3 results on '"Raewyn, Mutch"'
Search Results
2. Fetal alcohol spectrum disorder and youth justice: a prevalence study among young people sentenced to detention in Western Australia
- Author
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Natalie R. Kippin, Lodewicka Tarratt, Candy S.C. Cheung, Jasmine B. Taylor, Carol Bower, Rochelle Watkins, Jacinta Freeman, Hayley M. Passmore, Susan Leitao, Carmela Pestell, Carmen Condon, Noni Walker, Roslyn Giglia, Rhonda Marriott, Alex Springall, Sharynne Hamilton, Raewyn Mutch, Emma Argiro, Helen Shield, and Bernadette Safe
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,medicine.medical_treatment ,Vulnerability ,03 medical and health sciences ,0302 clinical medicine ,Pregnancy ,Prevalence ,medicine ,Humans ,030212 general & internal medicine ,Justice (ethics) ,Child ,Psychiatry ,0505 law ,Multidisciplinary assessment ,Rehabilitation ,business.industry ,Prisoners ,05 social sciences ,Correction ,Western Australia ,General Medicine ,16. Peace & justice ,3. Good health ,Fetal Alcohol Spectrum Disorders ,Prenatal Exposure Delayed Effects ,Fetal Alcohol Spectrum Disorder ,Juvenile Delinquency ,050501 criminology ,Female ,business - Abstract
ObjectivesTo estimate the prevalence of fetal alcohol spectrum disorder (FASD) among young people in youth detention in Australia. Neurodevelopmental impairments due to FASD can predispose young people to engagement with the law. Canadian studies identified FASD in 11%–23% of young people in corrective services, but there are no data for Australia.DesignMultidisciplinary assessment of all young people aged 10–17 years 11 months and sentenced to detention in the only youth detention centre in Western Australia, from May 2015 to December 2016. FASD was diagnosed according to the Australian Guide to the Diagnosis of FASD.Participants99 young people completed a full assessment (88% of those consented; 60% of the 166 approached to participate); 93% were male and 74% were Aboriginal.Findings88 young people (89%) had at least one domain of severe neurodevelopmental impairment, and 36 were diagnosed with FASD, a prevalence of 36% (95% CI 27% to 46%).ConclusionsThis study, in a representative sample of young people in detention in Western Australia, has documented a high prevalence of FASD and severe neurodevelopmental impairment, the majority of which had not been previously identified. These findings highlight the vulnerability of young people, particularly Aboriginal youth, within the justice system and their significant need for improved diagnosis to identify their strengths and difficulties, and to guide and improve their rehabilitation.
- Published
- 2018
3. Consensus diagnostic criteria for fetal alcohol spectrum disorders in Australia: a modified Delphi study
- Author
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Raewyn Mutch, Jane Halliday, Janet M Payne, Amanda Wilkins, Lucinda Burns, Sue Miers, Rochelle Watkins, Heather M Jones, James P. Fitzpatrick, Elizabeth Peadon, Elizabeth J Elliott, Colleen M O’Leary, Elizabeth Russell, Carol Bower, Anne McKenzie, Jane Latimer, Heather D'Antoine, Maureen Carter, and Lorian Hayes
- Subjects
medicine.medical_specialty ,Pediatrics ,education ,Fetal alcohol syndrome ,Alternative medicine ,Modified delphi ,Delphi method ,Likert scale ,Anaesthesia ,03 medical and health sciences ,Fetal alcohol ,0302 clinical medicine ,Neurodevelopmental disorder ,030225 pediatrics ,medicine ,030212 general & internal medicine ,health care economics and organizations ,business.industry ,Research ,General Medicine ,medicine.disease ,3. Good health ,Family medicine ,business ,Alcohol Related Birth Defect - Abstract
Objective To evaluate health professionals' agreement with components of published diagnostic criteria for fetal alcohol spectrum disorders (FASD) in order to guide the development of standard diagnostic guidelines for Australia. Design A modified Delphi process was used to assess agreement among health professionals with expertise or experience in FASD screening or diagnosis. An online survey, which included 36 Likert statements on diagnostic methods, was administered over two survey rounds. For fetal alcohol syndrome (FAS), health professionals were presented with concepts from the Institute of Medicine (IOM), University of Washington (UW), Centers for Disease Control (CDC), revised IOM and Canadian diagnostic criteria. For partial FAS (PFAS), alcohol-related neurodevelopmental disorder (ARND), and alcohol-related birth defects (ARBD), concepts based on the IOM and the Canadian diagnostic criteria were compared. Setting/participants 130 Australian and 9 international health professionals. Results Of 139 health professionals invited to complete the survey, 103 (74.1%) responded, and 74 (53.2%) completed one or more questions on diagnostic criteria. We found consensus agreement among participants on the diagnostic criteria for FAS, with the UW criteria most commonly endorsed when compared with all other published criteria for FAS. When health professionals were presented with concepts based on the Canadian and IOM diagnostic criteria, we found consensus agreement but no clear preference for either the Canadian or IOM criteria for the diagnosis of PFAS, and no consensus agreement on diagnostic criteria for ARND. We also found no consensus on the IOM diagnostic criteria for ARBD. Conclusions Participants indicated clear support for use of the UW diagnostic criteria for FAS in Australia. These findings should be used to develop guidelines to facilitate improved awareness of, and address identified gaps in the infrastructure for, FASD diagnosis in Australia.
- Published
- 2012
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