It is 45 years since FASD was first named in a Lancet article. FASD represents a syndrome with a range of physical and neurological damage caused primarily by the mother consuming alcohol whilst pregnant. However, current evidence would suggest there remains limited knowledge regarding FASD. The most common presentations for FASD remain behavioural (e.g. inattention, conduct issues or social communication issues) and educational (e.g. failure to progress, difficulties with math and lower than expected achievements). Whilst it is not the remit of teachers to diagnose, work undertaken in primary school settings has identified that teachers who are able to recognise difficulties and support referral to specialist diagnostic services can lead to better outcomes. This ebook looks at how various countries around the world are learning and developing systems to recognise and help those with FASD.