Fetal Alcohol Spectrum Disorder (FASD) is a lifelong neurodevelopmental disability caused by prenatal exposure to alcohol that results in changes to the developing brain at neurochemical and structural levels. Prenatal alcohol exposure may contribute to challenges in social communication, attention, motor and sensory skills, regulation, and memory. As these challenges can be diverse and complex, FASD is often referred to as an 'invisible disability'. Many individuals with FASD are also at increased risk of mental health conditions and other challenges, such as school difficulty, addictions, trouble with the law, and difficulties maintaining employment. Scientific evidence shows that there is no threshold for safe low-level drinking during pregnancy or when planning to become pregnant. 

The diagnostic process for FASD relies on an interdisciplinary team approach, and services are not widely available across Canada, especially in rural and remote areas. Research from the ACCERT lab works towards bridging this gap in knowledge and services. There is a wide variation of alcohol effects on brain development, making no two people with FASD the same. Individuals with FASD have many strengths, including their ability to connect with others, perseverance, optimism, and openness to receiving supports. The ACCERT lab is focused on leveraging these strengths to inspire practice and system changes that will promote positive outcomes for individuals with FASD across various settings. 

Some individuals or communities are excluded or pushed to society's margins as a result of the design of our social and political systems. The term structural marginalization has been used to shift the focus away from the person or individual as ‘marginalized’ and emphasize the way in which institutions and systems unevenly distribute power and resources away from certain populations. 

Youths who have encountered early-life trauma, adversity, or marginalization may not have access to the same opportunities as their peers. Consequently, these differences in developmental experiences can lead to challenges in achieving success in daily activities, stemming from developmental gaps that may arise from adversity experiences or a lack of growth opportunities. Furthermore, many youth with systems involvement have lost faith in the systems that are supposed to help them as they have experienced loss, disappointment, and adversity and have developed a strong sense of self-reliance as a means of survival.

There is not a singular experience of marginalization, even among those that share marginalized identities. Oppression such as racism, sexism, homophobia, ableism, and classism further intersect with individual experience and personal identity. Only focusing on the presence of marginalized identities can cause harm, as applying  “high risk” labels can impose further marginalization. Systems impact the way people see themselves and go through the world. At the same time, if we want to draw on strengths and gain an authentic picture of their experience, we cannot lose the person in the system. 
DIVERTs a transdisciplinary mental health training platform that is working with ACCERT members to help us conduct research with structurally marginalized youth. DIVERT's goal is to leverage technology to create more equitable and accessible mental health care research and practice in Canada.