The Fetal Alcohol Syndrome Project of the Indian Health Service was designed to identify existing cases of Fetal Alcohol Syndrome among the American Indian tribes (Navajo, Apache, Ute and 19 Pueblo Tribes) in the Southwest, establish a referral system to identify these children for treatment, estimate the prevalence of the problem, and work towards prevention of future cases. The project began in January 1980 by training clinicians, outreach workers, and community persons to recognize Fetal Alcohol Syndrome and milder alcohol damage for accurate referral, and to counsel and advise clients for the prevention of Fetal Alcohol Syndrome. In March, 1980, the clinical aspect of the project began and was established in communities where Fetal Alcohol Syndrome children existed. From the inception of the project to October 15, 1981, a total of 208 training sessions were held, 9,556 people were trained, 20 clinics were held in 15 locations and an average of 9.8 children were seen per day. A breakdown of diagnoses indicated that 30.2% of 205 children seen in clinics were Fetal Alcohol Syndrome, 15.6% were a milder degree of damage (Fetal Alcohol Effect), 6.8% were "suspicious" of pre-natal alcohol damage, and 47.4% were normal or had another type of birth defect. (ERB)