Abstract
Objectives: The objective of this study was to conduct a systematic search of the literature for studies that estimated the prevalence/incidence of Fetal Alcohol Spectrum Disorder (FASD) in correctional systems in different countries and, based on these data, to estimate a) the number of people with Fetal Alcohol Syndrome (FAS)/FASD within the criminal justice system population, and b) the relative risk of becoming imprisoned for individuals with FAS/FASD compared with those without FAS/FASD.
Method: A systematic world literature review of published and unpublished studies concerning the prevalence/incidence of FASD in correctional systems was conducted in multiple electronic bibliographic databases.
Synthesis: Very little empirical evidence is available on the prevalence of FASD in correctional systems. There were no studies estimating the prevalence/incidence of FASD in correctional systems found for any country other than Canada and the USA. The few studies that have identified incarcerated individuals with FASD estimate that the number of undiagnosed persons in correctional facilities is high. Based on available Canadian data, this study estimates that youths with FASD are 19 times more likely to be incarcerated than youths without FASD in a given year.
Conclusion: More studies investigating the prevalence/incidence of alcohol-affected people in the criminal justice system are required. There is an urgent need to raise awareness about the prevalence and disabilities of individuals with FASD in the criminal justice system and about appropriate responses. The criminal justice system is an ideal arena for intervention efforts aimed at the rehabilitation and prevention or reduction of recidivism in this unique population.
Keywords: Fetal alcohol syndrome, fetal alcohol effects, prevalence, crime
Résumé
Objectifs: Procéder à une recherche documentaire systématique pour répertorier les études ayant estimé la prévalence/l’incidence de l’ensemble des troubles causés par l’alcoolisation fœtale (ETCAF) dans les systèmes correctionnels de différents pays et, d’après ces données, estimer a) le nombre de personnes touchées par le SAF [syndrome d’alcoolisme fœtal] ou l’ETCAF dans la population carcérale et b) le risque relatif d’être incarcéré, pour les sujets touchés par le SAF/l’ETCAF comparativement aux sujets non touchés.
Méthode: Nous avons mené, dans de nombreuses bases de données bibliographiques électroniques, une enquête bibliographique mondiale systématique des études publiées et inédites sur la prévalence/l’incidence de l’ETCAF dans les systèmes correctionnels.
Synthèse: Il existe très peu de preuves empiriques sur la prévalence de l’ETCAF dans les systèmes correctionnels. Sauf au Canada et aux États-Unis, nous n’avons trouvé aucune étude estimant la prévalence/l’incidence de l’ETCAF dans les systèmes correctionnels. Les rares études qui identifient les personnes incarcérées touchées par l’ETCAF estiment que le nombre de sujets non diagnostiqués dans les établissements de correction est élevé. D’après les données canadiennes disponibles, nous estimons que les jeunes touchés par l’ETCAF sont 19 fois plus susceptibles d’être incarcérés que les jeunes non touchés par l’ETCAF au cours d’une année donnée.
Conclusion: Il faudrait que plus d’études s’intéressent à la prévalence/l’incidence des sujets affectés par l’alcool dans le système de justice pénale. Il est urgent de prendre conscience de la prévalence et des handicaps des sujets touchés par l’ETCAF dans ce système, ainsi que des réponses appropriées. Le système de justice pénale est un milieu idéal pour les interventions qui visent à réhabiliter et à prévenir ou réduire le récidivisme dans cette population particulière.
Motsclés: syndrome d’alcoolisme fœtal, effets de l’alcool sur le fœtus, prévalence, crime
Footnotes
Acknowledgements: This work was supported by the Public Health Agency of Canada [contract # 6D016-081841/001/SS].
In addition, the Ontario Ministry of Health and Long-Term Care provided support to the Centre for Addiction and Mental Health for the salaries of scientists and for infrastructure. The views expressed in this manuscript do not necessarily reflect those of the Ontario Ministry of Health and Long-Term Care.
The authors also thank Charlotte Fraser and Marilou Reeve from the Department of Justice Canada and Dr. Igor Karp from the University of Montreal for their helpful comments.
Conflict of Interest: None to declare.
References
- 1.LaDue RA. Psychosocial Needs Associated With Fetal Alcohol Syndrome: Practical Guidelines for Parents and Caretakers. Seattle, WA: University of Washington; 1993. [Google Scholar]
- 2.Streissguth AP, LaDue RA, Randels SP. A Manual on Adolescents and Adults with Fetal Alcohol Syndrome with Special Reference to American Indians. 2nd Ed. Albuquerque, NM: University of Washington; 1988. [Google Scholar]
- 3.Olson HC, Streissguth AP, Bookstein FL, Barr H, Sampson PD. Developmental research in behavioural teratology: Effects of prenatal alcohol exposure on child development. In: Friedman SL, Haywood HC, editors. Developmental Follow-Up: Concepts, Domains, and Methods. Orlando, FL: Academic Press; 1994. [Google Scholar]
- 4.LaDue RA, Dunne T. Legal issues and FAS. In: Streissguth AP, Kanter J, editors. The Challenges of Fetal Alcohol Syndrome: Overcoming Secondary Disabilities. Seattle: University of Washington Press; 1997. [Google Scholar]
- 5.MacPherson P, Chudley AE. Fetal Alcohol Spectrum Disorder (FASD): Screening and estimating incidence in an adult correctional population. 2007. [Google Scholar]
- 6.Streissguth AP, Barr H, Kogan J, Bookstein F. Primary and secondary disabilities in Fetal Alcohol Syndrome. In: Streissguth AP, Kanter J, editors. The Challenges of Fetal Alcohol Syndrome: Overcoming Secondary Disabilities. Seattle: University of Washington Press; 1997. [Google Scholar]
- 7.Streissguth AP, Bookstein FL, Barr HM, Sampson PD, O’Mally D, Young JK. Risk factors for adverse life outcomes in fetal alcohol syndrome and fetal alcohol effects. J Dev Behav Pediatr. 2004;25(4):228–38. doi: 10.1097/00004703-200408000-00002. [DOI] [PubMed] [Google Scholar]
- 8.Zara G, Farrington DP. A longitudinal analysis of early risk factors for adult-onset offending: What predicts a delayed criminal career? Crim Behav Ment Health. 2010;20(4):257–73. doi: 10.1002/cbm.763. [DOI] [PubMed] [Google Scholar]
- 9.Loeber R, Farrington DP. Young children who commit crime: Epidemiology, developmental origins, risk factors, early interventions, and policy implications. Dev Psychopathol. 2000;12(4):737–62. doi: 10.1017/S0954579400004107. [DOI] [PubMed] [Google Scholar]
- 10.Dahlberg LL. Youth violence in the United States: Major trends, risk factors, and prevention approaches. Am J Prev Med. 1998;14(4):259–72. doi: 10.1016/S0749-3797(98)00009-9. [DOI] [PubMed] [Google Scholar]
- 11.Streissguth AP, Barr HM, Kogan J, Bookstein FL. Understanding the Occurrence of Secondary Disabilities in Clients with Fetal Alcohol Syndrome (FAS) and Fetal Alcohol Effects (FAE) Seattle: University of Washington, Fetal Alcohol & Drug Unit; 1996. [Google Scholar]
- 12.Sinha M. An investigation into the feasibility of collecting data on the involvement of adults and youth with mental health issues in the criminal justice system. Ottawa, ON: Canadian Centre for Justice Statistics; 2009. [Google Scholar]
- 13.Lupton C, Burd L, Harwood R. Cost of fetal alcohol spectrum disorders. Am J Med Genet C Semin Med Genet. 2004;127C(1):42–50. doi: 10.1002/ajmg.c.30015. [DOI] [PubMed] [Google Scholar]
- 14.Fast DK, Conry J. Fetal alcohol spectrum disorders and the criminal justice system. Dev Disabil Res Rev. 2009;15(3):250–57. doi: 10.1002/ddrr.66. [DOI] [PubMed] [Google Scholar]
- 15.Popova S, Stade B, Bekmuradov D, Lange S, Rehm J. Alcohol Alcsm. 2011. What do we know about the economic impact of Fetal Alcohol Spectrum Disorder? A systematic literature review. [DOI] [PubMed] [Google Scholar]
- 16.Fast DK, Conry J. The challenge of fetal alcohol syndrome in the criminal legal system. Addict Biol. 2004;9(2):161–68. doi: 10.1080/13556210410001717042. [DOI] [PubMed] [Google Scholar]
- 17.Boland FJ, Grant BA. The challenge of Fetal Alcohol Syndrome in adult offender population. Forum on Corrections Research. 2002;14(3):61–64. [Google Scholar]
- 18.Fast DK, Conry J, Loock CA. Identifying fetal alcohol syndrome among youth in the criminal justice system. J Dev Behav Pediatr. 1999;20(5):370–72. doi: 10.1097/00004703-199910000-00012. [DOI] [PubMed] [Google Scholar]
- 19.Rojas EY, Gretton HM. Background, offence characteristics, and criminal outcomes of Aboriginal youth who sexually offend: A closer look at Aboriginal youth intervention needs. Sex Abuse J Res Treat. 2007;19(3):257–83. doi: 10.1177/107906320701900306. [DOI] [PubMed] [Google Scholar]
- 20.Murphy A, Chittenden M. The McGeary Centre Society. Time out II: A profile of BC youth in custody. Vancouver, BC: The McCreary Centre Society; 2005. [Google Scholar]
- 21.Burd L, Selfridge R, Klug M, Juelson T. Fetal alcohol syndrome in the Canadian corrections system. J FAS Int. 2003;1:e14. [Google Scholar]
- 22.Burd L, Selfridge R, Klug M, Bakko S. Fetal alcohol syndrome in the United States corrections system. Addict Biol. 2004;9(2):169–78. doi: 10.1080/13556210410001717060. [DOI] [PubMed] [Google Scholar]
- 23.Abel EL. Fetal Alcohol Abuse Syndrome. New York, NY: Plenum Press; 1998. [Google Scholar]
- 24.Sampson PD, Streissguth AP, Bookstein FL, Little RE, Clarren SK, Dehaena P, et al. Incidence of fetal alcohol sydrome and prevalence of alcohol-related neurodevelopmental disorder. Teratology. 1997;56(5):317–26. doi: 10.1002/(SICI)1096-9926(199711)56:5<317::AID-TERA5>3.0.CO;2-U. [DOI] [PubMed] [Google Scholar]
- 25.Statistics Canada. The Daily Statistics Canada. Adult and youth correctional services: Key indicators, 2008/2009 (correction). Catalogue 11-001-XIE (Français 11-001-XIF) ISSN 1205-9137. Ottawa: Statistics Canada; 2009. [Google Scholar]
- 26.Public Health Agency of Canada. Fetal Alcohol Spectrum Disorder (FASD): A Framework for Action. Ottawa: PHAC; 2003. [Google Scholar]
- 27.Chudley AE, Conry J, Cook JL, Loock C, Rosales T, LeBlanc N. Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis. CMAJ. 2005;172(5Suppl):S1–S21. doi: 10.1503/cmaj.1040302. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Burd L, Klug MG, Li Q, Kerbeshian J, Martsolf JT. Diagnosis of fetal alcohol spectrum disorders: A validity study of the fetal alcohol syndrome checklist. Alcohol. 2010;44(7-8):605–14. doi: 10.1016/j.alcohol.2009.08.010. [DOI] [PubMed] [Google Scholar]
- 29.Goh IY, Chudley AE, Clarren SK, Koren G, Orrbine E, Rasales T, et al. Development of Canadian Screening Tools for Fetal Alcohol Spectrum Disorder. Can J Clin Pharmacol. 2008;152:e344–e366. [PubMed] [Google Scholar]
- 30.The Asante Centre for Fetal Alcohol Syndrome. The Asante Centre for Fetal Alcohol Syndrome. 2010. Youth Probation Officers’ Guide to FASD Screening and Referral. 2010. [Google Scholar]