Appendix E: Assessment and diagnosis of FASD among adults: a national and international systematic review – FAS diagnostic checklist
Appendix E : FAS Diagnostic Checklist
Source: Burd & Martsolf (1989, p. 40)
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Appendix E : FAS Diagnostic Checklist (64.25 KB - 2 pages)
| 1. Growth | |
|---|---|
| Height | = 10 – height percentile |
| Weight | = 10 – Weight percentile |
| Head circumference | = 10 – head circumference percentile |
| 2. Facial Features | |
| Number of facial features | 1 point for each |
| Number of anomalies | 1 point for each |
| 3. Neuropsychological | |
| Comorbid neuropsychiatiric conditions | 2 points for each |
| IQ | <85 = 4 points <70 = 8 points <50 = 10 points |
| 4. Neurobehavioural | |
| Sleep (consecutive hours, select only one) |
<6 = 1 point <4 = 5 points <2 = 10 points |
| 5. Vineland scores | |
| 10 – communication score | + 10 |
| 10 – daily living score | + 10 |
| 10 – socialization score | + 10 |
| 10 – motor skills score | + 10 |
| 6. Services | |
| Foster care placement | 3 points each |
| Inpatient hospital care | 1 point each |
| Criminal justice | 1 point each month probation/ incarceration |
| Special education | 1 point each hour of service per day |
| Residential care | 1 point each month in the last year |
| FAS Phenotype Score | 1 + 2 + 3 |
| FAE Phenotype Score | 3 + 4 + 5 + 6 |
| Total Score | |
