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The most prevalent disability in classrooms may be FASD — and supporting students is vital

February 9, 2026
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The most prevalent disability in classrooms may be FASD — and supporting students is vital

As I walk into the classroom as a newly graduated teacher, I see children — each with unique abilities, interests and an eagerness to learn. This Ontario classroom was designed to be inclusive — a space where all students, regardless of their needs, can thrive.

Yet, as an educator, I find myself asking: Am I truly prepared to support every child? Have I received the training I need to guide each student on their learning journey including students with disabilities such as Fetal Alcohol Spectrum Disorder (FASD)?

Many teachers entering the classroom after graduating from teacher education programs in Ontario will ask similar questions.

In the past, schooling for students with disabilities was accomplished through segregated education. However, in the last 20 years, Ontario has reformed its educational structure to include all students within the general education classroom.

In accordance with Ontario education policies, classroom teaching must be designed for all students and inclusive approaches must be used to mitigate discrimination and exclusion. One way educators seek to meet the needs of many diverse learners is through implementing frameworks like Universal Design for Learning or “differentiated instruction” in their classrooms.

Yet despite expanded teaching approaches and policy changes, a dual system still exists that involves children with disabilities such as FASD being excluded from the rest of the class.

Table of Contents

  • Fetal Alcohol Spectrum Disorder
  • Teacher knowledge of FASD
  • Further learning opportunities
  • Resource to support children with FASD

Fetal Alcohol Spectrum Disorder

FASD is a condition that occurs due to maternal alcohol consumption during pregnancy. As a consequence, children are born with brain damage and delays in neurodevelopment.

FASD may be the most prevalent disability in Canadian classrooms. FASD affects between 1.4 per cent and 4.4 per cent of the population in Canada — a prevalence greater than Autism Spectrum Disorder (ASD), Down Syndrome and Cerebral Palsy combined.

[embedded content]
FASD Expert Collaboration Team with the Canada FASD Research Network: Adults with lived experience of FASD speak about their lives and advocacy around FASD.

FASD affects each individual in varied ways, and each person has unique strengths and faces varied challenges. Children with FASD exhibit a range of symptoms and varying degrees of impairment, including difficulties with motor skills, sensory processing, communication, academic achievement, memory, executive functioning, abstract reasoning, hyperactivity and adaptive behaviour.

As children with FASD experience academic difficulties and behavioural challenges, they require multifaceted supports, including instruction tailored to their unique learning profiles, individualized academic interventions and modified curricula aligned with the child’s developmental and ability levels.

Teachers must be responsive to the needs of students with FASD and proactive in providing supports to promote students’ success.

Teacher knowledge of FASD

In teacher education programs, teacher candidates receive training through a combination of coursework and placements. Although courses offered to teacher candidates that reflect special education may be compulsory, explicit instruction on specific disabilities, such as FASD, may be limited.

Currently, there is a lack of research completed in Ontario reflecting how teachers are prepared to support students with FASD. To gain deeper insight into the nature of teacher candidates’ knowledge and understanding of FASD — and their preparedness to teach these students — I collected data using a questionnaire administered to final year teacher candidates graduating in 2024 in a teacher education program accredited by the Ontario College of Teachers (OCT).

In this questionnaire, I examined teacher candidates’ knowledge, confidence in that knowledge, self-efficacy and overall preparedness and readiness to support students with FASD as they enter the profession.




Read more:
The truth about fetal alcohol spectrum disorder


Preliminary findings revealed teacher candidates reported feeling inadequately trained to support students with FASD, and most reported that they had not discussed FASD in their teacher education programs.

Experiences with disabilities were variable and specific knowledge of the needs of students with FASD was limited. While teacher candidates possessed knowledge of strategies to support students with disabilities such as ASD and attention deficit hyperactivity disorder, they were largely unaware of the challenges faced by children with FASD.

Further learning opportunities

a classroom seen through a doorway.
Teachers need ongoing opportunities to learn best practices for supporting students with FASD.
THE CANADIAN PRESS/Justin Tang

Although teacher candidates were familiar with Universal Design for Learning and differentiated instruction, they need to be flexible, prepared to advocate for their students and able to adapt these frameworks to the individual needs of students with FASD.

These teachers may face the challenge of supporting a child with FASD in their first year of teaching.

The assumption that teachers are ready upon entering the classroom with the training they receive must be revised. Additional curricular and/or learning opportunities should be provided that are responsive to teachers’ particular contexts to further develop their knowledge and preparation, including around strategies to support a child with FASD.

Resource to support children with FASD

As teacher candidates continue to prepare to support students with FASD in the classroom, it is necessary to review the curriculum taught in teacher education programs to ensure that FASD is discussed with emphasis on the nature of the condition and best practices to support the child.

A valuable resource for both teacher candidates and current teachers in the classroom is the Canada FASD Research Network, which provides evidence-based information on FASD.

This resource includes past and current research completed in Canada, and provides tools and resources for parents/caregivers, educators and professionals who may support individuals with FASD.

An earlier version of this article was published in the Queen’s University Knowledge Forum.

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