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• Screening for FAS or FARC (Section III).
The third section explores the common tools used in the functional assessment of people with FAS and FARC. One of the items, the Fetal Alcohol Exposure Risk Assessment for Adolescents and Adults, is intended to help the vocational high school counselor screen for FAS/FARC and, if appropriate, refer for a diagnostic evaluation or further testing.

• Developing an individualized plan (Section IV).
This section provides a practical guide for using the material gained through assessment and screening of the client to write a viable, appropriate and practical Individualized Education Plan (IEP), Individualized Service Plan (ISP), or Individualized Plan for Employment (IPE). Three case studies are provided in the training manual to help illustrate the major points as presented in the material.

• Designing and aiding the implementation of an individualized plan (Section V).

This section shows trainees how to design and aid the implementation of an individualized plan. A fourth case study is provided to give trainees practice with this process.

• Evaluate how a plan is working and make adjustments (Section VI).
The final portion of the process for successfully integrating the client with a disability back into the school or employment world is an ongoing process of reevaluating the individualized plan. Program evaluation should include the following items: 1) timely completion of special programs, 2) achievement of goals, 3) client’s improved functioning in the areas assessed by the instruments discussed in the manual, and 4) client’s satisfaction with his or her placement.

In summary, the manual emphasizes person-centered planning for American Indians who have FAS or related conditions. This approach involves the use of multidisciplinary teams in diagnosis as well as in educational and employment planning, based on the IEP model mandated by the Individuals with Disabilities Education Act (IDEA), as amended in 1997. We feel that this approach works across disciplines and through time to help each client achieve his or her maximum potential.

Funding for AIRRTC projects and dissemination materials are awarded by the National Institute on Disability and Rehabilitation Research (NIDRR), Office of Special Education and Rehabilitative Services (OSERS), U.S. Department of Education (DOE), grant number H133B980049. The contents of this publication are the sole responsibility of the grantee, and opinions expressed herein do not necessarily reflect the position or policy of NIDRR, OSERS, or DOE.

Fact sheet no. 7 compiled and edited by Priscilla Lansing Sanderson, Julie Anna Clay, Dr. Lee Gaseoma, and Caroline Maul. The full technical report, Fetal Alcohol Syndrome: A Training Manual to Aid in Vocational Rehabilitation and Other Non-medical Services, is available from the American Indian Rehabilitation Research and Training Center. To request AIRRTC reports and AIRRTC publication catalog, contact the AIRRTC Training and Dissemination Secretary at (520) 523-7054, FAX (520) 523-9127, or TTY (520) 523-1695.

This document is available in alternate formats upon request by contacting the AIRRTC Training and Dissemination Secretary at (520) 523-7054, FAX (520) 523-9127, or TTY (520) 523-1695. AIRRTC is located at the Institute for Human Development, an Arizona University Affiliated Program at Northern Arizona University.

ISBN: 1-930563-03-5

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