Individuals with fetal alcohol spectrum disorder (FASD) experience a range of neurodevelopmental challenges, often compounded by social and environmental adversity. One of the most concerning outcomes that can be associated with FASD is involvement in the justice system, where individuals with FASD are vastly over-represented. Individuals with FASD who are both justice-involved and Indigenous experience added layers of marginalization. In this community-based study, we explored the needs of 16 adults who participated in an FASD-informed restorative justice program in an Indigenous community in Alberta, Canada. Clinical record reviews and client interviews were used to gather information. Diverse needs were identified, including pervasive neurodevelopmental difficulties, notable physical and mental health challenges, complex experiences of psychosocial trauma, and varied criminogenic needs. This study increases our understanding of the unique and complex biopsychosocial and criminogenic needs of Indigenous justice-involved adults with FASD. Such an understanding is a first step in developing tailored interventions for individuals with FASD and has important practice and policy implications for supporting positive outcomes. For Indigenous individuals with FASD, intervention efforts should be integrated within the community context to promote collective healing.

中文翻译：

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了解土著社区中患有胎儿酒精谱系障碍的司法介入成人的需求

患有胎儿酒精谱系障碍 (FASD) 的个体会经历一系列神经发育挑战，通常会因社会和环境逆境而加剧。可能与 FASD 相关的最令人担忧的结果之一是参与司法系统，其中 FASD 患者的比例大大过高。参与司法和原住民经历的 FASD 个体增加了边缘化的层次。在这项以社区为基础的研究中，我们探讨了 16 名在加拿大艾伯塔省土著社区参与 FASD 知情恢复性司法计划的成年人的需求。临床记录审查和客户访谈用于收集信息。确定了不同的需求，包括普遍的神经发育困难、显着的身心健康挑战、心理创伤的复杂经历和各种犯罪需求。这项研究增加了我们对参与土著司法的 FASD 成年人独特而复杂的生物心理社会和犯罪需求的理解。这种理解是为 FASD 患者制定量身定制的干预措施的第一步，对支持积极成果具有重要的实践和政策意义。对于患有 FASD 的原住民个人，干预工作应与社区环境相结合，以促进集体康复。这种理解是为 FASD 患者制定量身定制的干预措施的第一步，对支持积极成果具有重要的实践和政策意义。对于患有 FASD 的原住民个人，干预工作应与社区环境相结合，以促进集体康复。这种理解是为 FASD 患者制定量身定制的干预措施的第一步，对支持积极成果具有重要的实践和政策意义。对于患有 FASD 的原住民个人，干预工作应与社区环境相结合，以促进集体康复。