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Meeting the Needs of Children and Families

Fetal Alcohol Syndrome


By, Huma Shaheen

Introduction
Two Boys have been diagnosed with Fetal Alcohol Syndrome(FAS). The Foster parents have moved from North Bay to Toronto. Both boys show signs of cognitive delay and impulse control , and the parents are seeking advice on services in the Toronto area.

What is Fetal Alcohol Syndrome?


When a woman drinks excessive amounts of alcohol while being pregnant While the mother is drinking the alcohol transfers into the fetus and damages the child's development in the mothers womb Growth, mental, physical problems that occur in a baby Dr. Ann Pytkowicz Streissguth in 1980 revealed One half to one third of children are diagnosed with FASD

Symptoms and Signs


There are many signs and symptoms that can tell us if a child had FAS. These are as listed below: Deficiency in growth Facial pattern(different) Brain damage "

Sign show
Cognitive Delay and Difficulty in Impulse Control
The Two main results of FAS are Cognitive Delay and Impulse Control. Cognitive Delay is when a child presents with mental retardation Difficulty in Impulse control is when a child is not able to follow through with rules or be able control him or her self when in any kind of situation The child may blurt out things, not show manners, have no patience and be very sensitive. Very Hard for them to control their feelings and actions. The alcohol impairs the child from good judgment and being able to stop and think.

Strategies for the ECE to meet the need of the children and Families
The ECE has to make sure that they both have a secure and very comfortable relationship , usually happens at the first visit Children with FAS need more focus and attention Love and care is a very important factor because it makes them feel more comfortable and helps out Make the parents aware of everything that their child does Make sure that there are break in between so that the children can catch and not feel overwhelmed Sometimes children can stay focused or be calmed by soft music Prompting and Fading Reinforcement(increase self esteem)

Continue:
Seating the child close to you or anyone that is the center of attention to keep focus Use Visuals and concrete examples to get message across When communicating talk slow Help child control feelings and be able to control what they do and feel When starting new activities make sure that the child is informed Help in transition(posters) Prompting and Fading The child should be given choices and options so that they have some sense of control but always keep an eye on it.

Best Environment for children with FAD


The Environment has to be safe for the children, and also kept in a way that is easier for the children to be able to enjoy their stay at the childcare center. The ECEs have to ensure that the children are getting what they need. The area has to be designed in a way that is properly accessible for the child to play and move around in( setting of tables, chairs, play toys and etc.) Signs also help a lot because the children can learn far better when they see visual The lights should be soft and easy on the eyes Area should be clean and free of clutter Well organized and in the same direction

Program Helpful in Learning Cognitive and Impulse control development


Reading ( Picture Books, Large print, ) matching and sorting activities Play Dough Music with Big actions and Dances(keep an eye on it) Hand on materials Same pattern

Services to Parents
St. Michaels Hospital
Pediatric Ambulatory Clinic A free Institute, only for those who have an OHIP card, if you dont then you have to make your own insurance Patients that have been referred by physicians get treatment Birth to 18 years old are treated to the specific clinics Targets many mental health issues (Fetal Alcohol Syndrome, etc.) They help both the patient and also the family to understand the kind of situation that they are Help with information and are very open to any kinds of questions and help needed Consult to Dr. Brenda Stade

Contact
Contact Us- 416-867-3655, Fax- 416-864-587030 Bond St, Toronto, ON, M5B 1W8 Toronto Central (Church St and Queen St E) Hours - Monday-Friday 8-4

http://www.211toronto.ca/Gatekeeper?WebAppId=fht&RequestedSubmitAction=OrgI nfo&searchKey=orgid&searchType=quick&searchValue=MET1084&searchAZSubjec t=&searchValuePrev=fetal+alcohol+syndrome&startIndex=1&sortBy=name&displa yOption=&boolOption=and&totalCount=3&recordPosition=3 http://www.stmichaelshospital.com/pdf/education/postgraduate/pediatrics.pdf#searc h="Fetal Alcohol Syndrome http://www.stmichaelshospital.com/research/profile.php?id=stade&

More info. For parents


Books 1. Recognizing and managing children with fetal alcohol syndrome/ Fetal alcohol effects: A Guidebook, Brenda McCreight. 2. Fetal Alcohol Syndrome: A guide for Families and Communities, Ann Streissguth, Ph.D.

Bibliography and Reflection


Streissguth, Ann Pytkowicz. Fetal alcohol syndrome: a guide for families and communities. Baltimore: Paul H. Brookes Pub., 1997. Print. McCreight, Brenda. Recognizing and managing children with fetal alcohol syndrome/fetal alcohol effects: a guidebook. Washington, DC: CWLA Press, 1997. Print. Class Notes Google Images