Health, Social, Education, and Justice Outcomes of Manitoba First Nations Children Diagnosed with Fetal Alcohol Spectrum Disorder: A Population-Based Cohort Study of Linked Administrative Data
Objective: To examine health services, social services, education, and justice system outcomes among First Nations children and youth with fetal alcohol spectrum disorder (FASD). Methods: In this retrospective cohort study, health and social services, education, and justice data were linked with cli...
Published in: | The Canadian Journal of Psychiatry |
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Online Access: | http://dx.doi.org/10.1177/0706743718816064 http://journals.sagepub.com/doi/pdf/10.1177/0706743718816064 http://journals.sagepub.com/doi/full-xml/10.1177/0706743718816064 |
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crsagepubl:10.1177/0706743718816064 2023-05-15T16:14:41+02:00 Health, Social, Education, and Justice Outcomes of Manitoba First Nations Children Diagnosed with Fetal Alcohol Spectrum Disorder: A Population-Based Cohort Study of Linked Administrative Data Brownell, Marni Enns, Jennifer E. Hanlon-Dearman, Ana Chateau, Dan Phillips-Beck, Wanda Singal, Deepa MacWilliam, Leonard Longstaffe, Sally Chudley, Ab Elias, Brenda Roos, Noralou University of Manitoba 2018 http://dx.doi.org/10.1177/0706743718816064 http://journals.sagepub.com/doi/pdf/10.1177/0706743718816064 http://journals.sagepub.com/doi/full-xml/10.1177/0706743718816064 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license The Canadian Journal of Psychiatry volume 64, issue 9, page 611-620 ISSN 0706-7437 1497-0015 Psychiatry and Mental health journal-article 2018 crsagepubl https://doi.org/10.1177/0706743718816064 2022-09-21T19:49:47Z Objective: To examine health services, social services, education, and justice system outcomes among First Nations children and youth with fetal alcohol spectrum disorder (FASD). Methods: In this retrospective cohort study, health and social services, education, and justice data were linked with clinical records on First Nations (FN) individuals aged 1 to 25 and diagnosed with FASD between 1999 and 2010 ( n = 743). We compared the FN FASD group to non-FN individuals with FASD (non-FN FASD; n = 315) and to First Nations individuals (matched on age, sex, and income) not diagnosed with FASD (FN non-FASD; n = 2229). Rates and relative risks (RRs) were calculated using generalized linear models. Results: FN FASD individuals had similar health services use to non-FN FASD individuals but had greater involvement with child welfare (RR, 1.20; 95% confidence interval [CI], 1.02 to 1.41) and the justice system (RR, 1.37; 95% CI, 1.07 to 1.74) and were more likely to be charged with a crime (RR, 1.40; 95% CI, 1.05 to 1.86). There were no suicides/suicide attempts among the non-FN FASD individuals during the study, but the crude rate/100 person-years of suicides among FN FASD individuals (0.22 for females; 1.06 for males) was substantially higher than for FN non-FASD individuals (0.08 for females; 0.32 for males). There were no significant differences between groups in the education outcomes we measured. Conclusions: Young people with FASD are at risk for poor health, education, and social outcomes, but First Nations young people with FASD face comparably higher risks, particularly with child welfare and justice system involvement. The study emphasizes a critical need for appropriate resources for First Nations children with FASD. Article in Journal/Newspaper First Nations SAGE Publications (via Crossref) The Canadian Journal of Psychiatry 64 9 611 620 |
institution |
Open Polar |
collection |
SAGE Publications (via Crossref) |
op_collection_id |
crsagepubl |
language |
English |
topic |
Psychiatry and Mental health |
spellingShingle |
Psychiatry and Mental health Brownell, Marni Enns, Jennifer E. Hanlon-Dearman, Ana Chateau, Dan Phillips-Beck, Wanda Singal, Deepa MacWilliam, Leonard Longstaffe, Sally Chudley, Ab Elias, Brenda Roos, Noralou Health, Social, Education, and Justice Outcomes of Manitoba First Nations Children Diagnosed with Fetal Alcohol Spectrum Disorder: A Population-Based Cohort Study of Linked Administrative Data |
topic_facet |
Psychiatry and Mental health |
description |
Objective: To examine health services, social services, education, and justice system outcomes among First Nations children and youth with fetal alcohol spectrum disorder (FASD). Methods: In this retrospective cohort study, health and social services, education, and justice data were linked with clinical records on First Nations (FN) individuals aged 1 to 25 and diagnosed with FASD between 1999 and 2010 ( n = 743). We compared the FN FASD group to non-FN individuals with FASD (non-FN FASD; n = 315) and to First Nations individuals (matched on age, sex, and income) not diagnosed with FASD (FN non-FASD; n = 2229). Rates and relative risks (RRs) were calculated using generalized linear models. Results: FN FASD individuals had similar health services use to non-FN FASD individuals but had greater involvement with child welfare (RR, 1.20; 95% confidence interval [CI], 1.02 to 1.41) and the justice system (RR, 1.37; 95% CI, 1.07 to 1.74) and were more likely to be charged with a crime (RR, 1.40; 95% CI, 1.05 to 1.86). There were no suicides/suicide attempts among the non-FN FASD individuals during the study, but the crude rate/100 person-years of suicides among FN FASD individuals (0.22 for females; 1.06 for males) was substantially higher than for FN non-FASD individuals (0.08 for females; 0.32 for males). There were no significant differences between groups in the education outcomes we measured. Conclusions: Young people with FASD are at risk for poor health, education, and social outcomes, but First Nations young people with FASD face comparably higher risks, particularly with child welfare and justice system involvement. The study emphasizes a critical need for appropriate resources for First Nations children with FASD. |
author2 |
University of Manitoba |
format |
Article in Journal/Newspaper |
author |
Brownell, Marni Enns, Jennifer E. Hanlon-Dearman, Ana Chateau, Dan Phillips-Beck, Wanda Singal, Deepa MacWilliam, Leonard Longstaffe, Sally Chudley, Ab Elias, Brenda Roos, Noralou |
author_facet |
Brownell, Marni Enns, Jennifer E. Hanlon-Dearman, Ana Chateau, Dan Phillips-Beck, Wanda Singal, Deepa MacWilliam, Leonard Longstaffe, Sally Chudley, Ab Elias, Brenda Roos, Noralou |
author_sort |
Brownell, Marni |
title |
Health, Social, Education, and Justice Outcomes of Manitoba First Nations Children Diagnosed with Fetal Alcohol Spectrum Disorder: A Population-Based Cohort Study of Linked Administrative Data |
title_short |
Health, Social, Education, and Justice Outcomes of Manitoba First Nations Children Diagnosed with Fetal Alcohol Spectrum Disorder: A Population-Based Cohort Study of Linked Administrative Data |
title_full |
Health, Social, Education, and Justice Outcomes of Manitoba First Nations Children Diagnosed with Fetal Alcohol Spectrum Disorder: A Population-Based Cohort Study of Linked Administrative Data |
title_fullStr |
Health, Social, Education, and Justice Outcomes of Manitoba First Nations Children Diagnosed with Fetal Alcohol Spectrum Disorder: A Population-Based Cohort Study of Linked Administrative Data |
title_full_unstemmed |
Health, Social, Education, and Justice Outcomes of Manitoba First Nations Children Diagnosed with Fetal Alcohol Spectrum Disorder: A Population-Based Cohort Study of Linked Administrative Data |
title_sort |
health, social, education, and justice outcomes of manitoba first nations children diagnosed with fetal alcohol spectrum disorder: a population-based cohort study of linked administrative data |
publisher |
SAGE Publications |
publishDate |
2018 |
url |
http://dx.doi.org/10.1177/0706743718816064 http://journals.sagepub.com/doi/pdf/10.1177/0706743718816064 http://journals.sagepub.com/doi/full-xml/10.1177/0706743718816064 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
The Canadian Journal of Psychiatry volume 64, issue 9, page 611-620 ISSN 0706-7437 1497-0015 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1177/0706743718816064 |
container_title |
The Canadian Journal of Psychiatry |
container_volume |
64 |
container_issue |
9 |
container_start_page |
611 |
op_container_end_page |
620 |
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1766000462073430016 |