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PICO
Question: Among foster or adopted children referred for mental health evaluation, what is the frequency of misdiagnosis and missed diagnosis of fetal alcohol spectrum disorders?
Question type: Diagnosis
Study design: Retrospective chart review
Investigators from the Children’s Research Triangle (CRT) in Chicago assessed the rate of misdiagnoses and missed diagnoses of fetal alcohol spectrum disorders (FASD) among foster or adopted children. CRT is a mental health center that specializes in evaluation and treatment of high-risk children. Children referred to CRT receive a comprehensive multidisciplinary examination that includes general medical and dysmorphology assessment and neurologic, neurodevelopmental, and psychological evaluations. CRT clinicians use DSM criteria for FASD diagnoses: fetal alcohol syndrome (FAS) when growth impairment, facial dysmorphology, and neurodevelopmental deficits are present; partial …
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