Sometimes children enter a child care system (such as an orphanage or foster care
) because of unfavorable circumstances including maternal substance abuse
problems or child neglect.
These disorders include an array of developmental, cognitive, behavioral and physical effects. In this meta-analysis, the authors looked at literature reporting on the prevalence of FASD in all types of child care systems in eight countries. The rates of FASD varied widely depending on the type of child care setting, but overall the prevalence is alarmingly high.
The authors recommend that screening for FASD be implemented in these at-risk groups of children.