09/06/2026
FASD does not end when childhood ends. It is a permanent brain-based disability.
In adulthood, expectations grow at the same time that support and supervision often disappear. School may end abruptly, and even for those who did not have a positive school experience, it provided structure, routine, reminders, and adults who were responsible for monitoring progress.
When that structure is removed without a thoughtful transition plan and a new system of adult support, life can become even more difficult. The person has not suddenly acquired the executive functioning, adaptive skills, memory, judgment, or emotional regulation expected of an adult simply because they reached a certain age.
It is critical for:
~ IEP teams to begin transition planning early, based on the student’s actual functioning and support needs, not age-based expectations.
~ Social workers and adult service providers to understand the neurological differences associated with FASD and recognize when a person needs more structure, repetition, guidance, and practical assistance.
~ Mental health providers to understand why traditional talk therapy may not be accessible or effective without adaptation. Treatment may need to be concrete, structured, repetitive, relationship-based, and supported outside the therapy session.
~ Justice system professionals to consider the person’s functional capacity, including comprehension, memory, suggestibility, impulse control, ability to anticipate consequences, and ability to participate meaningfully in legal proceedings.
~ Medical providers to understand FASD, its common co-occurring conditions, and the possibility that the person may need information communicated in a different way, additional processing time, help remembering instructions, and support following through with care.
Adulthood does not make FASD disappear. It changes the systems responsible for recognizing it and providing appropriate support. Those systems need to be prepared to recognize and support FASD. They currently are not.
Please follow along this month to learn more about FASD.
Printable pdf: https://f.mtr.cool/o7semckzcc