Appendix C: Assessment and diagnosis of FASD among adults: a national and international systematic review – Multidisciplinary team roles

Appendix C: Multidisciplinary Team Roles

Source: Fryer (2008, p. 9)

Occupational Therapy

  • Screens for fine motor, gross motor and sensory processing as well as visual motor skills
  • Conducts the QNST – soft neurological screening
  • Provides recommendations in areas of expertise including emotional regulation and calming activities

Social Worker

  • Coordinates the team
  • Arranges for assessments (space, time and team)
  • Collects needed information for team assessment from multiple sources
  • Contacts and prepares and supports the child and their family
  • Writes final report integrating the contributions from each team member
  • Admin support to clinic day (food, coffee, other tasks)
  • Helping families with transportation needs (parking passes, getting to the clinic)


  • Provides diagnosis in the medial context
  • Recognizes additional risk factors, conducts a physical examination
  • Provides differential diagnosis

Speech Language Pathologist

  • Provides screening level assessment for language issues


  • Assesses the level of brain damage by testing the cognitive function (intellectual, academic, and executive); adaptive and behavioral/social domains

Family Support Worker

  • This position reports to the FASD Community Circle, and does not have a role in the diagnostic process. Consent from the legal guardian is obtained prior to involvement in the diagnostic and information-sharing process.
  • Informs herself on the issues and needs of the child and family by attending the assessment and diagnostic clinic days.

  • Explores needs with families based on their requests, in the area of school system, social groups and ongoing education for both the child and the parent(s).
  • Provides education to those in the child’s community to reframe their approach to the child.
Assessment and Diagnosis of FASD Among Adults: A National and International Systematic Review
Inventory of Literature on the Assessment and Diagnosis of FASD Among Adults
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