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)

Physician

• 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

Neuropsychology

• 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.