This research is supported by the US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Birth Defects and Developmental Disabilities, grant award #1U01DD001143-01, FAIN #U01DD00143.

Despite more than thirty years of research linking alcohol-exposed pregnancies (AEP) and birth defects, alcohol use by pregnant women continues as a major public health problem and cause of Fetal Alcohol Spectrum Disorders (FASDs). While alcohol misuse, AEPs and FASDs are national issues, providing prevention services is a local endeavor that can be especially challenging in rural communities with high-risk populations. The project purpose is to establish the Northwest Arctic FASD Practice and Implementation (NAPIC). NAPIC’s overarching goal is to prepare nurses, psychologists and other healthcare professionals working in the Pacific Northwest/Arctic states (i.e., “Northwest Arctic”) of Alaska, Oregon and Washington to provide early identification, diagnosis, and treatment of FASDs and to use evidence-based primary prevention strategies and interventions within practice settings to prevent AEPs and FASDs.

The ultimate objective of the project is to reduce health consequences of AEPs and improve the health of Northwest Arctic residents, and through collaboration, the U.S. population. NAPIC will accomplish its goals through six objectives:

  1. Adapt and implement CEDC curricula for nurses and psychologists.
  2. Translate training and practice materials to electronic learning environments to promote dissemination.
  3. Facilitate practice-based implementation using an evidence-based implementation planning and evaluation framework, RE-AIM, to accelerate systems-level change within diverse healthcare delivery contexts.
  4. Institutionalize FASD-related content within curricula for health students and medical residents and university settings.
  5. Collaborate and coordinate with other PICs, national health professional organization grantees and regional partner groups to address AEPs, FASDs and alcohol misuse across the country and all disciplines.
  6. Conduct regional process and outcome evaluation to iteratively evaluate progress against key milestones.


Available Reports

  • Medicaid Policies for Alcohol SBI Reimbursement
  • Prevention of Fetal Alcohol Spectrum Disorders: Practice Behaviors, Attitudes, and Confidence among Members of the American College of Nurse-Midwives