Showing posts with label disability. Show all posts
Showing posts with label disability. Show all posts

Friday, April 5, 2013

The Innocents... FASD.... Victims



The Right to a Healthy Brain

GUEST POST by ANN YURCEK -
award winning author Tiny Titan
Keeping Up with the Tiny Titan -
original post April 3, 2013



I was talking with a friend today about a conversation with Miss Dee who was talking about her FASD.

"Why did she and Little Guy not have the right to be born with healthy brains?"   


How can I answer that question?

We  were venting about the unfairness of FASD.  Those who have FASD are innocent victims. Innocent Victims of being exposed to alcohol prenatally and further victimized by the lack of appropriate services. There is no place for people on the spectrum to fit. Mental Health services, Developmental Disabilities, Autism, are the silos where they can garner support for their prenatally acquired brain injuries. But for many who are on the spectrum they "just" don't fit. FASD is not even in the DSM as a disorder. So many service silos require a fail first mentality, you have to fall so far to get any help. We need preventative early intervention services from birth on and life long support for those affected.

For the fortunate few, they can fit someplace. They fit on the DD if their IQ's are low enough, or on the Autism Spectrum if they have enough social inadequacies or sensory issues, or on the Mental Health Spectrum when they have floundered and failed enough to fall into secondary mental health issues. People who have a Traumatic Brain Injury have a silo to garner services, but not FASD.

But also, why can't we get help for those with FASD's. It is a shame based disorder. Most will not get diagnosed to the root cause. It is OK to have ADHD, ADD, Autism Spectrum Disorders, LD ( learning disability), or other mental health problems in our society. But to get diagnosed, there has to be confirmation of drinking alcohol during the pregnancy which then becomes someones fault. In our legalistic society, we blame the parents, we blame something for outcomes.  What parent is brave enough to admit they caused their child's brain injury? There are a few courageous Parents who love their child enough to do it. But most who are diagnosed are not the families of origin.

Kids from the foster care system or adopted from one of the countries known for their alcohol comsumption are sometimes fortunate enough to get diagnosed at a good diagnostic center. But many will still be missed. For many of the others, it is the other "little" d's that they will be their umbrella.  ADHD, ADD,  ODD (Oppositional Defiance Disorder), AD, SID, ASD, BD, DD, OCD, LD. So many little d's that they will find a label, but never the underlying cause.

But finding the root cause does not help our kids/adults,if we can be fortunate enough to find a diagnosis. They still will have to be served under one of the umbrella's that often times are a poor fit.  Many will not.

But there is no place for them to find supportive services that really address their unique needs.  They are often too bright to feel comfortable but will not qualify for services under the Developmental Disabilities Category. They are not Mentally Ill enough to qualify for MH services until they really fall apart. Sometimes when their predisposition for Substance Abuse Issues gets them addicted enough, they may qualify for their services, but they can't manage to learn and keep the sobriety they teach.

Many a parent calls who have that young person who barely passed high school, who cannot hold a job, they may or may not have gotten special education services and they were adopted or live with a kinship caregiver and know that their young person has been prenatally exposed and they are floundering on where to go next. They do not have enough documentation or they have been held together by the families support and they know that their loved one cannot make it on their own. They want to know what to do, where to go for help? 

I have heard some professionals who actually think these kids can outgrow their Fetal Alcohol Spectrum Disorders???   There were those who told me that it was TOO LATE to help my children and just write them off.

We need HOPE, we need HELP, and we need to recognize FASD.

They were innocent victims of prenatal alcohol exposure and they will pay a lifelong price for their mother's drinking. 

Wednesday, June 20, 2012

Lifestyle During Pregnancy Results are in for 5 year olds... WHAT HAPPENS WHEN THEY ARE 10



Children at age five, who are affected by prenatal exposure to alcohol are still in concrete operations. At that time in the life of my family members, our children were precocious, fun-loving, creative and energetic despite the fact that one child dealt with huge attachment and sensory issues which overshadowed her reality until she was over twelve years old and another had suffered two strokes before age eight months. 

If IQ testing is given during early elementary years the results will be based on concrete operations. When IQ testing is given after age ten, abstract thinking begins playing a larger part in the scoring criteria. Professionals missed her diagnosis until she was two years passed the time of entry into abstract thinking and if we had known earlier we could have supported skill building in additional ways. From ages 6 to 17 our daughter lost 30 IQ points - she was not growing less intelligent, she was unable to gain abstraction. Even as an adult, her world remains in concrete operations

At age ten, (fourth grade is often the time) life and education moves into abstraction. It is during this phase of childhood we see increased raging and/or shut down as they try to navigate a world quickly becoming unreachable. Fetal alcohol spectrum disorders (FASD) is a lifetime choice you do not have to make to create additional challenges for the persons who must live with it. For researchers to make a statement with preschoolers without the additional data that may be forthcoming at ages 10, 15, 20, and 25 is unfair to the hundreds of thousands of people living with this hidden disability. Let's hope the media does not spin this out of control - let's hope we continue to stand for do no harm. 

May the best continue to be our best...
Jodee Kulp


Please read the letter I received from CDC.

Dear Colleagues,

As you recall, in October 2011, the first paper from the Lifestyle During Pregnancy Study, “Low to moderate alcohol intake during pregnancy and risk of psychomotor deficits,”  was released in Alcoholism: Clinical and Experimental Research (ACER). This paper was the first to be published on the findings from the Lifestyle Study, designed to examine alcohol use and neurobehavioral effects in children (sampled from the Danish National Birth Cohort and funded by CDC and the Danish Research Council). Although the first paper examined motor function in five-year-old children whose mothers reported drinking low to moderate amounts of alcohol during pregnancy and found no effect, our message continues to be that women should refrain from drinking alcohol during pregnancy.

Today, five additional papers from the Lifestyle During Pregnancy Study were released electronically in BJOG: An International Journal of Obstetrics and GynaecologyFindings from these analyses again suggest no serious effects on three specific neurodevelopmental functions in five-year-old children whose mothers drank low to moderate amounts of alcohol in pregnancy. However, because no safe level of alcohol during pregnancy has been established and alcohol is known to cause birth defects and developmental disabilities as well as other adverse pregnancy outcomes, advice continues to be that women should refrain from drinking alcohol during pregnancy. We know that FASDs are 100% preventable if alcohol is not consumed during pregnancy, so why take the risk?

We have listed the citations and abstracts below and encourage you to read the articles. We are also adding a “Key Findings” summary to our website which discusses the findings. You will be able to find this shortly on our FASD home page at www.cdc.gov/fasd.

Please let us know if you have questions or would like to discuss further. 

Thank you! 
US Center for Disease Control

References/Abstracts for BJOG articles (2012):
Falgreen Eriksen H-L, Mortensen EL, Kilburn T, Underbjerg M, Bertrand J, Støvring H, Wimberley T, Grove J, Kesmodel US. The effects of low to moderate prenatal alcohol exposure in early pregnancy on IQ in 5- year-old children. BJOG 2012; DOI: 10.1111/j.1471-0528.2012.03394.x
Kesmodel US, Falgreen Eriksen H-L, Underbjerg M, Kilburn TR, Støvring H, Wimberley T, Mortensen EL. The effect of alcohol binge drinking in early pregnancy on general intelligence in children. BJOG 2012; DOI: 10.1111/j.1471-0528.2012.03395.x  
Underbjerg M, Kesmodel US, Landrø NI, Bakketeig L, Grove J, Wimberley T, Kilburn TR, Sværke C, Thorsen P, Mortensen EL. The effects of low to moderate alcohol consumption and binge drinking in early pregnancy on selective and sustained attention in 5-year-old children. BJOG 2012; DOI: 10.1111/j.1471-0528.2012.03396.x
Skogerbø Å, Kesmodel US, Wimberley T, Støvring H, Bertrand J, Landrø NI, Mortensen EL. The effects of low to moderate alcohol consumption and binge drinking in early pregnancy on executive function in 5-year-old children. BJOG 2012; DOI 10.1111/j.1471-0528.2012.03397.x
Kesmodel US, Bertrand J, Støvring H, Skarpness B, Denny CH, Mortensen EL, and the Lifestyle During Pregnancy Study Group.* The effect of different alcohol drinking patterns in early to mid pregnancy on the child’s intelligence, attention, and executive function. BJOG 2012; DOI: 10.1111/j.1471-0528.2012.03393.x

*The Lifestyle During Pregnancy Study Group
Bakketeig LS, Boyle CA, Cogswell ME, Falgreen Eriksen H-L, Grove J, Kilburn T, Landrø NI, Skogerbø Å, Underbjerg M, Wimberley T