title: A qualitative evaluation of caregivers' experiences, understanding and outcomes following diagnosis of FASD.
abstract: BACKGROUND
  The effects of prenatal exposure to alcohol are wide-ranging and pervasive in nature. In response to growing concerns about the lifelong disabilities related to prenatal alcohol exposure, a fetal alcohol spectrum disorder (FASD) diagnostic clinic was established in 2012. This was the first multi-disciplinary service operating permanently within an Australian health service. The current study aimed to explore the lived experience of the diagnostic process for caregivers of children with FASD.
  
  
  METHODS
  Twelve caregivers were approached and ten participated in audiotaped interviews about caring for a child with FASD. Qualitative analysis was undertaken on transcribed interviews using NVivo 10 for thematic analysis.
  
  
  RESULTS
  The major themes that emerged were: a desire for future support for their child although uncertainty about how this support could be accessed; an understanding of FASD prior to assessment but a concerted concern that this condition was not recognised as a disability across educational and related settings; that a formal assessment process provided validation for caregiver concerns and that caregivers felt respected and understood by the clinical team during this process.
  
  
  CONCLUSIONS
  These findings highlight the concerns of caregivers, emphasising both the importance of diagnostic services and the need for provision of further support beyond diagnosis for a child with FASD. WHAT DOES THIS PAPER ADD?: This study provides information on the lived experiences of caregivers who attended the first multi-disciplinary FASD assessment and diagnostic service in Australia. This study provides valuable insight into the ongoing difficulties that families are experiencing following diagnosis in the current Australian context.
authors.affiliation: School of Applied Psychology, Griffith University, Mt Gravatt, Queensland 4121, Australia.
authors.forename: Katrina
authors.initials: K
authors.lastname: Chamberlain
authors.affiliation: School of Applied Psychology, Griffith University, Mt Gravatt, Queensland 4121, Australia. Electronic address: natasha.reid@griffithuni.edu.au.
authors.forename: Natasha
authors.initials: N
authors.lastname: Reid
authors.affiliation: Child Development Service, Gold Coast Hospital & Health Service, Queensland, Australia.
authors.forename: Judith
authors.initials: J
authors.lastname: Warner
authors.affiliation: Child Development Service, Gold Coast Hospital & Health Service, Queensland, Australia.
authors.forename: Doug
authors.initials: D
authors.lastname: Shelton
authors.affiliation: School of Applied Psychology, Griffith University, Mt Gravatt, Queensland 4121, Australia.
authors.forename: Sharon
authors.initials: S
authors.lastname: Dawe
mesh_terms: D000300:Adoption; D000368:Aged; D001294:Attitude to Health; D001315:Australia; D017028:Caregivers; D002648:Child; D005260:Female; D063647:Fetal Alcohol Spectrum Disorders / Q000175:diagnosis*; D005581:Foster Home Care; D006801:Humans; D007872:Legal Guardians; D008297:Male; D008875:Middle Aged; D010290:Parents; D010358:Patient Participation; D017060:Patient Satisfaction; D036301:Qualitative Research
keywords: Assessment; Diagnosis; Fetal alcohol spectrum disorder (FASD); Qualitative research