PERSPECTIVE article

Front. Pediatr.

Sec. Children and Health

Volume 13 - 2025 | doi: 10.3389/fped.2025.1603765

Overcoming Barriers to Care for Individuals with Fetal Alcohol Spectrum Disorder: Challenges and Solutions in New Mexico and Beyond

Provisionally accepted
Aubrey  WilsonAubrey WilsonJuliet  VelhagenJuliet VelhagenTalya  Adler JaffeTalya Adler JaffeDina  HillDina HillMarcia  MoriartaMarcia MoriartaCarlos  Fernando ValenzuelaCarlos Fernando Valenzuela*
  • School of Medicine, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, United States

The final, formatted version of the article will be published soon.

Fetal Alcohol Spectrum Disorder (FASD) encompasses a range of neurodevelopmental impairments caused by prenatal alcohol exposure, affecting cognitive, behavioral, and social functioning. Despite its high prevalence, FASD remains underdiagnosed, particularly in regions like New Mexico (NM), where high rates of alcohol use, poverty, and unplanned pregnancies exacerbate the burden of the disorder. Individuals with FASD often face significant challenges in adaptive functioning, education, and social integration, with many experiencing adverse childhood events that compound developmental difficulties. Access to appropriate healthcare and social services is hindered by diagnostic complexity, stigma, and exclusion from disability benefits. Limited awareness among healthcare providers, educators, and social workers further impedes early intervention, leading to increased risks of poor academic performance, unemployment, homelessness, and criminal justice involvement. Specialized FASD clinics play a critical role in diagnosis and support, but remain insufficient to meet the needs of affected individuals. Expanding education, advocacy, and tailored support services is essential to addressing these gaps. By enhancing awareness, integrating FASD-specific disability benefits, and strengthening community-based programs, long-term outcomes for individuals with FASD can be significantly improved.

Keywords: prenatal, alcohol, Pregnancy, access, care

Received: 31 Mar 2025; Accepted: 06 Jun 2025.

Copyright: © 2025 Wilson, Velhagen, Jaffe, Hill, Moriarta and Valenzuela. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Carlos Fernando Valenzuela, School of Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM 87106, New Mexico, United States

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