FASDs: Information for Healthcare Providers

This section of our website has tools and information about fetal alcohol spectrum disorders (FASDs) for healthcare providers, including free educational materials to give to patients.

Free Continuing Education

CDC’s Morbidity and Mortality Weekly Report (MMWR) and Medscape are offering free continuing education (CE) based on the August 2020 MMWR, Alcohol Use and Co-Use of Other Substances Among Pregnant Females Aged 12–44 Years — United States, 2015–2018. In this MMWR, CDC scientists found that the use of other substances, such as tobacco and marijuana, was common among pregnant women who reported alcohol use. Earn CEexternal icon.

Alcohol Screening and Brief Intervention for People Who Consume Alcohol and Use Opioids pdf icon[869 KB, 4 Pages, 508]
Because excessive drinkers who use opioid pain relievers are at greater risk of overdose and death, CDC created this fact sheet pdf icon[869 KB, 4 Pages, 508] to introduce health departments and healthcare providers to alcohol screening and brief intervention and to discuss its usefulness for helping excessive drinkers drink less when they have been prescribed an opioid pain reliever or stop drinking altogether while using these medications. For additional resources addressing opioid overdose, visit CDC’s webpage, Guideline Resources: Clinical Tools.

Planning and Implementing Screening and Brief Intervention for Risky Alcohol Use: A Step-by-Step Guide for Primary Care Practices pdf icon[2 MB, 52 Pages, Print Only]This Guide provides a process and resources to help staff in any primary care practice plan and implement alcohol screening and brief intervention (SBI), an evidence-based approach to reduce alcohol use that is recommended for all adults, including pregnant women. The Guide also presents information on risky alcohol use and how it can be addressed through alcohol SBI.

Report on Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (ND-PAE)external icon
This Report will help healthcare providers identify, diagnose, refer, and care for children and youth with behavioral problems caused by alcohol exposure during pregnancy. Neurobehavioral disorder associated with prenatal alcohol exposure, or ND-PAE was first included as a recognized condition in the American Psychiatric Association’s Diagnostic and Statistical Manual 5 (DSM 5) published in 2013. It is one of the fetal alcohol spectrum disorders (FASDs) that can occur from being exposed to alcohol during pregnancy. People with ND-PAE can have problems with thinking, behavior, and life skills.

American College of Nurse-Midwives Web Resourceexternal icon
The American College of Nurse-Midwives (ACNM), in collaboration with CDC, has developed a webpage on alcohol use during pregnancy. This resource has information that can be shared with patients, including the risks of drinking alcohol during pregnancy, a chart showing when birth defects are most likely to occur during pregnancy, and tips on how to avoid alcohol use.

American Academy of Pediatrics FASD Toolkitexternal icon
The American Academy of Pediatrics (AAP) has developed a comprehensive, web-based FASD Toolkitexternal icon that helps to raise awareness, promote surveillance and screening, and ensure that all children living with FASDs receive appropriate and timely interventions. This comprehensive toolkit serves as the framework for the management of a child with an FASD in the medical home. The toolkit includes a variety of resources and tools, such as information on identification, diagnosis, and referral, including a clinical decision algorithm and provider checklist; patient management resources such as sample care plans, case studies, and scripts for talking with families of children diagnosed with an FASD; practice management tools like how to build an effective FASD team and billing and coding information; frequently asked questions for providers and families; and resources for in-depth training.

HEDIS Measure: Unhealthy Alcohol Use Screening and Follow-Up

NEW! HEDIS Measure: Unhealthy Alcohol Use Screening and Follow-Up

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Collaboration to Promote Alcohol Screening and Brief Intervention

Healthcare providers with computers discussing electronic clinical data

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Medscape Videoexternal icon
Alcohol and Women: How to Screen and Intervene
In this CDC Expert Commentary in partnership with Medscape, Dr. Joe Sniezek discusses steps healthcare providers can take to detect and intervene with women who drink alcohol at risky levels. Advice is based on guidance from the American College of Obstetricians and Gynecologists.

Fetal Alcohol Syndrome: Guidelines for Referral and Diagnosis pdf icon[552 KB, 62 Pages, Print Only]
This report provides diagnostic guidelines for fetal alcohol syndrome (FAS) and information about referrals, services for people with FASDs and their families, and strategies for screening and advising women about risky drinking.

Resources From The American College of Obstetricians and Gynecologists (ACOG)external icon
ACOG’s FASD Prevention Program helps healthcare providers speak with their female patients about alcohol use during pregnancy as well as provide ob-gyns with the resources and tools they need to communicate with patients about this public health issue.

kids pretending to be physicians

March of Dimes Beyond Labels Stigma Reduction Toolkitexternal icon

The March of Dimes launched Beyond Labels, an interactive website focused on the ways stigma can affect the health care and support women seek and receive; this includes those who are pregnant. The website also offers tips on what healthcare professionals can do to reduce stigma in their workplaces or communities, and includes a module specific to the stigma associated with substance use disorder and pregnancyexternal icon.

Training & Education
Find training and educational resources for healthcare providers. This includes intervention tools, curriculum, and information on the Regional Training Centers.

Free Materials
View, print, and order brochures, posters, and other materials for healthcare providers and their patients.

Healthcare Provider Resource Kit
The free child development Healthcare Provider Resource Kit contains information to give to families on developmental milestones, fact sheets on several developmental disabilities (including FASDs), informational cards and stand, posters, and a growth chart.

Data & Statistics
Find data and statistics related to FASDs, including state prevalence, alcohol use, and economic costs.

Research
Find a summary of CDC research on FASDs, including surveillance, tracking, and programs dedicated to prevention of alcohol-exposed pregnancies and interventions for children.

Articles
Read CDC’s latest scientific articles on FASDs.

Links to Other Websites
Find more information and resources from other organizations on FASDs.