Publications & Resources


Computer-Aided Recognition of Facial Attributes for Fetal Alcohol Spectrum Disorders — The detection of facial attributes by computer-based facial recognition software of 2-D images is compared against standard, manual examination in FASD.

Fetal alcohol spectrum disorder: A guideline for diagnosis across the lifespan — Published in 2016, this updates the 2005 Guidelines, incorporating new evidence and our improved understanding of FASD diagnosis. It is intended to assist multidisciplinary teams through this complex diagnosis, leading to improved health services and creating a positive impact on the health and well-being of children and adults with FASD across their lifespan.

Determining Prenatal Alcohol Exposure for a Fetal Alcohol Spectrum Disorder (FASD) Diagnostic Clinic

Alcohol Consumption and FASD

FASD Diagnostic FAQ Cards — These cards provide answers to frequently asked questions about FASD diagnosis and where in your province you can find clinics for diagnosis and assemement.

Association Between Prenatal Alcohol Exposure and Craniofacial Shape of Children at 12 Months of Age—Children who receive a diagnosis of fetal alcohol spectrum disorder may have a characteristic facial appearance in addition to neurodevelopmental impairment. It is not well understood whether there is a gradient of facial characteristics of children who did not receive a diagnosis of fetal alcohol spectrum disorder but who were exposed to a range of common drinking patterns during pregnancy. The objective of this investigation was to examine the association between dose, frequency, and timing of prenatal alcohol exposure and craniofacial phenotype in 12-month-old children. JAMA Pediatr. Published online June 5, 2017. doi:10.1001/jamapediatrics.2017.0778

A Decision Tree to Identify Children Affected by Prenatal Alcohol Exposure—Study to develop and validate a hierarchical decision tree model that combines neurobehavioral and physical measures to identify children affected by prenatal alcohol exposure even when facial dysmorphology is not present.

The Canadian Guidelines and the Interdisciplinary Clinical Capacity of Canada to Diagnose Fetal Alcohol Spectrum Disorder – In 2005, the CMAJ published the Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis. The intent of this publication was to encourage a more consistent interdisciplinary team approach and diagnostic procedure for FASD diagnoses. That same year, the Canada FASD Research Network (CanFASD) determined the locations and capacity for interdisciplinary FASD diagnosis across Canada. This paper discusses how successfully these Guidelines have been in bringing consistency to FASD clinical work. J Popul Ther Clin Pharmacol Vol 18(3):e494-e499; October 16, 2011. Sterling K Clarren, Jan Lutke, Michelle Sherbuck. Link to Download

Developing effective, culturally appropriate avenues to FASD diagnosis and prevention in northern Canada – this paper describes two research initiatives that are being undertaken by members of the Canada FASD Research Network involving collaborations between researchers, clinicians, service providers and community members in the Canadian north. Salmon, A. and Clarren, S.K. (2011). Developing effective, culturally appropriate avenues to FASD diagnosis and prevention in northern Canada.International Journal of Circumpolar Health, 70(4), 426-433.

Building Capacity for Fetal Alcohol Spectrum Disorder Diagnoses in Western and Northern Canada, is a study that was conducted in 2006, to determine the FASD clinical activity in Canada Northwest. Building Clinical Capacity for Fetal Alcohol Spectrum Disorder Diagnoses in Western and Northern Canada.Clarren, S. , Lutke, J.; Can J Clin Pharmacol Vol 15 (2) Summer 2008:e223-e237; June 10, 2008. Link to Download

Linking diagnosis and prevention: building the next generation of policy responses – Although many promising practices have been developed and implemented, efforts to achieve and sustain prevention of FASD at a population level remain elusive. This document looks at some of the key questions and areas of concern, March 2011. Download

Clarren, S. K., & Salmon, A. (2010). Prevention of fetal alcohol spectrum disorder: Proposal for a comprehensive approach. Expert Rev. Obstet.Gynecol., 5(1), 23-30. Link to download

Clarren, S. K. (2009). Time for the development of effective approach to the prevention of fetal alcohol spectrum disorder. Expert Rev. Obstet.Gynecol., 4(5), 483-485. Link to download

Clarren, S. , Lutke, J. (2008). Building Clinical Capacity for Fetal Alcohol Spectrum Disorder Diagnoses in Western and Northern Canada.  Can J Clin Pharmacol Vol 15 (2) Summer 2008:e223-e237; June 10, 2008. Link to download

Dose-response effect of alcohol consumption during pregnancy and prenatal alcohol exposure: A brief review

Meconium Screening for FASD in Pregnancy

Two Recent Approaches to FASD Diagnosis: An Issue Paper

Why is FASD diagnosis important?