Appendix E: Assessment and diagnosis of FASD among adults: a national and international systematic review – FAS diagnostic checklist

Appendix E : FAS Diagnostic Checklist

Source: Burd & Martsolf (1989, p. 40)

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**Severity score for FAS and related disorders**
1. Growth
Height	= 10 – height percentile
Weight	= 10 – Weight percentile
Head circumference	= 10 – head circumference percentile
2. Facial Features
Number of facial features	1 point for each
Number of anomalies	1 point for each
3. Neuropsychological
Comorbid neuropsychiatiric conditions	2 points for each
IQ	<85 = 4 points <70 = 8 points <50 = 10 points
4. Neurobehavioural
Sleep (consecutive hours, select only one)	<6 = 1 point <4 = 5 points <2 = 10 points
5. Vineland scores
10 – communication score	+ 10
10 – daily living score	+ 10
10 – socialization score	+ 10
10 – motor skills score	+ 10
6. Services
Foster care placement	3 points each
Inpatient hospital care	1 point each
Criminal justice	1 point each month probation/ incarceration
Special education	1 point each hour of service per day
Residential care	1 point each month in the last year
FAS Phenotype Score	1 + 2 + 3
FAE Phenotype Score	3 + 4 + 5 + 6
Total Score