This would result in even more demand for multidisciplinary FASD evaluations. Both disorders have prevalence rates, course, severity, and lifelong impact that suggest they are going to require ongoing assessments and management. Thus, ADHD and FASD represent an intersection of phenotype expression and complexity. Conversely, a diagnosis of ADHD predicts increased risk for FASD (relative risk 13.28 attributable risk 92.5 %). A diagnosis of FASD is associated with increased risk for ADHD (relative risk = 7.6 attributable risk 86.8 %). FASD also appears to be the leading cause of ADHD as well. The most common identifiable cause of intellectual disability is FASD (relative risk 19 fold). ![]() This is likely an optimistic view of the diagnostic dilemma. The same problem exists for the birth through 18 population of 125,730 people with FASD. This would require 39 full time FASD teams for the new FASD cases each year in the United Kingdom. If the rates are similar in the United Kingdom the 6,985 FASD cases require 39,116 multidisciplinary evaluations. ![]() Using the same variables, the birth through 18 population of 720,000 people requires 3.9 million multidisciplinary FASD evaluations. The United States would need to fund another 200 multidisciplinary teams to meet this demand. When we add the 40 % no-show we are at 224,000 evaluation slots needed each year just for the annual birth cohort. ![]() Our 40,000 new cases each year x the 4 cases who need to be seen in order to diagnose one case of FASD, then becomes 160,000 evaluations. Clinic capacity 1,000 evaluations per year
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