Table 1.

Timeline of aspects to management from preconception to adulthood

	Time period
	Pre conception	During pregnancy	Childhood 0-18	Adult 18+
Actions to take	1 Public education	1 Monitoring of pregnancy	1 Early recognition	1 Diagnosis
	2 Pre conception advice	2 Ongoing advice	2 Diagnosis	2 Psychometric assessment	Psychometric, physical investigations and other recommended tests
		3 Information documentation	3 Psychometric assessment	3 Physical investigation if not previously undertaken
		4 Correspondence with colleagues	4 Educational statement (if required)	4 Investigation of background and history from/about birth mother if possible
			5 Ongoing support as needed	5 Education of others as to level of function	1 IQ e.g. WISC/WAIS/NART
			6 Physical investigations	6 Ongoing support	2 Executive function, e.g. Delis Kaplan test
			7 Behavioural management e.g. ADHD symptoms	7 Social
			8 Further prevention	8 Financial	3 Communication assessment
				9 Educational
				10 Employment	4 Brain imaging for microcephaly below 3rd percentile, midline abnormalities and from areas of decreased attenuation
				11 Management of secondary disabilities
Responsible practitioners	1 Government/FAS specialists	1 GP	1 GP	GP
	2 GP	2 Midwife	2 Health visitor	Clinical genetics	5 Physical examination for cardiac, renal and oro-buccal pathology
	3 Addiction psychiatrist	3 Obstetrician	3 Hospital paediatrician	FAS specialist
		4 Addiction psychiatrist	4 Community paediatrician	Neurology
			5 Child psychiatrist/team	Public health
			6 FAS specialist	Community mental health teams
			7 Clinical geneticist
			8 Addiction psychiatrist	General psychiatry
			9 Neurology	Learning disability psychiatry
			10 Public health
			11 Education services	Addiction psychiatry
				Forensic psychiatry
				Psychology
				Speech and language therapist
				Social Services Government