The ICCFASD was created, in October 1996, in response to a report by an expert committee of the Institute of Medicine (IOM). The IOM report, issued in 1996, is titled Fetal Alcohol Syndrome: Diagnosis, Epidemiology, Prevention, and Treatment (Stratton et al, 1996). The report recommended that the National Institute on Alcohol Abuse and Alcoholism (NIAAA) chair a Federal effort to coordinate Fetal Alcohol Syndrome (FAS) activities since the responsibility for addressing the many issues relevant to FAS transcends the mission and resources of any single agency or program. The ICCFASD is chaired by the Deputy Director of the NIAAA. The ICCFASD has made progress in gaining the support and continued participation of relevant federal agencies. Capitalizing on the strengths and resources of each agency, the ICCFASD and its member agencies have expanded their scope of activities relevant to the prevention, treatment, and understanding of FASD through public education, training of professionals, prevention and treatment interventions, cutting-edge research, and efforts to facilitate the creation of comprehensive systems of care at the state and community level.