TY - JOUR
AU - K. Flannigan
AU - D. C. Edwards
AU - L. Murphy
AU - J. Pei
A1 - 
AB - BACKGROUND: Individuals with fetal alcohol spectrum disorder (FASD) experience complex needs that often necessitate support from multiple systems. There is growing evidence that people with FASD may benefit from integrated service delivery (ISD), but little is known about ISD elements and processes for this population. METHOD: Using a multi-method approach involving a literature review, analysis of programme data, and staff interviews, we examined how ISD is enacted at a rural Canadian FASD centre, and identified facilitators, barriers, and potential impacts of ISD at the centre. RESULTS: We describe key elements of integrated FASD programming and identify important contextual factors and themes related to ISD barriers, facilitators, and impacts: (1) connection, (2) freedom and autonomy, (3) client-centred care, (4) learning and growth, (5) and reframing expectations. CONCLUSIONS: This study may help to inform a roadmap for enhancing FASD service delivery and guiding FASD research and policy in Canada and beyond.
AD - Canada Fetal Alcohol Spectrum Disorder Research Network, Vancouver, British Columbia, Canada.; Department of Educational Psychology, University of Alberta, Edmonton, Alberta, Canada.; Lakeland Centre for Fetal Alcohol Spectrum Disorder, Cold Lake, Alberta, Canada.
AN - 39232856
BT - J Appl Res Intellect Disabil
C5 - Healthcare Disparities; Education & Workforce; Opioids & Substance Use
CP - 6
DA - Nov
DO - 10.1111/jar.13277
DP - NLM
IS - 6
JF - J Appl Res Intellect Disabil
LA - eng
N2 - BACKGROUND: Individuals with fetal alcohol spectrum disorder (FASD) experience complex needs that often necessitate support from multiple systems. There is growing evidence that people with FASD may benefit from integrated service delivery (ISD), but little is known about ISD elements and processes for this population. METHOD: Using a multi-method approach involving a literature review, analysis of programme data, and staff interviews, we examined how ISD is enacted at a rural Canadian FASD centre, and identified facilitators, barriers, and potential impacts of ISD at the centre. RESULTS: We describe key elements of integrated FASD programming and identify important contextual factors and themes related to ISD barriers, facilitators, and impacts: (1) connection, (2) freedom and autonomy, (3) client-centred care, (4) learning and growth, (5) and reframing expectations. CONCLUSIONS: This study may help to inform a roadmap for enhancing FASD service delivery and guiding FASD research and policy in Canada and beyond.
PY - 2024
SN - 1360-2322
SP - e13277
ST - Integrated service delivery for individuals with fetal alcohol spectrum disorder
T1 - Integrated service delivery for individuals with fetal alcohol spectrum disorder
T2 - J Appl Res Intellect Disabil
TI - Integrated service delivery for individuals with fetal alcohol spectrum disorder
U1 - Healthcare Disparities; Education & Workforce; Opioids & Substance Use
U3 - 10.1111/jar.13277
VL - 37
VO - 1360-2322
Y1 - 2024
ER -