Children and adolescents affected by prenatal exposure to alcohol who have brain damage that is manifested in functional impairments of neurocognition, self-regulation, and adaptive functioning may most appropriately be diagnosed with neurobehavioral disorder associated with prenatal exposure. This Special Article outlines clinical implications and guidelines for pediatric medical home clinicians to identify, diagnose, and refer children regarding neurobehavioral disorder associated with prenatal exposure. Emphasis is given to reported or observable behaviors that can be identified as part of care in pediatric medical homes, differential diagnosis, and potential comorbidities. In addition, brief guidance is provided on the management of affected children in the pediatric medical home. Finally, suggestions are given for obtaining prenatal history of in utero exposure to alcohol for the pediatric patient.
Neurobehavioral Disorder Associated With Prenatal Alcohol Exposure
POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.
FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose.
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Joseph F. Hagan, Tatiana Balachova, Jacquelyn Bertrand, Ira Chasnoff, Elizabeth Dang, Daniel Fernandez-Baca, Julie Kable, Barry Kosofsky, Yasmin N. Senturias, Natasha Singh, Mark Sloane, Carol Weitzman, Jennifer Zubler, on behalf of Neurobehavioral Disorder Associated With Prenatal Alcohol Exposure Workgroup, American Academy of Pediatrics; Neurobehavioral Disorder Associated With Prenatal Alcohol Exposure. Pediatrics October 2016; 138 (4): e20151553. 10.1542/peds.2015-1553
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