Publications: Alcohol & FASD prevention

Developing an Indigenous Approach to FASD

The Centre of Excellence for Women’s Health, the Thunderbird Partnership Foundation, and the Canada FASD Research Network convened in May 2017 to create a Consensus Statement to addressing and preventing Fetal Alcohol Spectrum Disorder for Indigenous Peoples. Their collaborative response details eight tenets to the enacting the Truth and Reconciliation Commission’s Call to Action on Fetal Alcohol Spectrum Disorder.

“Dialogue to Action on the Prevention of FASD” project was made possible by the financial assistance from the Canadian Institutes for Health Research and Health Canada’s First Nations and Inuit Health Branch.

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Here’s what we know about alcohol & pregnancy

This infographic provides an overview of what we know about alcohol and pregnancy and the kinds of support women deserve.  It was developed with support from Canada FASD Research Network and its Prevention Network Action Team with a goal of promoting engagement between women, partners, providers and communities.

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FASD Prevention: An Annotated Bibliography of Articles Published in 2016

FASD Prevention: An Annotated Bibliography of Articles Published in 2016. Each year Canada FASD Research Network (CanFASD) and CEWH compile published research articles related to FASD prevention from around the world. Download the 2016 Annotated Bibliography here.

Alcohol and Pregnancy Brief Intervention Guides

Alcohol and Pregnancy Brief Intervention Guides
The resources in this section were developed to support service providers to successfully engage with women and their partners on alcohol use, pregnancy, and prevention of Fetal Alcohol Spectrum Disorder (FASD). While many aspects of FASD prevention are interconnected, current evidence and practice issues have been synthesized into eight topics that allow service providers to explore issues from different perspectives and that are most relevant to their own practice.

Each topic area includes: a brief overview of recent research findings; practical strategies for addressing alcohol issues with women; online resources for further reading and for sharing with women and their supports; reflection and discussion questions; and referral information for British Columbia.

Click below for each detailed Intervention Guide or download just the 8 infographic posters together in one document.

BIG 1 cover- Who Drinks Alcohol during Pregnancy

1. Who Drinks Alcohol During Pregnancy?

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2. cover- Safest Not to Drink in Pregnancy

2. “It Is Safest Not To Drink During Pregnancy.” What Does This Mean?

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3. Alcohol, Contraception and Perception

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4. cover -Alcohol Pregnancy Treatment & Care

4. Treatment and Care for Pregnant Women who use Alcohol and/or Other Drugs

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5. cover - Alcohol Pregnancy Violence & TIP

5. Pregnancy, Alcohol, and Trauma-informed Practice

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6. cover- Alcohol Pregnancy Partner Support

6. Alcohol, Pregnancy and Partner Support

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7. Girls, Alcohol and Pregnancy

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8. Young Women, Alcohol and Pregnancy

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Gender Informed Approaches to Substance Use Resource List

TIGI SubUse pictureAn overview of gender-informed resources in the substance use field.

This is one of 3 resource lists focusing on gender, trauma and substance use, and has been made possible by a financial contribution from Health Canada.

Download  TGS Gender Informed Approaches to Substance Use resource list

Substance Use and Pregnancy Infographics

infographic englishThis series of eight infographics were developed to support BC service providers to successfully engage with women and their partners on alcohol use, pregnancy, and prevention of Fetal Alcohol Spectrum Disorder (FASD). They have recently been reformatted for national distribution, and with support from the Public Health Agency of Canada are now available in both English and French.

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Women and Alcohol

This resource was developed through the support of the Education Training Council, Alberta FASD Cross Ministry Committee and reviewed by experts from the Canadian Centre on Substance Abuse and the Canada FASD Research Network. Updated September 2017

 

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Harm Reduction and Pregnancy Information for Service Providers

preg_trauma This poster is designed for use by services involved in prevention of alcohol, tobacco and other substance use in pregnancy.  On the front it is a poster, and on the back is information for service providers on supporting women, families and communities from a harm reduction stance.  This resource was developed with the support of the Education and Training Council, Alberta FASD Cross Ministry Committee and was reviewed by members of the CanFASD Research Network with prevention expertise.

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Harm Reduction and Pregnancy: Community-based Approached to Prenatal Substance Use in Western Canada

HReduction and Preg Booklet.2015_web_coverThis resource was developed following a panel held at the HerWay Home Community Conference on September 29, 2014. The conference was generously supported by the Children’s Health Foundation of Vancouver Island.
This resource provides a short introduction to harm reduction approaches during pregnancy and uses examples from programs across Canada that work with pregnant women and new mothers to illustrate harm reduction ‘in action’.

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Substance Use During Pregnancy: An Overview of Key Canadian Policy and Practice Areas

Canadian.Policy on.Subst Use + Preg.Sept 2 2014-CoverCanada FASD Research Network’s Action Team on Prevention from A Women’s Health Determinants Perspective

Legislation, social policy and health care and child welfare practices can contribute significantly to effective care and support for women who use substances during pregnancy. This backgrounder provides a brief overview of several important areas of policy-making and discusses how policy can contribute to developing supportive health and social services to effectively address substance use during pregnancy.

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First Nations Women’s Healing: Moving from Hardship to Resilience

First Nations womens HealingPhotoessay -coverThis Photovoice project was an entry point to developing a deeper understanding of the experiences of women who are concerned about their health, their family, and their culture. Their images and words reflect an understanding of health and healing based on relationships – with the land, with family and friends, with community, and with culture.

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Alcohol and Pregnancy Warning Signage Fact Sheet

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Alcohol and Pregnancy: Warning Signage Information Kit for Local Governments in British Columbia, 2014

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Prepared for the Ministry of Health by Gerald Thomas, Okanagan Research and Nancy Poole, BC Centre of Excellence for Women’s Health. This resource includes a discussion of the forms and types of messages that can be provided via FASD prevention signs, including examples of recommended messages to help prevent/reduce drinking in pregnancy and promote health among women of childbearing years.

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FASD Prevention: Taking a Relational Approach: The Importance of Timely and Supportive Connections for Women

 

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This information sheet has been prepared for decision makers, health system planners and service providers interested in improving care for women at risk of having a child affected by FASD. It has been prepared by members of the Canada FASD Research Network’s Action Team on FASD Prevention from a Women’s Health Determinant’s Perspective.

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Alcohol, Pregnancy and Prevention of Fetal Alcohol Spectrum Disorder: What Men Can do to Help

Cover_what-men-can-do-_final-feb-2014Canada FASD Research Network’s Action Team on FASD Prevention from a Women’s Health Determinants Perspective, 2014

Fetal Alcohol Spectrum Disorder (FASD) is the leading known cause of developmental disability. FASD is the result of exposure to alcohol in utero and is believed to affect 1% of the population. While men’s alcohol use is not a direct contributor to FASD, there are many ways that men can help to prevent FASD. Researchers and service providers who are part of the Canada FASD Research Network have some suggestions for men who want to make a difference.

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Women and Alcohol: A Women’s Health Resource

WomenAndAlcoholResource2014.CVRBritish Columbia Centre of Excellence for Women’s Health, 2014

This resource was written by women for women, to provide useful information about alcohol and to help women make healthy and well-informed choices about alcohol use.

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Evaluation of FASD Prevention and FASD Support Programs: An Introductory Guide

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British Columbia Centre of Excellence for Women’s Health, 2014.

This guide is a companion resource to the www.fasd-evaluation.ca website. The website includes evaluation frameworks, methods, tools, and indicators of success to support the work of community-based FASD prevention programs for women including pregnant women and recent mothers, supportive intervention programs for adults and older youth with FASD, and FASD programs in Aboriginal communities. This guide provides an introduction to the visual maps that the website is based on, discussion questions for groups planning or undertaking evaluation, and suggestions on how to make use of the variety of resources available on-line.

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Mapping Evaluation of FASD Programs

These maps are intended to help program staff, planners and funders to more easily identify the aspects of programs that contribute to positive client and community outcomes and the range of outcomes that can result from or be associated with certain approaches and program activities. They also give us a common framework for thinking about how to conduct evaluations across programs or across communities.

MAP--FASD-support-jan29-2013-CoverMapping Evaluation of FASD Support Programs

Deborah Rutman, Carol Hubbertstey, Nancy Poole, Sharon Hume and Marilyn Van Bibber, 2012.

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Mapping Evaluation of FASD Prevention Programs

Deborah Rutman, Carol Hubbertstey, Nancy Poole, Sharon Hume and Marilyn Van Bibber, 2012.

 

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MAP-FASD-Aboriginal-feb22-2013---CoverMapping Evaluation of FASD Programs in Aboriginal Communities

Marilyn Van Bibber, Sharon Hume, Carol Hubbertstey, Deborah Rutman and Nancy Poole, 2012.

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Evaluation of FASD Prevention and FASD Support Programs Using Program Philosophy as a Foundation for Evaluation

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British Columbia Centre of Excellence for Women’s Health, 2014.

This guide is a companion resource to the fasd-evaluation.ca website. The website includes evaluation frameworks, methods, tools, and indicators of success to support the work of community-based FASD prevention programs for women who are pregnant and parenting, supportive intervention programs for adults and older youth with FASD, and FASD programs in Aboriginal communities. The guide provides an introduction to the program philosophies and theoretical frameworks discussed on the website. It also includes discussion questions for groups beginning or renewing evaluation and suggestions on how to make use of the variety of resources available on-line.

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10 fundamental Components of FASD Prevention from a Women’s Health Determinants Perspective

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Preventing FASD Through Providing Addictions Treatment and Related Support for First Nations and Inuit Women in Canada

Preventing FASD First Nations Inuit cvrThis information sheet summarizes the findings of an exploratory study undertaken in 2008 by researchers at the British Columbia Centre of Excellence for Women’s Health, with participation of treatment providers and health system planners responsible for programming serving First Nations and Inuit women from across Canada.

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Tools for Facilitators of Girls’ Empowerment Groups

These info sheets have been developed by researchers at the British Columbia Centre for Excellence for Women’s Health (BCCEWH), in collaboration with Girls Action Foundation. They are intended to support the work of facilitators of girls’ empowerment groups.

Cover - Girls, Alcohol and Depression (2013)Girls, Alcohol and Depression: A Backgrounder for Facilitators of Girls’ Empowerment Groups

 

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Cover - Girls Smoking and Stress (2013)Girls, Smoking and Stress: A Backgrounder for Facilitators of Girls’ Empowerment Groups

 

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Cover - Girls, Physical Activity and Culture (2013)Girls, Physical Activity and Culture: Tools for Facilitators of Girls’ Empowerment Groups

(In collaboration with the Canadian Association for the Advancement of Women and Sport and Physical Activity (CAAWS))

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Supporting Pregnant and Parenting Women Who Use Substances: What Communities are Doing to Help

Supporting Pregnant and Parenting Women Who Use SubstancesCanada FASD Research Network’s Action Team on Prevention from A Women’s Health Determinants Perspective, 2012

In this document, we profile the development of single-access programs in four different communities and talk about why this type of program works.

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Gendering the National Framework Series (Vol.2): Girl-Centred Approaches to Prevention, Harm Reduction, and Treatment

Gendering Nat Framework Girl Centred cvrBritish Columbia Centre of Excellence for Women’s Health (BCCEWH) in partnership with the Canadian Centre on Substance Abuse (CCSA) and the Universities of Saskatchewan and South Australia, 2010

This discussion guide explores four topics related to young women’s substance use: 1) patterns and trends in young women’s use, 2) sex differences in the health consequences of use, 3) gendered influences on substance use, and 4) examples of gender-informed and gender-specific programming.

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Gendering the National Framework Series (Vol.3): Mothering and Substance Use: Approaches to Prevention, Harm Reduction, and Treatment

Gendering Nat Framework Mothering and Substance Use cvrBritish Columbia Centre of Excellence for Women’s Health (BCCEWH) in partnership with the Canadian Centre on Substance Abuse (CCSA) and the Universities of Saskatchewan and South Australia, 2010

This discussion guide explores four topics related to mothers and pregnant women with substance use problems: 1) stigma and public discourse, 2) barriers to treatment, 3) a guiding framework for practice, and 4) examples of Canadian mother-centred programming.

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Gendering the National Framework Series (Vol.1): Trauma-informed Approaches in Addictions Treatment

Gendering Nat Framework Trauma Informed Cvr British Columbia Centre of Excellence for Women’s Health (BCCEWH) in partnership with the Canadian Centre on Substance Abuse (CCSA) and the Universities of Saskatchewan and South Australia, 2010

This discussion guide explores coexisting trauma, mental health and substance use problems experienced by girls and women as well as trauma-informed and trauma-specific approaches. It provides: 1) background to the issues, 2) core approaches to providing multi-level support, 3) examples of Canadian promising practices in action.

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Gendering the National Framework Series (Vol.4): Women-Centred Harm Reduction

Gendering Na tFramework Women centred Harm Reduction CvrBritish Columbia Centre of Excellence for Women’s Health (BCCEWH) in partnership with the Canadian Centre on Substance Abuse (CCSA) and the Universities of Saskatchewan and South Australia, 2010

This discussion guide explores bringing a gender-based analysis to harm reduction strategies. It 1) introduce some of the intersecting components of harm reduction and health determinants, such as violence and trauma and pregnancy and mothering, 2) highlights the key ways that these elements interact to influence women’s substance use experiences, 3) provides examples of Canadian women-centred harm reduction programs.

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Double Exposure: A Better Practices Review on Alcohol Interventions During Pregnancy

Double Exposure for WebPrepared by Tessa Parkes, Nancy Poole, Amy Salmon, Lorraine Greaves, and Cristine Urquhart, 2008.

This report is a review of evidence from peer-reviewed literature on the topic of interventions aimed at supporting women to reduce their use of alcohol in the childbearing years. The phrase, “Double Exposure” in the title reflects our concern with the effects of alcohol on both the woman and the fetus and underlines the importance of addressing women’s health and women’s circumstances during pregnancy to optimize health.                                                            View PDF

Mother and Child reunion: Preventing Fetal Alcohol Spectrum Disorder by Promoting Women’s Health

Mother and Child Reunion cvrNancy Poole, 2003

This paper describes current knowledge about FASD and current prevention strategies and outlines an alternative, multiple-determinants approach to FASD prevention that would be more effective for both mothers and babies, more humane, and more cost-effective.

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Fetal Alcohol Syndrome and Women’s Health: Setting a Women-Centred Research Agenda-Final Report

FAS_Research_Agenda cvrLorraine Greaves, Nancy Poole and Renée Cormier
British Columbia Centre of Excellence for Women’s Health, 2002

This report examines the issues related to Fetal Alcohol Syndrome (FAS) using a women’s health framework. The report describes a research agenda developed using an evolving model of “women-centred care” that encompasses women’s health issues and contributes to a preventative approach to FAS.

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Apprehensions: Barriers to Treatment for Substance-Using Mothers

Apprehensions cvrNancy Poole and Barbara Isaac
British Columbia Centre of Excellence for Women’s Health, 2001

This research study explores the barriers and supports encountered by pregnant and parenting women accessing care for addictions treatment.

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Evaluation Report of the Sheway Project for High-Risk Pregnant and Parenting Women

Evaluation Report of the Sheway Project for High-Risk Pregnant and Parenting WomenNancy Poole
British Columbia Centre of Excellence for Women’s Health, 2000

This report is an evaluation of a unique outreach program in Vancouver that provides services to pregnant women with substance use problems and support to mothers and their families through a women-centred, harm-reduction, culturally focused approach.

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