonvulsant. Any abnormalities on EEG need to be considered if medications such as stimulants for ADHD or SSRI for mood are being pre-­
scribed.
Immune System: Toxic stress in the early years of life and even being exposed to stress in utero can alter the im-­
mune systems response and the impact can be life- long as reported in the ACE (Adverse Childhood Experiences) Study. This can be mediated by altered cortisol responses or through epigenetic changes. PAE and exposure to traumatic stress are often linked through the psychosocial determinants of health. With lower immune responses, the individual may be more prone to common infections such as ear infections presenting in the preschool years and needing acute treatment and follow up for chronic middle ear dysfunction that impacts hearing. Asthma is linked to the immune response but there may be many environmental factors that trigger respiratory symptoms. Careful history about exposure to dust, smoke and other exposures needs to be taken along with acute and pre-­
ventative management with the right medications.
Sleep: Difficulties in settling and staying asleep, are very common in FASD. Description of the sleep pattern, envi-­
ronment for sleep and medications used throughout the day is an essential part of the history done by the HCP. The root causes of the sleep problems can be multiple and complex. It may be based on the brain damage from PAE on the normal sleep cycle (circadian rhythm) through disruption of natural melatonin secretion. It may be relat-­
ed to trauma and adverse life events;; low iron levels in restless leg syndrome;; mental health issues of anxiety or depression;; school frustrations and bullying;; chaotic home environment;; technology in the bedroom;; personal sub-­
stance abuse in older teens and adults;; and side effects of prescribed medications to name a few. Sleep in all neu-­
rodevelopmental disabilities is so important that it has become a priority research focus. There are algorithms for management but the starting point is a good history taken by the HCP and recommendations for creating the right sleep environment and not by prescribing sedating medications. Melatonin may have a beneficial role but does not replace the need for the environmental supports.
Nutrition: Feeding difficulties are often present in infancy when there has been exposure to drugs and alcohol in utero. It can present with poor coordination of suck and swallow, irritability if there is pain from gastroesophageal reflux or coughing with intake of liquids due to a swallowing dysfunction. It may be due to environmental neglect and poor infant- maternal bonding. Identification and management of this early on can prevent failure to thrive and other medical complications. Referral to a feeding team that can include an OT, Dietician and SLP may be indicat-­
ed. In the preschool age group there can be food refusals related to sensory responses to different textures of foods. Nutritional deprivation in the early years can lead to a lifelong unhealthy response such as hoarding and stuffing of foods and not recognizing limits. Many medications prescribed for behavior management can have side effects such as loss of appetite or excessive food craving. The HCP needs to use good judgment in choice of med-­
ications and frequent monitoring of weight, BMI and blood testing if indicated.
Elimination: Constipation is frequent in all individuals with disabilities and not only those with FASD. There are many factors including food choices, behavioral responses of holding back at stooling, gut motility, side effects of medications, lack of home routines, etc. The HCP needs to consider all factors in developing a management plan. Problems with urine control can be related to renal and bladder function but the HCP needs to be aware that trau-­
ma, especially sexual abuse can be trigger. Investigations need to be done with a sensitive approach.
Mental Health Disorders: Over 90% of individuals living with FASD have a coexisting mental health disorder with ADHD being the most common. In teens and adults there is often more than one condition, such as depression, anxiety, substance abuse. These conditions may be primary to the impact in utero of the alcohol on developing neurotransmitter systems or secondary to adverse life experiences or both. Individuals with mental health disorders are more likely to abuse alcohol. There may also be a significant genetic component to these disorders as an intergenerational cycle is perpetuated. If an individual is presenting with a vari-­
ety of negative behaviors it is important to consider mental health disorders and implement appropriate treatment. Management of the mental health disorders in FASD is difficult as responses to medications are not as robust. In-­
sight or cognitive therapy is usually not helpful given the functional limitations in communication and executive func-­
tions in FASD. The HCP needs to have access to a mental health team that is trained to manage this level of com-­
plexity and has experience working with those with FASD.
Dental Health: Although PAE alone may not affect the development of dental enamel in utero, maternal malnutri-­
tion can play a role. More importantly, the postnatal diet with inappropriate bottle feeding and high sugar intake compounded by poor oral hygiene can cause cavities. Dental cavities and abscesses are painful and can contrib-­
ute to irritable behaviors and disrupted sleep. Early recognition and dental surgery is very important. In the adoles-­
cent years, many teens with FASD have dental malocclusion related to midfacial under development and will re-­
quire orthodontic treatment. Though health issues noted above may not be specific to prenatal alcohol exposure in an individual diagnosed with FASD, it may be an added burden for an already adversely affected individual who is just managing to cope with the challenges of their primary disability. The health issue itself may be the initial presenting condition to the HCP in an individual who is not diagnosed with FASD. As such the HCP should be vigilant of health issues that may occur more frequently in the FASD population and may need to ask the question whether prenatal alcohol exposure is a contributing factor for that person.
~ OdDs & eNdS ~
~New Package~
Mirabelle Vivienne Brousseau, 7lbs 13oz
arrived February 27th , 2014
making Sebastien & Nicholas big brothers!
Proud parents are Brian Brousseau &
Megan Tucker (Lakeland Centre for FASD). Welcome
Welcome
North West FASD Network welcomes Leanne Aspen, a Social Worker, as the FASD Conversation Facilitator. Her role is to increase awareness and prevention of FASD in NW Alberta by educating front line workers on how to engage women about the use of alcohol during pregnancy without shaming and to participate in the FASD Prevention Conversation. Leanne can be contacted at (780)357-7503, [email protected] Kim Haiste recently joined the NW FASD Network as the FASD Community Resource Advocate to provide resources and follow-up for those living with FASD. Kim comes to this position with an MA in Public Administration and experience working in various human service positions including most recently, the BC Ministry of Health- Mental Health and Substance Use branch. Kim can be contacted at (780)357-7504, [email protected]
New Links & Resources
FASD-CMC website
http://fasd.alberta.ca
PM convenes Canadian Experts & Global Leaders
in Maternal Newborn & Child Health
http://www.pm.gc.ca/eng/news/2014/03/06/pm-convenes-canadian-experts-and-globalleaders-maternal-newborn-and-child-health
Service Alberta Online FOIP Training (free)
http://www.servicealberta.ca/foip/training/online-training.cfm
Evaluation of FASD Prevention & FASD Support Programs
http://www.fasd-evaluation.ca/
Children’s Mental Health Learning Series
(11~90 minute sessions)
www.research4children.com Click on ‘Events’
Social Workers will receive a Certificate of Attendance & Category A hours toward professional training
mixology
Great Tasting Green Smoothie for Beginners
1C Water, 1/2C chopped English cucumber, 2C tightly packed spinach, 1 apple, cored
1C strawberries, preferably frozen, 1 banana, preferably frozen, Juice of 1/2 lemon/lime
Ice if not using frozen berries/banana & you desire a chilled smoothie
Pack everything into blender & blend until smooth!!
Add 1Tbps chia seeds or milled flax seed for healthy serving of fats
thegreenforks.com
FASD Assessment & Diagnostic Clinic Contact List
Updated: March 2014
(C) Child Clinic (A) Adult Clinic
Fetal Alcohol Spectrum Disorders Diagnostic Clinic (C)
Alberta Children’s Hospital
Child Development Centre
2888 Shaganappi Trail NW
Calgary, AB T3B 6A8
Phone: 403-955-5878
Coordinator: Bernadette Jesse
[email protected]
FASD Clinical Services
Pediatric FASD Clinical Services (C)
Glenrose Rehabilitation Hospital
10230-111 Avenue
Edmonton, AB T5G 0B7
Phone: 780-735-8278
Coordinator: Tammy Woroschuk
[email protected]
MediGene Services, FAS Diagnostic Clinic (A)
Foothills Professional Building
Suite 110, 1620-29th Street NW
Calgary, AB T2N 4L7
Phone: 403-571-0450
Program Manager: Suzanne Johnson
[email protected]
Glenrose Adult FASD Assessment Clinic (A)
Glenrose Rehabilitation Hospital
10230-111 Avenue
Edmonton, AB T5G 0B7
Phone: 780-735-6166
Coordinator: Bernie Mallon
[email protected]
Renfrew FASD Assessment & Diagnostic Clinic (C)
Renfrew Educational Services
Sundance Centre
75 Sunpark Drive SE
Calgary, AB T2X 3V4
Phone: 403-291-5038 ext. 1643
Manager of Psychology & FASD Services: Nicki Wilson
[email protected]
Coordinator: Rhonda Richter
[email protected]
Canadian FASD Diagnostic & Training Centre (C) (A)
316 Kingsway Garden Mall NW
Edmonton, AB T5G 3A6
Phone: 780-471-1860
Coordinator: Ojas Joshi
[email protected]
Central Alberta FASD Network (15yrs+)
Adult FASD Clinic
5409-50th Ave. Red Deer, AB T4N 4B7
Phone: 403-309-5648
Diagnostic Services Coordinator: Trina Kennedy
[email protected] Aspire Special Need Resource Centre (C)
4826 47th Street
Red Deer, AB T4N 1R2
Phone: 403-340-2606
Services Coordinator: Christina Deminchuk
[email protected]
Lakeland Centre for FASD (C) (A)
P.O. Box 479
Cold Lake, AB T9M 1P3
Phone: 780-594-9905
Diagnostic Services Manager: Donna Fries
[email protected]
Centrepoint Young Offender Program (C)
Suite 701, 10242 105 Street
Edmonton, AB T5J 3L5
Phone: 780-428-4524 ext. 278
Social Worker: Karine Tapia-Withers
[email protected]
Northwest Primary Care Network
Children and Youth FASD Diagnostic Clinic (C)
Northwest Primary Care Network
11202-100 Avenue
High Level, AB T0H 1Z0
780-841-3253
Social Worker/Coordinator: Cheryl Cunningham-Burns
[email protected]
Northwest Regional FASD SocietyMackenzie Network (A)
Box 3668 High Level, AB T0H 1Z0
Phone: 780-926-3375
CEO/Coordinator: Wanda Beland
[email protected]
FASD Assessment & Diagnostic Clinic Contact List
Updated: March 2014
(C) Child Clinic (A) Adult Clinic
Mental Health and Addictions, Alberta Health Services/NEAFAN (C) (A)
194 Grenfell Crescent
Fort McMurray, AB T9H 2M6
Phone: 780-791-6209
Diagnostic Assessment and Clinic Lead: Marguerite Fitzpatrick
[email protected]
NW Alberta FASD Clinic, City of Grande Prairie (C) (A)
P.O. Bag 4000, 10205-98th Street
Grande Prairie, AB T8V 6V3
NW Alberta Phone: 780-357-4996
FASD Clinic Coordinator: Denise Nowicki
[email protected] Northern Association for FASD (C) (A)
P.O. Box 3334
Lower Level, 5001-49th Street
High Prairie, AB T0G 1E0
Phone: 780-523-3699
Coordinator: Charlene McLay
[email protected]
North West Central FASD Assessment & Diagnostic Team (C) (A)
Box 4455 Barrhead, AB T7N 1A3
Phone: 780-674-4141
Coordinator: Kelly Cameron
[email protected]
Pediatric Specialty Clinic
Children’s Rehabilitation Services-Central Zone (C)
# 300 Professional Centre
5015-50 Avenue,
Camrose, AB T4V 3P7
Phone: 780-608-8614
Coordinator: Mavis Kirkland
[email protected]
Siksika FASD Clinic (C)
Box 1130
Siksika, AB T0J 3W0
Phone: 406-734-5687
Coordinator: Vanessa Buckskin
[email protected]
Prairie Central Adult FASD Diagnostic Clinic (A)
5409-50th Ave. Red Deer, AB T4N 4B7
Phone: 403-309-5648
Coordinator: Trina Kennedy
[email protected] Children’s Fetal Alcohol Services
Regional Neurodevelopmental Clinic (C)
Bridges Family Programs 477 Third Street SE
Medicine Hat, AB T1A 0G8
Phone: 403-526-7473
Coordinator: Louisa Clapper
[email protected]
Coordinator: Erin Gerrard [email protected] Program Manager: Danielle Schaitel
[email protected] (mat leave Apr ‘13)
Lethbridge Family Services-DaCapo Services
FASD Assessment & Diagnostic Clinic (C) (A)
1107-2A Avenue N.
Lethbridge, AB T1H 0E6
Phone: 403-327-5724
Clinic Coordinators: Pam Carpenter [email protected] Krista Tittlemier: [email protected] Clinic Manager: Lynette Taal [email protected] Alberta Hospital Edmonton
Turning Point Program (12-21yrs only)
17480 Fort Road, Box 307 Edmonton, AB T5J 2J7 Phone: 780-342-5590 Dr. Ashley Barlow, Registered Psychologist [email protected]
Thanks to Alberta Health for their support of this project
Forensic Assessment and Treatment Dr. Vinesh Gupta, Sec on Chief, Child and Adolescent Psychiatry, Alberta Health Services March 19, 2014, 9-11am Learning Objec ves:
• Understand the concept of NCR
• The applicability of NCR defense for clients with FASD
A Family Centred PCAP program model for First Na ons Communi es
Vanessa Buckskin April 16, 2014, 9-11am Unpacking the Backpack
Charlene Helsen, Mental Health Promo on Coordina-­‐
tor for Aboriginal Health, Alberta Health Services Cal-­‐
gary Zone
May 21, 2014, 9-11am
Learning Objec ves:
• Portray the role of historical trauma as a major underlying cause of addic ons and FASD in the Aboriginal community, Understand the familial and cultural prac ces that can mi gate the effects.
Webcas ng and Registra on Process
There is no fee to a end. Registra on and sign-in is necessary for receipt of a cer ficate of a endance. Please visit www.research4children.com and go to “Events”. Scroll down le -hand side of page to regis-­‐
ter and for more info. All sessions are broadcast live from the main Board-­‐
room located on the 12th Floor of 9940-106 Street.
Mahatma Gandhi
(2 October 1869– 30 January 1948)