APS response to draft clinical practice guidelines for the assessment and diagnosis of fetal alcohol spectrum disorder or neurodevelopmental disorder associated with prenatal alcohol exposure (FASD/ND-PAE)

The Australian Psychological Society (APS) is pleased to be part of the public consultation regarding the development of the Australian clinical practice guidelines for the assessment and diagnosis of FASD/ND-PAE. As an evidence-based organisation, we commend the comprehensive and rigorous approach to the development of the guidelines. Although there are many components of the guidelines which are outside the scope of the APS, we would like to draw a few matters regarding psychological aspects of FASD/ND-PAE to the attention of the Guideline Development Group. 

Firstly, we would like to commend the inclusion of a Cultural Advisory Group and FASD Indigenous Framework (The Framework) which represents a significant change from the 2016 guide. Similarly, we also commend the inclusion of lived experience voices throughout the different components of the development, including the ‘Actionable Statements’. Incorporating lived experience voices into the development and implementation of guidelines enhances empathy, tailors services to patient needs, and fosters inclusive, culturally competent care. 

In consideration of the Main Guidelines Document, in particular the Actionable Statements, the APS commented on:
1. A holistic approach 
2. Shared decision-making, including yarning 
3. Gender inclusive language 
4. Greater focus on prevention and early intervention
5. Taking a lifespan approach
6. Elevation of the role of psychologists 
7. Importance of stigma reduction
8. Greater consideration of support for Australians in regional and remote communities
9. Importance of interdisciplinary teams
10. Expectations of the use of the document

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