Assessment and Diagnosis of FASD for Adults

Fetal Alcohol Spectrum Disorder (FASD) is a lifelong disability, and support for individuals and families is required throughout the lifespan to help them reach their full potential. 

While diagnosis in childhood is ideal to assist with earlier understanding and appropriate expectations, many children and youth are unable to access diagnosis at this time due to a range of barriers.  Many individuals find themselves in adulthood, searching for an explanation for the struggles they have faced throughout their lives. 
Many people identify as having had difficulty learning or focusing in school, maintaining employment, keeping positive relationships, or overcoming drug and alcohol addiction.  Assessment and diagnosis of FASD may provide some of the answers adults and their families search for, as well as improve access to services. 

While there is building awareness of the need for better access to adult assessment, there are currently no publicly-funded adult FASD assessment programs in British Columbia.  However, private assessments may be an option for the family or the adult's service provider network.  A person may also be able to access an assessment if there is a strong suspicion that the person may be eligible for Community Living BC's Personalized Supports Initiative (see below).

Private Assessments

The Asante Centre offers provate FASD assessments for adults.  Referrals can be made by contacting the Centre; an intake worker will work with the individual suspected of having FASD and his or her support advocate to collect the necessary background information, explain the process, answer questions, and determine next steps. 

For a fee quotation based on individual needs, please contact the Asante Centre at any time, or see private assessments for more information.  Please also visit the resources section of the website for access to print and visual resources for adults and their support networks to learn about FASD.

CLBC's Personalized Supports Initiative

Community Living BC (CLBC) is a provincial crown agency that funds supports and services through service agencies for adults with developmental disabilities and their families in British Columbia.  CLBC has two doors of service eligibility, one based on intellectual disability called the developmental disability stream.
The second door is called the Personalized Supports Initiative (PSI), which provides services to adults who have both significant limitations in adaptive functioning (daily living skills) and either a diagnosis of fetal alcohol spectrum disorder (FASD) or autism spectrum disorder (ASD).
A person may apply for CLBC services, and while be strongly suspected of meeting the service's eligibility criteria, lack a formal diagnosis that meets the Canadian standards.  If this is the case, CLBC may refer the person to the Asante Centre for a diagnostic evaluation. 
If you are an adult or know an adult suspected of having FASD who would benefit from an assessment, you may contact your local CLBC eligibility facilitator to determine if the person meets the expectations for this option. 
Relatedly, the Asante Centre partners with certain provincial corrections institutions to offer assessments for individuals transitioning out of custody who are at high risk of homelessness.  If the person is suspected of having FASD and meets the adaptive functioning criteria for PSI, a diagnostic assessment may be provided.