Given the prevalence, severity and impact of fetal alcohol spectrum disorders (FASDs) on individuals and communities, there should be better social work knowledge and understanding of, as well as support for, these disorders. Social workers can play a more positive role in the prevention and identification of FASD, as well as in services supporting those affected by it. Increased awareness and learning opportunities, and more encouragement and resources are necessary for social workers to fulfil their potential in this field.