This training manual provides vocational rehabilitation and school counselors with background information and practical tools related to fetal alcohol syndrome (FAS), with particular reference to the needs of Native Americans. The most recent reliable data (1990) for American Indians and Alaska Natives show a rate of FAS over 10 times the national rate. People with FAS or fetal alcohol related conditions (FARC) are at high risk for learning disabilities, hearing impairments, and mental retardation. Section 1 of the manual presents current definitions of FAS and FARC, summarizes the diagnostic process, and outlines embryological origins. Section 2 explores common primary and secondary disabilities associated with FAS and FARC, as well as their impact on long-term functioning and vocational placements. Section 3 looks at common tools in the functional assessment of people with FAS or FARC, including one for use by vocational high school counselors. Section 4 is a practical guide to developing an individualized plan for employment, education, services, or programs. Trainees are asked to develop a plan for each of three illustrative case studies. Sections 5 and 6 cover the design, implementation, and ongoing evaluation and adjustment of an individualized plan and provide additional practice for the trainee. Appendices include the Fetal Alcohol Exposure Risk Assessment for Adolescents and Adults; an outline of psychosocial needs associated with FAS in adolescents and adults; "Vocational Development for Individuals with Fetal Alcohol Syndrome or Fetal Alcohol Effects" (Georgiana Wilton); and abbreviations. (Contains 31 references.) (SV)