Results 20 children were assessed in the first year. 8 children were diagnosed as having FASD. Other problems related to conditions such as attachment difficulties, ADHD and learning disability. There were a small number of children where prenatal alcohol exposure was suspected but unknown, particularly following adoption. Some children are still awaiting psychological assessment (due to maternity leave) before a diagnosis can be ascribed. Conclusion It was possible to build in a specialist

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... ic without significant extra resources. Additional resources required were a) software required for the facial analysis, and b) training in the use of the 4-digit code (available as an on-line module) As the clinic developed, an increasing part of the clinic time was taken up with multidisciplinary discussion in 2 areas: what information was available at the time of referral, and what further information/assessments would be required which would be helpful in reaching a diagnosis, and in reaching consensus regarding the final diagnosis. Informal feedback from teachers, social workers and carers has shown that they have found the clinic helpful and valuable. (formal feedback in progress). The presence of a specific clinic dedicated to FASD helped provide a focus for referral concerns, develop and concentrate expertise among professionals, and allow ongoing collection of appropriate data.