Three moments from an ordinary Tuesday, because "trauma-informed" should mean something you can picture.
A boy who “knew it yesterday” doesn’t know it today. His therapist doesn’t reteach louder — she reteaches differently, because with FASD, memory isn’t a ladder, it’s weather. The plan expects that, so nobody’s frustrated. He gets there.
A foster mom arrives with a binder and braces for the usual questions. Instead: “What’s he great at?” Nobody here needs the story of how prenatal exposure happened. However your family came together, you’re welcome.
Team huddle: an approach that works for autistic learners isn’t landing for a child with FASD — so the BCBA swaps it for more external structure and fewer verbal steps. Different brain, different plan. That’s the specialty.
The right fit matters more to us than a full roster. If we're not it, we'll help you find who is.
The schedule barely changes — and that’s the design.
Same greeter, same steps, same order. Predictability is what safety feels like.
Concrete, visual, single-step directions — shown as much as said.
Skills get far more repetitions than a typical program plans for — on purpose.
Same seat, same sequence. Energy goes to eating and friends, not decoding a new routine.
Slipped skills are simply taught again. No sighing, no starting over emotionally — just teaching.
Effort counts here as much as outcome — and it gets the same high-five.
FASD affects memory, cause-and-effect reasoning, and processing speed in ways that standard behavior strategies don’t always account for. Consequences can teach less; structure, repetition, and environmental supports teach more. Our team plans for a brain that learns differently — instead of running an autism playbook and wondering why it stalls. FASD is also far more common than most people realize — and concentrated where support is hardest to find: a 2024 scoping review published in Alcohol: Clinical and Experimental Research found an estimated 18.8% prevalence of FASD among children in foster care (Engesether et al., 2024; PubMed 39031634). Most of those children were never previously identified. If you’re a foster or adoptive parent wondering whether you’re imagining things — you’re not, and you found the right page.
Pick your plan. We'll tell you right now — no form, no callback needed for this part.
That criticism is real, and much of it describes practices we reject: planned ignoring of distress, extinguishing harmless stimming, goals chosen without the child. Here, sessions move at your child's pace, a child's "no" changes what we do, stimming isn't a treatment target unless it causes harm, and you can watch any session, any time. We wrote a whole page on this — Why Trauma-Informed ABA — and the best answer is to come tour the center and meet us yourself.
An honest answer, because you deserve one after all those calls: three reasons. First, coverage — in Nevada, private insurers generally don’t pay for ABA with an FASD diagnosis, so clinics built on private-pay panels quietly say no. Second, training — FASD changes how children learn (memory, cause-and-effect, processing), and an autism-only toolkit genuinely doesn’t transfer without adaptation. Third, honestly, it’s harder — and some clinics choose not to be set up for harder. We accept FASD referrals because North Las Vegas has foster, adoptive, and kinship families who’ve been told no everywhere else, and because Nevada Medicaid — our largest payer — covers it. We built the training and the plans for it deliberately. How to verify: ask us, on your first call, exactly how an FASD plan differs from an autism plan here. The answer should be specific. It will be.
Yes. Many children with prenatal alcohol exposure carry other labels first — ADHD, ODD, “behavior problems” — or no label at all. Call us; we’ll help you understand the evaluation path in Nevada and what’s possible in the meantime.
No — and you won’t be asked to retell it. We need what helps your child learn, not the story of how exposure happened. Foster and kinship families are a big part of who we serve, and paperwork realities (changing caseworkers, court dates, respite) are things we work around, not against.
With adaptation, behavioral supports help — the key is a plan built for how FASD brains actually learn: more structure, more repetition, more environmental support, fewer consequence-based strategies. That adaptation is precisely what most clinics skip. Ask us to walk you through a sample FASD plan and you’ll see the difference concretely.
Yes — anytime, unannounced. Cameras run in every room during all hours, and parents are welcome to observe in person, or watch the live feed from our in-center family room. The cameras aren’t accessible over the internet — by design. We built it this way on purpose: trust you can verify beats trust we ask for.
Clinically reviewed by Kathryn Mahan, M.S., BCBA, LBA
No pressure — just a clear path. Here's exactly what happens when you reach out: