In the 30+ years since FASD was first identified, children with FASD have become adults, and many are now in their 30s and even 40s. As time has passed, their changing and emerging needs have become obvious, but the areas of research, experience and front line practice have frequently functioned as separate and parallel systems, rather than intersecting ones. Focused and targeted approaches across multiple areas, services, and systems have recently begun to emerge to address the urgent need for an integrated approach to addressing FASD in adolescence and adulthood. This conference will bring together a diverse group of professionals and families to share research, experience and practice in order to sustain and enhance the lives of adolescents and adults with FASD, their families, service providers, and communities.