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Competency 4: Prevention

Addiction Disorders in Women

Identifying addiction disorders in women of childbearing age and with risk factors for FASD is an important part of FASD prevention.

Prevention Approaches

The Substance Abuse and Mental Health Services Administration (SAMHSA) has developed a Strategic Prevention Framework focused on shaping healthy environments, supportive communities, and neighborhoods, which are connected to families and friends and then to substance abuse prevention and crime-free programs. Within this broader context, communities can support many FASD prevention efforts. The Institute of Medicine (IOM)2 has developed a three-pronged approach to prevention:

  • Universal prevention. Promotes the health and well-being of all individuals in society or a particular community. Universal prevention targets the general public or an entire population group. Examples are public service announcements and informational brochures.
  • Selective prevention. Targets individuals or a population group at higher risk of developing a particular condition. An example would be screening women of childbearing age for alcohol problems.
  • Indicated prevention. Targets high-risk individuals who have detectable signs or symptoms of a condition or biologic markers indicating predisposition to the condition. An example would be substance abuse treatment for mothers of children with an FASD.2

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