A new study reveals Australian occupational therapists lack confidence and resources in recognising and managing fetal alcohol spectrum disorder, highlighting the urgent need for specialised training and clearer pathways amid rising diagnoses.
Australian occupational therapists are being asked to do more for people with fetal alcohol spectrum disorder than many feel prepared to deliver. A study published by Wiley found that while therapists recognised the condition as important, most lacked confidence in spotting it, discussing possible referral for diagnosis or guiding families towards the next steps. The authors said this leaves a gap at the point where early recognition could make the greatest difference.
The research suggests that awareness is shaped by two main routes: direct contact with clients and university teaching. Many therapists first encountered FASD in practice, often when working with children aged four to seven, although some did not meet adults with the condition at all. Confidence was lowest in adult care, reflecting both the complexity of presentations across the lifespan and the limited evidence base for occupation-focused interventions.
Access to reliable information appears to matter as much as knowledge itself. Therapists who could easily find trustworthy resources were far more likely to feel ready to talk about FASD with clients and families. The study also pointed to a strong appetite for more training, especially material tailored to occupational therapy rather than broad health-profession guidance. That need is echoed by FASD Training Australia, which offers online and live professional development, and by Occupational Therapy Australia, which has promoted workshops on awareness, assessment, action and advocacy.
The wider diagnostic process is also multidisciplinary. NOFASD Australia says assessment typically involves a doctor, psychologist, occupational therapist and speech pathologist, each contributing a different piece of the picture. For therapists, the study argues, that means a role not only in daily-function assessment but also in screening, referral and family support. As Australian guidelines change and more people are identified, the authors said the profession will need clearer pathways, better resources and more targeted education to meet demand.
Disclaimer: This content is for informational purposes only and is not intended to be a substitute for professional medical judgment, advice, diagnosis, or treatment.
