Guidelines
Fetal alcohol spectrum disorder: a guideline for diagnosis across the lifespan
Jocelynn L. Cook, Courtney R. Green, Christine M. Lilley, Sally M. Anderson, Mary Ellen Baldwin, Albert E. Chudley, Julianne L. Conry, Nicole LeBlanc, Christine A. Loock, Jan Lutke, Bernadene F. Mallon, Audrey A. McFarlane, Valerie K. Temple and Ted Rosales; for the Canada Fetal Alcohol Spectrum Disorder Research Network
CMAJ February 16, 2016 188 (3) 191-197; DOI: https://doi.org/10.1503/cmaj.141593
Jocelynn L. Cook
Canada Fetal Alcohol Spectrum Disorder Research Network (Cook, Green, Lutke); Society of Obstetricians and Gynaecologists of Canada (Cook, Green), Ottawa, Ont.; Department of Obstetrics and Gynaecology (Cook), University of Ottawa, Ottawa, Ont.; Department of Biomedical and Molecular Sciences (Green), Queen’s University, Kingston, Ont.; Sunny Hill Health Centre for Children (Lilley), Vancouver, BC; National Institutes of Health (Anderson), Ottawa, Ont.; Fetal Alcohol Spectrum Disorders Clinic (Baldwin), Child Development Services, Alberta Children’s Hospital, Calgary, Alta.; Department of Pediatrics (Chudley), University of Manitoba, Winnipeg, Man.; University of British Columbia (Conry [professor emerita]), Vancouver, BC; Department of Pediatrics (LeBlanc), Dr. Georges-L.-Dumont University Hospital Centre, Université de Moncton and Université de Sherbrooke, Moncton, NB; Department of Pediatrics (Looke), University of British Columbia, Vancouver, BC; Glenrose Rehabilitation Hospital (Mallon), Alberta Health Services, Edmonton, Alta.; Lakeland Centre for Fetal Alcohol Syndrome (McFarlane), Cold Lake, Alta.; Surrey Place Centre (Temple), Toronto, Ont.; Faculty of Medicine (Rosales), Memorial University of Newfoundland, St. John’s, Nfld.
Courtney R. Green
Canada Fetal Alcohol Spectrum Disorder Research Network (Cook, Green, Lutke); Society of Obstetricians and Gynaecologists of Canada (Cook, Green), Ottawa, Ont.; Department of Obstetrics and Gynaecology (Cook), University of Ottawa, Ottawa, Ont.; Department of Biomedical and Molecular Sciences (Green), Queen’s University, Kingston, Ont.; Sunny Hill Health Centre for Children (Lilley), Vancouver, BC; National Institutes of Health (Anderson), Ottawa, Ont.; Fetal Alcohol Spectrum Disorders Clinic (Baldwin), Child Development Services, Alberta Children’s Hospital, Calgary, Alta.; Department of Pediatrics (Chudley), University of Manitoba, Winnipeg, Man.; University of British Columbia (Conry [professor emerita]), Vancouver, BC; Department of Pediatrics (LeBlanc), Dr. Georges-L.-Dumont University Hospital Centre, Université de Moncton and Université de Sherbrooke, Moncton, NB; Department of Pediatrics (Looke), University of British Columbia, Vancouver, BC; Glenrose Rehabilitation Hospital (Mallon), Alberta Health Services, Edmonton, Alta.; Lakeland Centre for Fetal Alcohol Syndrome (McFarlane), Cold Lake, Alta.; Surrey Place Centre (Temple), Toronto, Ont.; Faculty of Medicine (Rosales), Memorial University of Newfoundland, St. John’s, Nfld.
Christine M. Lilley
Canada Fetal Alcohol Spectrum Disorder Research Network (Cook, Green, Lutke); Society of Obstetricians and Gynaecologists of Canada (Cook, Green), Ottawa, Ont.; Department of Obstetrics and Gynaecology (Cook), University of Ottawa, Ottawa, Ont.; Department of Biomedical and Molecular Sciences (Green), Queen’s University, Kingston, Ont.; Sunny Hill Health Centre for Children (Lilley), Vancouver, BC; National Institutes of Health (Anderson), Ottawa, Ont.; Fetal Alcohol Spectrum Disorders Clinic (Baldwin), Child Development Services, Alberta Children’s Hospital, Calgary, Alta.; Department of Pediatrics (Chudley), University of Manitoba, Winnipeg, Man.; University of British Columbia (Conry [professor emerita]), Vancouver, BC; Department of Pediatrics (LeBlanc), Dr. Georges-L.-Dumont University Hospital Centre, Université de Moncton and Université de Sherbrooke, Moncton, NB; Department of Pediatrics (Looke), University of British Columbia, Vancouver, BC; Glenrose Rehabilitation Hospital (Mallon), Alberta Health Services, Edmonton, Alta.; Lakeland Centre for Fetal Alcohol Syndrome (McFarlane), Cold Lake, Alta.; Surrey Place Centre (Temple), Toronto, Ont.; Faculty of Medicine (Rosales), Memorial University of Newfoundland, St. John’s, Nfld.
Sally M. Anderson
Canada Fetal Alcohol Spectrum Disorder Research Network (Cook, Green, Lutke); Society of Obstetricians and Gynaecologists of Canada (Cook, Green), Ottawa, Ont.; Department of Obstetrics and Gynaecology (Cook), University of Ottawa, Ottawa, Ont.; Department of Biomedical and Molecular Sciences (Green), Queen’s University, Kingston, Ont.; Sunny Hill Health Centre for Children (Lilley), Vancouver, BC; National Institutes of Health (Anderson), Ottawa, Ont.; Fetal Alcohol Spectrum Disorders Clinic (Baldwin), Child Development Services, Alberta Children’s Hospital, Calgary, Alta.; Department of Pediatrics (Chudley), University of Manitoba, Winnipeg, Man.; University of British Columbia (Conry [professor emerita]), Vancouver, BC; Department of Pediatrics (LeBlanc), Dr. Georges-L.-Dumont University Hospital Centre, Université de Moncton and Université de Sherbrooke, Moncton, NB; Department of Pediatrics (Looke), University of British Columbia, Vancouver, BC; Glenrose Rehabilitation Hospital (Mallon), Alberta Health Services, Edmonton, Alta.; Lakeland Centre for Fetal Alcohol Syndrome (McFarlane), Cold Lake, Alta.; Surrey Place Centre (Temple), Toronto, Ont.; Faculty of Medicine (Rosales), Memorial University of Newfoundland, St. John’s, Nfld.
Mary Ellen Baldwin
Canada Fetal Alcohol Spectrum Disorder Research Network (Cook, Green, Lutke); Society of Obstetricians and Gynaecologists of Canada (Cook, Green), Ottawa, Ont.; Department of Obstetrics and Gynaecology (Cook), University of Ottawa, Ottawa, Ont.; Department of Biomedical and Molecular Sciences (Green), Queen’s University, Kingston, Ont.; Sunny Hill Health Centre for Children (Lilley), Vancouver, BC; National Institutes of Health (Anderson), Ottawa, Ont.; Fetal Alcohol Spectrum Disorders Clinic (Baldwin), Child Development Services, Alberta Children’s Hospital, Calgary, Alta.; Department of Pediatrics (Chudley), University of Manitoba, Winnipeg, Man.; University of British Columbia (Conry [professor emerita]), Vancouver, BC; Department of Pediatrics (LeBlanc), Dr. Georges-L.-Dumont University Hospital Centre, Université de Moncton and Université de Sherbrooke, Moncton, NB; Department of Pediatrics (Looke), University of British Columbia, Vancouver, BC; Glenrose Rehabilitation Hospital (Mallon), Alberta Health Services, Edmonton, Alta.; Lakeland Centre for Fetal Alcohol Syndrome (McFarlane), Cold Lake, Alta.; Surrey Place Centre (Temple), Toronto, Ont.; Faculty of Medicine (Rosales), Memorial University of Newfoundland, St. John’s, Nfld.
Albert E. Chudley
Canada Fetal Alcohol Spectrum Disorder Research Network (Cook, Green, Lutke); Society of Obstetricians and Gynaecologists of Canada (Cook, Green), Ottawa, Ont.; Department of Obstetrics and Gynaecology (Cook), University of Ottawa, Ottawa, Ont.; Department of Biomedical and Molecular Sciences (Green), Queen’s University, Kingston, Ont.; Sunny Hill Health Centre for Children (Lilley), Vancouver, BC; National Institutes of Health (Anderson), Ottawa, Ont.; Fetal Alcohol Spectrum Disorders Clinic (Baldwin), Child Development Services, Alberta Children’s Hospital, Calgary, Alta.; Department of Pediatrics (Chudley), University of Manitoba, Winnipeg, Man.; University of British Columbia (Conry [professor emerita]), Vancouver, BC; Department of Pediatrics (LeBlanc), Dr. Georges-L.-Dumont University Hospital Centre, Université de Moncton and Université de Sherbrooke, Moncton, NB; Department of Pediatrics (Looke), University of British Columbia, Vancouver, BC; Glenrose Rehabilitation Hospital (Mallon), Alberta Health Services, Edmonton, Alta.; Lakeland Centre for Fetal Alcohol Syndrome (McFarlane), Cold Lake, Alta.; Surrey Place Centre (Temple), Toronto, Ont.; Faculty of Medicine (Rosales), Memorial University of Newfoundland, St. John’s, Nfld.
Julianne L. Conry
Canada Fetal Alcohol Spectrum Disorder Research Network (Cook, Green, Lutke); Society of Obstetricians and Gynaecologists of Canada (Cook, Green), Ottawa, Ont.; Department of Obstetrics and Gynaecology (Cook), University of Ottawa, Ottawa, Ont.; Department of Biomedical and Molecular Sciences (Green), Queen’s University, Kingston, Ont.; Sunny Hill Health Centre for Children (Lilley), Vancouver, BC; National Institutes of Health (Anderson), Ottawa, Ont.; Fetal Alcohol Spectrum Disorders Clinic (Baldwin), Child Development Services, Alberta Children’s Hospital, Calgary, Alta.; Department of Pediatrics (Chudley), University of Manitoba, Winnipeg, Man.; University of British Columbia (Conry [professor emerita]), Vancouver, BC; Department of Pediatrics (LeBlanc), Dr. Georges-L.-Dumont University Hospital Centre, Université de Moncton and Université de Sherbrooke, Moncton, NB; Department of Pediatrics (Looke), University of British Columbia, Vancouver, BC; Glenrose Rehabilitation Hospital (Mallon), Alberta Health Services, Edmonton, Alta.; Lakeland Centre for Fetal Alcohol Syndrome (McFarlane), Cold Lake, Alta.; Surrey Place Centre (Temple), Toronto, Ont.; Faculty of Medicine (Rosales), Memorial University of Newfoundland, St. John’s, Nfld.
Nicole LeBlanc
Canada Fetal Alcohol Spectrum Disorder Research Network (Cook, Green, Lutke); Society of Obstetricians and Gynaecologists of Canada (Cook, Green), Ottawa, Ont.; Department of Obstetrics and Gynaecology (Cook), University of Ottawa, Ottawa, Ont.; Department of Biomedical and Molecular Sciences (Green), Queen’s University, Kingston, Ont.; Sunny Hill Health Centre for Children (Lilley), Vancouver, BC; National Institutes of Health (Anderson), Ottawa, Ont.; Fetal Alcohol Spectrum Disorders Clinic (Baldwin), Child Development Services, Alberta Children’s Hospital, Calgary, Alta.; Department of Pediatrics (Chudley), University of Manitoba, Winnipeg, Man.; University of British Columbia (Conry [professor emerita]), Vancouver, BC; Department of Pediatrics (LeBlanc), Dr. Georges-L.-Dumont University Hospital Centre, Université de Moncton and Université de Sherbrooke, Moncton, NB; Department of Pediatrics (Looke), University of British Columbia, Vancouver, BC; Glenrose Rehabilitation Hospital (Mallon), Alberta Health Services, Edmonton, Alta.; Lakeland Centre for Fetal Alcohol Syndrome (McFarlane), Cold Lake, Alta.; Surrey Place Centre (Temple), Toronto, Ont.; Faculty of Medicine (Rosales), Memorial University of Newfoundland, St. John’s, Nfld.
Christine A. Loock
Canada Fetal Alcohol Spectrum Disorder Research Network (Cook, Green, Lutke); Society of Obstetricians and Gynaecologists of Canada (Cook, Green), Ottawa, Ont.; Department of Obstetrics and Gynaecology (Cook), University of Ottawa, Ottawa, Ont.; Department of Biomedical and Molecular Sciences (Green), Queen’s University, Kingston, Ont.; Sunny Hill Health Centre for Children (Lilley), Vancouver, BC; National Institutes of Health (Anderson), Ottawa, Ont.; Fetal Alcohol Spectrum Disorders Clinic (Baldwin), Child Development Services, Alberta Children’s Hospital, Calgary, Alta.; Department of Pediatrics (Chudley), University of Manitoba, Winnipeg, Man.; University of British Columbia (Conry [professor emerita]), Vancouver, BC; Department of Pediatrics (LeBlanc), Dr. Georges-L.-Dumont University Hospital Centre, Université de Moncton and Université de Sherbrooke, Moncton, NB; Department of Pediatrics (Looke), University of British Columbia, Vancouver, BC; Glenrose Rehabilitation Hospital (Mallon), Alberta Health Services, Edmonton, Alta.; Lakeland Centre for Fetal Alcohol Syndrome (McFarlane), Cold Lake, Alta.; Surrey Place Centre (Temple), Toronto, Ont.; Faculty of Medicine (Rosales), Memorial University of Newfoundland, St. John’s, Nfld.
Jan Lutke
Canada Fetal Alcohol Spectrum Disorder Research Network (Cook, Green, Lutke); Society of Obstetricians and Gynaecologists of Canada (Cook, Green), Ottawa, Ont.; Department of Obstetrics and Gynaecology (Cook), University of Ottawa, Ottawa, Ont.; Department of Biomedical and Molecular Sciences (Green), Queen’s University, Kingston, Ont.; Sunny Hill Health Centre for Children (Lilley), Vancouver, BC; National Institutes of Health (Anderson), Ottawa, Ont.; Fetal Alcohol Spectrum Disorders Clinic (Baldwin), Child Development Services, Alberta Children’s Hospital, Calgary, Alta.; Department of Pediatrics (Chudley), University of Manitoba, Winnipeg, Man.; University of British Columbia (Conry [professor emerita]), Vancouver, BC; Department of Pediatrics (LeBlanc), Dr. Georges-L.-Dumont University Hospital Centre, Université de Moncton and Université de Sherbrooke, Moncton, NB; Department of Pediatrics (Looke), University of British Columbia, Vancouver, BC; Glenrose Rehabilitation Hospital (Mallon), Alberta Health Services, Edmonton, Alta.; Lakeland Centre for Fetal Alcohol Syndrome (McFarlane), Cold Lake, Alta.; Surrey Place Centre (Temple), Toronto, Ont.; Faculty of Medicine (Rosales), Memorial University of Newfoundland, St. John’s, Nfld.
Bernadene F. Mallon
Canada Fetal Alcohol Spectrum Disorder Research Network (Cook, Green, Lutke); Society of Obstetricians and Gynaecologists of Canada (Cook, Green), Ottawa, Ont.; Department of Obstetrics and Gynaecology (Cook), University of Ottawa, Ottawa, Ont.; Department of Biomedical and Molecular Sciences (Green), Queen’s University, Kingston, Ont.; Sunny Hill Health Centre for Children (Lilley), Vancouver, BC; National Institutes of Health (Anderson), Ottawa, Ont.; Fetal Alcohol Spectrum Disorders Clinic (Baldwin), Child Development Services, Alberta Children’s Hospital, Calgary, Alta.; Department of Pediatrics (Chudley), University of Manitoba, Winnipeg, Man.; University of British Columbia (Conry [professor emerita]), Vancouver, BC; Department of Pediatrics (LeBlanc), Dr. Georges-L.-Dumont University Hospital Centre, Université de Moncton and Université de Sherbrooke, Moncton, NB; Department of Pediatrics (Looke), University of British Columbia, Vancouver, BC; Glenrose Rehabilitation Hospital (Mallon), Alberta Health Services, Edmonton, Alta.; Lakeland Centre for Fetal Alcohol Syndrome (McFarlane), Cold Lake, Alta.; Surrey Place Centre (Temple), Toronto, Ont.; Faculty of Medicine (Rosales), Memorial University of Newfoundland, St. John’s, Nfld.
Audrey A. McFarlane
Canada Fetal Alcohol Spectrum Disorder Research Network (Cook, Green, Lutke); Society of Obstetricians and Gynaecologists of Canada (Cook, Green), Ottawa, Ont.; Department of Obstetrics and Gynaecology (Cook), University of Ottawa, Ottawa, Ont.; Department of Biomedical and Molecular Sciences (Green), Queen’s University, Kingston, Ont.; Sunny Hill Health Centre for Children (Lilley), Vancouver, BC; National Institutes of Health (Anderson), Ottawa, Ont.; Fetal Alcohol Spectrum Disorders Clinic (Baldwin), Child Development Services, Alberta Children’s Hospital, Calgary, Alta.; Department of Pediatrics (Chudley), University of Manitoba, Winnipeg, Man.; University of British Columbia (Conry [professor emerita]), Vancouver, BC; Department of Pediatrics (LeBlanc), Dr. Georges-L.-Dumont University Hospital Centre, Université de Moncton and Université de Sherbrooke, Moncton, NB; Department of Pediatrics (Looke), University of British Columbia, Vancouver, BC; Glenrose Rehabilitation Hospital (Mallon), Alberta Health Services, Edmonton, Alta.; Lakeland Centre for Fetal Alcohol Syndrome (McFarlane), Cold Lake, Alta.; Surrey Place Centre (Temple), Toronto, Ont.; Faculty of Medicine (Rosales), Memorial University of Newfoundland, St. John’s, Nfld.
Valerie K. Temple
Canada Fetal Alcohol Spectrum Disorder Research Network (Cook, Green, Lutke); Society of Obstetricians and Gynaecologists of Canada (Cook, Green), Ottawa, Ont.; Department of Obstetrics and Gynaecology (Cook), University of Ottawa, Ottawa, Ont.; Department of Biomedical and Molecular Sciences (Green), Queen’s University, Kingston, Ont.; Sunny Hill Health Centre for Children (Lilley), Vancouver, BC; National Institutes of Health (Anderson), Ottawa, Ont.; Fetal Alcohol Spectrum Disorders Clinic (Baldwin), Child Development Services, Alberta Children’s Hospital, Calgary, Alta.; Department of Pediatrics (Chudley), University of Manitoba, Winnipeg, Man.; University of British Columbia (Conry [professor emerita]), Vancouver, BC; Department of Pediatrics (LeBlanc), Dr. Georges-L.-Dumont University Hospital Centre, Université de Moncton and Université de Sherbrooke, Moncton, NB; Department of Pediatrics (Looke), University of British Columbia, Vancouver, BC; Glenrose Rehabilitation Hospital (Mallon), Alberta Health Services, Edmonton, Alta.; Lakeland Centre for Fetal Alcohol Syndrome (McFarlane), Cold Lake, Alta.; Surrey Place Centre (Temple), Toronto, Ont.; Faculty of Medicine (Rosales), Memorial University of Newfoundland, St. John’s, Nfld.
Ted Rosales
Canada Fetal Alcohol Spectrum Disorder Research Network (Cook, Green, Lutke); Society of Obstetricians and Gynaecologists of Canada (Cook, Green), Ottawa, Ont.; Department of Obstetrics and Gynaecology (Cook), University of Ottawa, Ottawa, Ont.; Department of Biomedical and Molecular Sciences (Green), Queen’s University, Kingston, Ont.; Sunny Hill Health Centre for Children (Lilley), Vancouver, BC; National Institutes of Health (Anderson), Ottawa, Ont.; Fetal Alcohol Spectrum Disorders Clinic (Baldwin), Child Development Services, Alberta Children’s Hospital, Calgary, Alta.; Department of Pediatrics (Chudley), University of Manitoba, Winnipeg, Man.; University of British Columbia (Conry [professor emerita]), Vancouver, BC; Department of Pediatrics (LeBlanc), Dr. Georges-L.-Dumont University Hospital Centre, Université de Moncton and Université de Sherbrooke, Moncton, NB; Department of Pediatrics (Looke), University of British Columbia, Vancouver, BC; Glenrose Rehabilitation Hospital (Mallon), Alberta Health Services, Edmonton, Alta.; Lakeland Centre for Fetal Alcohol Syndrome (McFarlane), Cold Lake, Alta.; Surrey Place Centre (Temple), Toronto, Ont.; Faculty of Medicine (Rosales), Memorial University of Newfoundland, St. John’s, Nfld.

Article Information
vol. 188 no. 3 191-197
PubMed
History
- Published online February 16, 2016.
Article Versions
- Latest version (December 14, 2015 - 08:24).
- You are viewing the most recent version of this article.
Copyright & Usage
© 2016 8872147 Canada Inc. or its licensors
Author Information
- Jocelynn L. Cook, PhD⇑,
- Courtney R. Green, PhD,
- Christine M. Lilley, PhD,
- Sally M. Anderson, PhD,
- Mary Ellen Baldwin,
- Albert E. Chudley, MD,
- Julianne L. Conry, PhD,
- Nicole LeBlanc, MD,
- Christine A. Loock, MD,
- Jan Lutke,
- Bernadene F. Mallon, MSW,
- Audrey A. McFarlane, MBA,
- Valerie K. Temple, PhD,
- Ted Rosales, MD
- for the Canada Fetal Alcohol Spectrum Disorder Research Network
- Canada Fetal Alcohol Spectrum Disorder Research Network (Cook, Green, Lutke); Society of Obstetricians and Gynaecologists of Canada (Cook, Green), Ottawa, Ont.; Department of Obstetrics and Gynaecology (Cook), University of Ottawa, Ottawa, Ont.; Department of Biomedical and Molecular Sciences (Green), Queen’s University, Kingston, Ont.; Sunny Hill Health Centre for Children (Lilley), Vancouver, BC; National Institutes of Health (Anderson), Ottawa, Ont.; Fetal Alcohol Spectrum Disorders Clinic (Baldwin), Child Development Services, Alberta Children’s Hospital, Calgary, Alta.; Department of Pediatrics (Chudley), University of Manitoba, Winnipeg, Man.; University of British Columbia (Conry [professor emerita]), Vancouver, BC; Department of Pediatrics (LeBlanc), Dr. Georges-L.-Dumont University Hospital Centre, Université de Moncton and Université de Sherbrooke, Moncton, NB; Department of Pediatrics (Looke), University of British Columbia, Vancouver, BC; Glenrose Rehabilitation Hospital (Mallon), Alberta Health Services, Edmonton, Alta.; Lakeland Centre for Fetal Alcohol Syndrome (McFarlane), Cold Lake, Alta.; Surrey Place Centre (Temple), Toronto, Ont.; Faculty of Medicine (Rosales), Memorial University of Newfoundland, St. John’s, Nfld.
- Correspondence to: Jocelynn Cook, jcook{at}sogc.com
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Fetal alcohol spectrum disorder: a guideline for diagnosis across the lifespan
Jocelynn L. Cook, Courtney R. Green, Christine M. Lilley, Sally M. Anderson, Mary Ellen Baldwin, Albert E. Chudley, Julianne L. Conry, Nicole LeBlanc, Christine A. Loock, Jan Lutke, Bernadene F. Mallon, Audrey A. McFarlane, Valerie K. Temple, Ted Rosales
CMAJ Feb 2016, 188 (3) 191-197; DOI: 10.1503/cmaj.141593
Fetal alcohol spectrum disorder: a guideline for diagnosis across the lifespan
Jocelynn L. Cook, Courtney R. Green, Christine M. Lilley, Sally M. Anderson, Mary Ellen Baldwin, Albert E. Chudley, Julianne L. Conry, Nicole LeBlanc, Christine A. Loock, Jan Lutke, Bernadene F. Mallon, Audrey A. McFarlane, Valerie K. Temple, Ted Rosales
CMAJ Feb 2016, 188 (3) 191-197; DOI: 10.1503/cmaj.141593
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