Up to 40,000 newborns are born each year with a FASD. These problems affect hundreds of thousands of adults. Most individuals with FASD look like you and me, but they have cognitive issues that make it difficult for them to live independently. Some require full-time care and others do not develop mental abilities until late in life. People with FAS can work long hours at skilled jobs. They just need support to do things like pay bills, fill out forms, and manage money. That's where a personal assistant comes in handy. These are usually young women who help families by performing tasks such as paying bills, shopping for groceries, and running errands. Families often need more than one person to take care of these duties, so many PA positions are held by friends or relatives who aren't receiving any compensation. However, some families do hire professionals to provide these services on a full-time basis. This is particularly true if there are children involved in the case. When this is the situation, it's called an interdependent living arrangement and requires special planning. People with FAS can live alone but will need assistance with daily activities like cooking meals, cleaning the house, going to the doctor, and taking care of other needs related to independent living. Families sometimes provide this type of assistance through a service called in-home care.