Ireland continues to be at high risk for alcohol-related harm and is repeatedly flagged in both national and international commentary on the culture’s harmful drinking patterns and high levels of episodic drinking for both genders. Within the EU, Ireland has one of the highest per capita alcohol consumption rates, with alcohol consumption levels forecast to increase over the next decade (Manthey et al., 2019). As we enter the year 2024, we also move into the 56th year of alcohol in pregnancy research, and the subsequent birth of children suffering the destructive effects of alcohol on Fetal development. (Dyląg et al., 2023; Lemione et al., 1968). Culturally, in Ireland, various domestic researchers have provided a wealth of evidence-based guidance to Irish state officials to address this insidious public health issue (Barry et al., 2007, Catterick & Curran, 2014; L. Curran, 2007; W. C. Curran & Danbrook, (2023a, 2023b); W. L. Curran, 2020; Mullally et al., 2011; O’Keeffe et al., 2015). What has been clearly articulated over the decades of fetal alcohol research is the clear need of culturally sensitive and appropriate policy and procedure to address this difficult, but urgent, public health need. Furthermore, what is of equally pressing nature to address this public health need through public policy is an escalating and ballooning cost burden, which recently topped 10 billion a year according to Jonsson (2019) in his paper a ‘Policy Perspective’, which advocates for an increased policy focus on Fetal Alcohol Spectrum Disorder (FASD). FASD is a complex and progressive disability, which affects millions of individuals around the world. In a recent publication Burd & Popova (2019) offered that there is now an estimated 11.2 million individuals under the age of 18 in the world impacted at some level from prenatal alcohol exposure. Coupled with this pressing policy need to alleviate public costs, is the substantial evidence of the considerable impact FASD places on individuals, caregivers, and state systems of care, with Tusla experiencing increased demands from individuals with, or suspected of having, FASD, and their caregivers...