While Fetal Alcohol Spectrum Disorder (FASD) is a low-prevalence disorder, affecting less than 0.05% of the US population, children with FASD have high rates of comorbidity with other neurodevelopmental and mental health disorders. In addition, youth with FASD have high rates of disruptive behavior disorders, but they are underrepresented in the behavioral parenting intervention literature. This case study presents the treatment of a 4-year-old boy with FASD, IDD, and ASD using Parent-Child Interaction Therapy adapted for the boy’s individual needs. Findings from this case report documented (a) child improvement in problem behaviors, but less improvement in intensity, (b) caregiver attainment of positive parenting skills, (c) caregiver satisfaction with intervention, (d) and maintenance of gains at 3-week follow-up. In addition, considerations are offered to clinicians and trainees who work with families with children with complex developmental profiles.
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