How the brain informs our understanding of behaviour: Examining externalizing mental health problems in children with FASD
Fetal alcohol spectrum disorder (FASD) is a complex neurodevelopmental disorder caused by prenatal alcohol exposure and is related to a range of impairments. Children with FASD display higher rates of mental health problems, including externalizing behaviours, such as aggression and impulsivity. These behaviours are disruptive, severely stigmatizing, and increase children's risk of entering the Criminal Justice System. The occurrence of externalizing behaviours is influenced by how we understand, interpret, and respond to them. However, we lack a clear understanding of externalizing behaviours in children with FASD, leading to poor outcomes. To improve our responses, we must increase our understanding of the brain and brain development. The proposed WCHRI project aims to a) identify brain regions associated with externalizing behaviours in children with FASD, and b) translate brain science into a novel knowledge resource for caregivers. Data from the Prenatal Exposure and Child Brain and Mental Health (PEACH) project will be used to address the goals of the proposed study. The PEACH project is designed to study several factors influencing mental health functioning in children and youth with FASD. Of interest are the brain-based origins of externalizing behaviours. The research will be conducted in two phases. First, brain imaging data will be analyzed to identify the unique brain centers associated with externalizing behaviours. Second, this knowledge will be translated into a practical guide for caregivers, with recommendations for appropriate responses. This work is required to develop sensitive and effective intervention strategies for children and families navigating FASD. Often, caregivers feel overwhelmed in caring for children with complex needs. Equipping caregivers with concrete strategies to respond to problem behaviours rooted in science is essential in promoting healthy outcomes for these vulnerable children.