Table 1

Clinic Characteristics
Clinic Site	Funding Source	Services Offered	Training for Professionals	Training for Parents	Referral Criteria	Ages Seen	New referrals seen per year	% of Children seen with FAS/FASD

Canada
Province A¹³	State, fee for service	Diagnosis, short term management	Yes	NR	None	All ages	60	NR
Province B¹⁴	State, research, community	Diagnosis, short term management	No	No	Children with verified prenatal exposure to alcohol selected from the waiting list for the Psychology Clinic	6 to 16 yrs	15 in pilot period	NR
Province C	Federal, charitable	Screening, diagnosis, management	NR	Yes	Children of drug treatment programme only	0 to 6 yrs	50 to 75	NR
Province C¹⁶	Federal funding now ceased; clinic not operational	Diagnosis, short term management	Yes	NR	None	0 to 12 yrs	49	3/77
Province C	State	Screening, diagnosis, management	Yes	Yes	Prenatal alcohol exposure & evidence of CNS (behaviour)	<18 yrs	40- to 50	Unknown, most would have ARND

USA
State A^a	Federal	Diagnosis, short term management	Yes	No	Pre-natal alcohol exposure	Usually <18 years	150 across network	2.6/70
State B	Self-pay, insurance	Diagnosis	Yes	Yes	None	0 to 12 yrs	35	10/90
State B^b	Insurance, research grants	Screening, diagnosis, management	Yes	No	None	All ages	100	10/10
State B	Fee for service	Diagnosis	Yes	No	None	0 to 21 yrs	50	25/25
State B	State	Screening, diagnosis	Yes	No	Prenatal alcohol exposure and contacted telephone information service	All ages	NR	1/5
State C	State & federal funding, fee for service, insurance	Screening, diagnosis, management	Yes	Yes	Prenatal exposure to alcohol or other drugs	0 to 21 yrs	200 to 250	45/30
State D^b	Research grants	Screening, diagnosis	No	No	Children of heavy drinkers	NR	NR	NR
State E	Fee for service, charitable foundation	Diagnosis	Yes	No	FASD highly suspected, but may not be confirmed.	0 to 21 yrs	80	5/87
State F	State & federal	Screening, diagnosis	Yes	Yes	None	0 to 20 yrs	100	20/30
State G^c	Federal	Screening, diagnosis	Yes	NR	Developmental delay, growth parameters < 25th centile, known prenatal alcohol exposure, or previous diagnosis of FAS/FASD	0 to 18 yrs	300	0.7/3.7
State H	State & federal funding, fee for service	Screening, diagnosis, management	Yes	Yes	None	All ages	300 to 400	10/15
State I	Sliding fee scale, adoption subsidy, children services, contributions	Screening, diagnosis, management	Yes	Yes	Prenatal Alcohol exposure suspected then referrals screened for suitability	3 to 18 yrs	20	20/80
State J	State	Screening, diagnosis	Yes	Yes	Any prenatal alcohol exposure	All ages	60 families	9/vast majority
State K	Contract, federal, state, fee for service	Screening, diagnosis, short term management	Yes	Yes	Prenatal alcohol exposure, developmental &/or behavioural concerns	3 to 16 yrs	24	5/95

Chile
Clinic A	Research grants (US NIH)	Screening, diagnosis, management	Yes	Yes	Protocol (unspecified)	0 to 5 yrs	20	8/25

South Africa
Clinic A	Research grants (US and local)	Screening, diagnosis, management	Yes	Yes	Birth records from local hospitals	9 to 24 months & 7 to 12 yrs	Recruited, not referred	Multiple sites, range: 1.9 to 10.3/2.5 to 12.2
Clinic B^c	Federal (US Research)	Screening, diagnosis, management	Yes	NR	Developmental delay, growth parameters < 25th centile, known prenatal alcohol exposure, or previous diagnosis of FAS/FASD	0 to 18 yrs	1600	7.4/NR

Italy
Clinic A^c	Federal (US Research)	Screening, diagnosis	Yes	NR	Developmental delay, growth parameters <25th centile, known prenatal alcohol exposure, or previous diagnosis of FAS/FASD	0 to 18 yrs	543	4/NR

United Kingdom
Clinic A	National Health Service	Diagnosis	Yes	No	None	14 to 18 yrs	12 (6 months only)	0/100

NR, no response to the question. ^aAggregate data for network of 11 clinics. ^bThese clinics also have research focussed satellite clinics, however insufficient separate information was given for separate inclusion. ^cClinics are a linked research network.
Peadon et al. BMC Pediatrics 2008 8:12 doi:10.1186/1471-2431-8-12