Neurodevelopmental

FASD Assessment

Comprehensive forensic evaluation of Foetal Alcohol Spectrum Disorder and its impact on a defendant’s cognitive profile and executive functioning. We provide CPR-compliant reports with urgent turnaround options to assist the court in understanding neurodevelopmental vulnerability.

Section 12 Approved Psychiatrists
CPR Part 19 Compliant
Urgent Reports Available

Expert Type

  • Forensic Psychiatrist
  • Neuropsychologist
  • Clinical Psychologist
  • Speech and Language Therapist

Applicable Law

  • Mental Health Act 1983
  • Mental Capacity Act 2005
  • Sentencing Act 2020
  • Equality Act 2010
  • Criminal Procedure Rules

When Needed

An assessment is critical when prenatal alcohol exposure is suspected to have caused permanent brain injury, affecting a person’s ability to understand consequences or regulate behaviour.

What Is a FASD Assessment?

A FASD Assessment is a multidisciplinary diagnostic process designed to identify the physical, mental, and behavioural effects of prenatal alcohol exposure. In a legal context, this assessment identifies neurodevelopmental impairments that may not be immediately visible but significantly impact an individual’s engagement with the justice system.

The assessment focuses on ten brain domains to establish a clinical diagnosis and evaluate how these deficits correlate with legal thresholds. This includes evaluating whether the individual meets the criteria for significant impairment as defined under the Sentencing Council Guidelines (England and Wales) for vulnerable offenders.

  • Prenatal exposure — evidence of maternal alcohol consumption during pregnancy
  • Physical features — assessment of specific sentinel facial features and growth deficits
  • Executive dysfunction — impairment in planning, impulse control, and abstract reasoning
  • Memory deficits — significant gaps in short-term memory or suggestibility
  • Adaptive behaviour — inability to manage daily living tasks or social interactions
  • Neurological evidence — clinical signs of structural or functional brain abnormalities

Our expert witnesses utilize the latest international diagnostic criteria to provide the court with a clear neuropsychological profile. This evidence is crucial for determining fitness to plead and identifying necessary special measures during trial.

The resulting expert opinion clarifies the link between the individual’s neurodevelopmental condition and their alleged conduct, providing a framework for mitigation or alternative sentencing pathways.

Key Assessment Components

Our assessment evaluates the following areas:

Clinical Interview

A detailed review of developmental history and life milestones conducted by a forensic specialist.

Neuropsychological Testing

Standardised assessments of IQ, memory, and cognitive processing speed to identify functional gaps.

Executive Function Battery

Specific testing focused on impulse control and the ability to anticipate consequences.

Adaptive Functioning Scales

Evaluation of social communication and the capacity for independent living versus chronological age.

Documentary Evidence Review

Analysis of medical records, school reports, and social services files to corroborate history.

Risk Management Analysis

Assessment of how FASD-related deficits influence future risk and rehabilitative needs.

Conditions That May Affect This Assessment

A range of psychiatric and psychological conditions can affect this assessment. These include:

Attention Deficit Hyperactivity Disorder (ADHD)
Autism Spectrum Disorder (ASD)
Intellectual Disability
Attachment Disorders
Post-Traumatic Stress Disorder (PTSD)
Oppositional Defiant Disorder (ODD)

The comorbidity of FASD with other conditions often requires a differential diagnosis to ensure legal clarity.

Assessment Process

  1. Instruction Received

    Briefing from solicitor and transfer of all relevant medical and social records.

  2. Expert Matched

    Selection of a psychiatrist or psychologist with specific expertise in neurodevelopmental trauma.

  3. Assessment Conducted

    Clinical interview and psychometric testing performed at a prison, hospital, or our chambers.

  4. Report Delivered

    Final CPR-compliant report provided with clear recommendations for the court.

Turnaround Times

Urgency Level Timescale
Standard Report 4-6 weeks from assessment
Priority Report 1-2 weeks
Urgent Report 1-4 days
We specialise in rapid turnaround for FASD Assessment reports to meet strict court filing deadlines.

What’s Included in the Report

Clinical history and background
Evidence of prenatal alcohol exposure
Detailed neuropsychological profile
Evaluation of 10 brain domains
Diagnostic conclusion (FASD)
Impact on Fitness to Plead
Assessment of suggestibility and compliance
Recommendations for Special Measures
Impact on culpability and sentencing
Suggested management and support plans

All reports are prepared by experienced expert witnesses and are compliant with Criminal Procedure Rules (Part 19) (criminal proceedings) and CPR Part 35 where applicable.

Frequently Asked Questions

Need a FASD Report?

Contact us today for a CPR-compliant evaluation. We provide expert CVs and detailed written quotations provided promptly upon enquiry for all neurodevelopmental instructions.