Marquette General Health System - Press Release
Press Release

Feb. 14, 2006

MGHS Specialty Clinic recognized for its
Fetal Alcohol Spectrum Disorder Aftercare Program

Specialty Clinic at MGH is one of six statewide centers

The Specialty Clinic at Marquette General Hospital has been recognized by the Michigan Department of Community Health (MDCH) for its superior aftercare program in treating those with Fetal Alcohol Spectrum Disorder (FASD).

The Aftercare Program provides a FASD consultant to help families implement clinic recommendations and develop strategies to manage the disability; consults with the school systems the children attend; and offers ongoing consultation with families.

In short, it’s designed to provide a standard of care to successfully treat FASD patients.

FASD refers to a variety of physical changes, and neurological and/or psychometric patterns of brain damage associated with fetal exposure to alcohol during pregnancy. The brain damage can result in a range of physiological, learning or behavioral disabilities in individuals.

Karen Twa is the Fetal Alcohol Spectrum Disorder Consultant in the Specialty Clinic at Marquette General. She said the Aftercare Program clearly sets Marquette General apart from other institutions that treat FASD.

“We offer a number of professional workshops, and work closely with school agencies, physicians, the probate judicial system and substance abuse programs,” said Twa, who travels all across the Upper Peninsula to consult with families affected by FASD. “We treat FASD by providing support to manage it. We provide structure.”

The Fetal Alcohol Syndrome (FAS) Diagnostic Clinic at Marquette General is one of six Centers of Excellence Diagnostic and Treatment Centers in Michigan. The others are located in Ann Arbor, Kalamazoo, Grand Rapids, Detroit and Traverse City.

The FAS Diagnostic Clinic provides care to individuals of all ages (toddlers to adults) from the Upper Peninsula/Northern Lower Peninsula who have been prenatally exposed to alcohol and have concerns about their learning or behavior. A multidisciplinary team — including a pediatrician, psychologist, registered nurse, occupational therapist, speech therapist and social worker — staff the clinic.

Those with FASD have difficulty translating knowledge learned from one situation to another. It can result in impaired mental function, including general intelligence, mastery of reading, spelling, math and level of adaptive functioning. During childhood, 60 percent of children with FASD have Attention Deficit Hyperactivity Disorder (ADHD). During adulthood, most adults with FASD have clinical depression.

The MDCH recently awarded the Specialty Clinic a $30,000 Community Project Grant — $10,000 per year, over three years — to help augment its Aftercare Program.

The grant money has been used to help implement and pilot a unique Therapeutic Riding Project for FASD patients at Willow Farm in Harvey. More than two dozen patients and their families participate each year in the six-week program.

While the patients ride in a group session, parents also meet to learn more about FASD and how it relates to their children and themselves. Monthly follow-up sessions are held with parents following completion of the program.

The results have been glowing.

“It was magical to see the change that came over my son during the time he was in the (Therapeutic Riding) program,” one parent said. “He was less aggressive and more easy-going. It helped our relationship as well. What a God-send.”

Said another parent: “My daughter’s behavior has greatly improved since she started riding. She can identify that her pony has helped her to be better able to pay attention, be brave, be gentle, stay on task and build on friendships.”

The Specialty Clinic has treated FASD patients since January 2000 when it was awarded a $32,000 MDCH grant. According to Sue Britton, Nurse Manager of the Specialty Clinics, the MGH Specialty Clinic typically sees about two dozen patients per year, ranging in age from 3 months to 52 years.

Because of the chronic frustration associated with FASD, patients sometimes turn to alcohol or drugs as a means of escape, Twa said.

“With FASD patients, we often see school failures and mental health issues,” she said.
A child with FASD, Twa said, is often misunderstood.

“In treating this,” she said, “everyone has to be on the same page by consistently managing it.”
“Our mission is to make a difference in the lives of the children we see here,” Britton said. “The statewide goal is to reduce the number of children born in Michigan with FASD, provide timely diagnosis, and assist those who are diagnosed with needed support services.”

For more information about the Specialty Clinic or its services for treating FASD, call 225-4777 or 1-800-562-9753, ext. 4777; or visit its website at www.mgh.org/wcc/spec.html.

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Marquette General Hospital, 420 W. Magnetic Street, Marquette MI 49855