Main description:

Drinking during pregnancy can cause a range of disabilities that have lifelongeffects yet are 100% preventable. A variety of brief motivational behavioral interventionsdeveloped for nonpregnant women of childbearing age can effectivelyprevent alcohol-exposed pregnancies (AEP).This book outlines clinical definitions and the history of fetal alcohol spectrumdisorders (FASD), epidemiology and effects across the lifespan, evidence-basedprevention practices such as CHOICES and CHOICES-like interventions, andopportunities for dissemination.Based on decades of scientific research and clinical refinement, this volume ispacked with helpful illustrative case vignettes, therapist-patient dialogues, sampleforms, and handouts. The information and resources presented will help awide variety of practitioners in diverse settings, ranging from high-risk settingssuch as mental health and substance abuse treatment centers to primary careclinics and universities, deliver interventions targeting behavior change.

Contents:

PrefaceAcknowledgmentsDedication1 Description1.1 What Are Fetal Alcohol Spectrum Disorders?1.2 How Is FASD recognized?1.3 The History of FASD1.4 Definitions of FASD and Related Disorders1.5 Cause of FASD1.6 How Does Alcohol Affect a Developing Fetus?1.7 Effects of FASD Across the Lifespan1.8 Fetal Alcohol Syndrome1.9 Epidemiology of FASD and Related Disorders2 Theories and Models of FASD2.1 What Puts Women at Risk?2.2 Who Is at Risk for an AEP?2.3 Screening for At-Risk Drinking2.4 Screening for Ineffective Contraception2.5 Summary: What Puts Women at Risk for an AEP?3 Preventing Alcohol-Exposed Pregnancies3.1 Prevention Dilemma3.2 Primary Prevention Strategies3.3 Evidence-Based Approaches for the Prevention of AEP3.4 Secondary Prevention: Minimizing Alcohol-RelatedHarm During Pregnancy3.5 Summary4 Treatment: Dissemination Efforts for AvoidingAlcohol-Exposed Pregnancies4.1 Knowledge About AEP and FASD AmongPractitioners and the Public4.2 Developing Programs for Preventing AEPs4.3 Things Practitioners Can Do To Help WomenPrevent an AEP4.4 Putting CHOICES Into Practice4.5 Impact of CHOICES Dissemination on Public Policy4.6 CHOICES-Like Interventions in Colleges and Universities:An Easy, Effective, and Essential Dissemination Effort4.7 Conclusion5 Case Vignette6 Further Reading7 References8 Appendix: Tools and Resources