1. FETAL ALCOHOL SPECTRUM DISORDER
CASE STUDY
By Tracie Ramanand

2. MEETING THE FAMILY
 I met this couple that had just moved from
North Bay
 told me about the twin brothers 3 year old
Simon and Thomas that they are adopting
 and the twins have been diagnosis with Fetal
Alcohol Syndrome
 They feel overwhelmed because of the
diagnosis and the move ,and wonder what
services there are in Toronto to help the boys

3. THE FAMILY
 So from what I know the boys are both showing
signs of cognitive delay and are having a hard
time with impulse control
 As for the parents I think they would need
services that are close to home
 And if they are thinking of putting the boys in
daycare to have good commutation with the
daycare staff

4. FETAL ALCOHOL SPECTRUM DISORDER
 Women drinking alcohol during pregnancy
 FASD is one of the top causes of developmental
delay
 So result for the mother drinking during her
pregnancy is :
The child falling into one of these characteristics:
Growth Patterns, Facial Features and Central
nervous system problems

5. #1 GROWTH PATTERNS
 Growth is slowed down
 Body size is small then the average height for
the child’s age
 And both head size and weight are both smaller
as well

6. #2 FACIAL FEATURES
 The middle of the face is very flat
 Eye opening is small
 Upper lip is thin
 From the upper lip to the base of the nose it is
very smooth

7. CENTRAL NERVOUS SYSTEM
 Developmental delay (Cognitive)
 Forgetting things
 May not understand instructions
 Learning disabilities
 Poor social skills
 Maybe have a hard time understanding right from
wrong
 Gets distracted easily/or cannot stay focus
(impulse control)

8. CHANGES IN ENVIRONMENT

9. GROSS/FINE MOTOR
 For gross motor you
should have a lot of
movement like:
 Dance inside or outside
 Having the children try
going up and down the
slide
 So they can use their
large muscles
 Fine motor is using
things like your fingers
joints
 Having a scenery bin with
pasta and cereal that are
shaped like the letter O
 Slide on grips for any
item the child might use
and can hold

10. VISUAL
 Lots of natural light coming in
 Use non-fluorescent light
 The colors on the wall shouldn’t be to bright
 Lots of storage

11. NOISE AND HEARING (AUDITORY)
 Have relaxing music
 Practice what to do for a fire drill before hand
 Have a quite area

12. COGNITIVE
 Reading: make the story shot but keep the
interest of the children in mind
 try to do different voices for each character
 Ask questions so the children can guess what
happens next
 And focus on one topic

13.  Math: count as often as you can
 Do matching and sorting actives
 not to challenging
 Hands on material

14.  Music/ Drama: songs that have actions
 Change the words so it is easier to sing
 Do it in a small group
 and get sound proof ear muffs to reduce sound

15. MEMORY
 Have a consistent, predictable routine that
follows the same pattern
 Visual
 Hands on activities
 New item must be slowly transitioned to the
children and can understand what is going on

16. ATTENTION DEFICIT HYPERACTIVITY
 Have stress relive items : stress ball
 Short exercises: deep breathing

17. SOCIAL
 All materials should have illustrations on them
 Ask the child to show you what you told them : “
can you show me how to hang up your coat?”
 But don’t ask to many questions
 And speak slowly

18. EMOTIONAL
 Remind children what happens when they don’t
follow the rules of the classroom
 Don’t overwhelm the children with too many
words

19. AGENCIES IN TORONTO
 FAS World Canada
250 Scarborough Golf Club Road
Toronto, ON, M1J3G8
Phone number: 416-264-8000 Fax: 416-264-8222
Have support groups for parents
referrals for respite care
 http://www.fasworld.com/contact-us/

20.  Motherisk: The Hospital For Sick Children
555 University Avenue
Alcohol and Substance Use Help line:
1-877-327-4636
open from Monday- Friday 9-5
Appointment only
Phone number : 416-813-6780
 http://www.motherisk.org/women/index.jsp

21.  Native Child and Family Services
St. Michael Hospital
Diagnostic Clinic
464 Young Street, Suite 201
Toronto, ON M4Y 1W9
Phone number : 416-867-3655
Fax: 416-867-3736
NO WEBSITE FOUND I FOUND IT IN THIS LINK
http://www.torontocas.ca/app/Uploads/resources/fasd_booklet.pdf

22.  Mothercraft- Breaking the Cycle
Margaret Leslie
FASD Diagnostic Clinic
761 Queen Street West, Sutie 107
Toronto, ON M6J 1G1
Phone number : 416 -364-7373
Fax: 416-364-8008

23. BIBLIOGRAPHY
 http://www.internationaladoptionstories.com/phrases-
definitions.htm
 http://fasd.alberta.ca/documents/Strategies_Not_Solution
s_Handbook.pdf
 https://www.gov.mb.ca/healthychild/fasd/fasdearly_en.p
df
 http://www.fasworld.com/contact-us/
 http://www.torontocas.ca/app/Uploads/resources/fasd_bo
oklet.pdf

24.  http://www.motherisk.org/women/contactUs.js
p