In keeping with recommendations set out in The Prevention Conversation Literature Review/Environmental Scan (Wirzba Consulting Inc., August 2013), supporting tools and resources will align with the following:
Canada Alcohol Use & Pregnancy Consensus Guidelines
Universal screening for alcohol consumption should be provided regularly for all pregnant women and women of childbearing age.
The Prevention Conversation must take place in a safe environment for all women.
Professionals engaging in The Prevention Conversation should be aware of risk factors associated with alcohol use by women of reproductive age (including but not limited to FASD).
Professionals should be equipped to offer brief interventions (such as motivational interviewing) following alcohol screening.
If a woman chooses to continue drinking during her pregnancy, harm reduction strategies should be encouraged.
Professionals should know about community resources available to women who need additional supports.
Professionals should advise women that low-level consumption of alcohol in early pregnancy is not an indication for termination of pregnancy.
Someone does not have FASD; they are affected by a disorder along a spectrum – they have an FASD.
Language should be non-judgemental, compassionate, centred on the individual, free of shame and blame.
The training approach stress progress, optimism and hope.
Training needs to be culturally sensitive.
Training needs to address the economic and social complexities of FASD, have grounding in medical and social science, and include narratives of those affected FASD.
Training needs to be inclusive and empowering; it must also be rigorous, current and relevant.
Training contents need to be updated and current.
Health Determinants Perspective
Respectful • Respect is vital to eliminating discrimination and stigma in prevention initiatives and to creating an environment where women can address their health care needs.
Relational • The process of growth, change, healing and prevention doesn’t happen in isolation. It moves forward through interactions with others in long-term, supportive, trust-based relationships.
Self-Determining • Women have the right to both determine and lead their own paths of growth and change.
Women-Centred • Women-centred prevention and care involves women as informed participants in their own health care and attends to women’s overall health and safety.
Harm Reduction Oriented • This pragmatic approach helps women with immediate goals, provides a variety of options and supports, and focuses on reducing the harms more broadly associated with substance use.
Trauma Informed • Trauma-informed systems of trauma and violence on women’s health and understand trauma-related symptoms as attempts to cope
Health Promoting • Holistic, multidisciplinary, cross-sectoral, health promoting responses to the complex dynamics of a woman’s life are vital to FASD prevention.
Culturally Safe • Women need to feel respected, safe and accepted for who they are with regard to both their cultural identity and personal behaviours.
Supportive of Mothering • FASD prevention must support women’s choices and roles as mothers and recognise the range of models for mothering.
Uses a Disability Lens • Women with substance use and mental health issues may also have disabilities, including FASD.