Appendix D: Assessment and diagnosis of FASD among adults: a national and international systematic review – Pre-assessment checklist

Appendix D: Pre-Assessment Checklist

Source: Dewane, Scott, & Brems (2005, p. 46)

Referral process:

• Receive referrals through a single point of entry system
• Utilize a standardized referral form
• Provide client or caregiver with a letter explaining purpose and process of diagnostic team

Screening process:

• Determine eligibility of client
• Prioritize client list
• Inform referral sources in a timely manner of outcome of screening process
• Provide an explanation and referral alternatives to ineligible clients

Forms completion:

• Determine eligibility of client
• Prioritize client list
• Inform referral sources in a timely manner of outcome of screening process
• Provide an explanation and referral alternatives to ineligible clients

Obtaining records:

• Secure signed release of information forms
• Use telephone, fax, or mail for making request
• Learn the most effective way to request records from different facilities
• Remember that gathering information from other agencies will improve the diagnostic