ABSTRACT There is limited evidence to inform effective screening practices for identifying fetal alcohol spectrum disorder (FASD) in forensic mental health settings. This study sought to explore the potential use of four FASD screening tools in a Canadian forensic mental health program. In total, 151 patient charts were screened using the FASD Screening and Referral Tool for Youth Probation Officers and the FASD Risk Assessment Questions Asubset of current patients (n = 41) also completed screening interviews using the FASD Brief Screen Checklist and Life History Screen. Based on passive ascertainment via chart review, we found six cases of confirmed/suspected FASD (4%), evidence of PAE in 7% of the sample, and signs of maternal alcohol use during childhood in 17% of cases. Across the entire sample and four screening tools, the proportion of potentially ‘positive’ FASD screens based on exploratory evaluation ranged from 10% to 33%. Exploratory screening outcomes varied considerably between tools. Findings highlight the need for additional research to identify rates of FASD in forensic mental health settings, and to develop evidence-based screening and assessment approaches, and practice guidelines, for this setting.

中文翻译：

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在法医心理健康环境中筛查胎儿酒精谱系障碍

摘要 在法医心理健康环境中，为识别胎儿酒精谱系障碍 (FASD) 提供有效筛查实践的证据有限。本研究旨在探索四种 FASD 筛查工具在加拿大法医心理健康计划中的潜在用途。总共使用 FASD 青少年缓刑官筛查和转介工具筛选了 151 个患者图表，当前患者（n = 41）的 FASD 风险评估问题子集也使用 FASD 简要筛选清单和生活史筛选完成了筛选访谈。基于通过图表审查的被动确定，我们发现了 6 例确诊/疑似 FASD (4%) 的病例，7% 的样本中有 PAE 的证据，17% 的病例中有母亲在儿童时期饮酒的迹象。跨越整个样本和四个筛选工具，基于探索性评估的潜在“阳性”FASD 筛查比例在 10% 到 33% 之间。不同工具的探索性筛查结果差异很大。研究结果强调需要进行额外的研究来确定法医精神卫生环境中的 FASD 发生率，并为此环境开发基于证据的筛查和评估方法以及实践指南。