Fetal alcohol spectrum disorder (FASD): Comparing profiles of younger versus older adults

BACKGROUND: Fetal alcohol spectrum disorder (FASD) has implications for wellbeing across the lifespan. Research regarding adult profiles is limited. METHOD: Data were drawn from the Canadian National Database for younger (18-24 years n = 223) and older (35 + years n = 185) groups, all diagnosed with FASD using Canadian guidelines. Groups were compared on: cognitive/functional abilities; physical/mental health; substance misuse; independent living; legal involvement; and recommendations post-diagnosis. Analysis included chi-square, ANOVA, and linear regression. RESULTS: The 35 + group showed lower rates of attention and executive functioning deficits, less need for supportive housing, and fewer difficulties with independent living but higher rates of memory and physical problems. Substance misuse, legal involvement, and mental health issues were high in both groups. The 35 + group attended substance misuse treatment and were referred for income supports more than the 18-24 group. CONCLUSION: Distinct profiles were observed for older versus younger adults with FASD. Interventions and supports must be adjusted to meet age-specific needs.