![]() The ADOS is a test with different modules to accommodate a range of children. ![]() This evaluation will often begin with a diagnostic instrument such as the Autism Diagnostic Observation Schedule, or the ADOS-2. If a screener indicates that a child may have autism spectrum disorder, the child should receive a comprehensive evaluation from someone trained in diagnosing autism. Screener results alone should never be considered a diagnosis. The Screening Tool for Autism in Toddlers and Young Children, or STAT, is another screener that probes for autism symptom behaviors in more detail than the other screeners mentioned, but is still intended to be used as a tool to catch children who are candidates for further evaluation. Epstein warns that the test purposefully “casts a very broad net,” so it often flags children who may or may not be autistic. Similar scales include the Childhood Autism Rating Scale and the Ages and Stages Questionnaire, which is more of a basic developmental screener. The M-CHAT asks questions about behaviors that might indicate autism, but Dr. The Modified Checklist for Autism in Toddlers, or M-CHAT, is one questionnaire that is used to identify red flags. ![]() Some are questionnaires that parents fill out and others are assessments done by clinicians. There are a variety of screeners that pediatricians or other practitioners might employ as a first step to learning if a child might have autism, before beginning a formal evaluation. Epstein, who specializes in evaluating autism spectrum disorder, recommends that children should receive an assessment that goes beyond screening and diagnostic tools to get the fullest possible picture of what is going on before making a diagnosis. Epstein.Īrriving at the right diagnosis requires gathering and interpreting a lot of information about the child. It looks like they’re having social problems, and they are, but it’s of a different nature,” explains Dr. “The child has trouble communicating, which causes problems with peers, so the child might become withdrawn. If a child is having trouble with formulating phrases or sentences, for example, that can create a situation that might at first glance look like a sign of autism, but could have other causes. Or other disorders, particularly when they appear in clusters - ADHD, learning disorders, depression.” “There are subtle language disorders that can masquerade as autism. “There are a lot of things that can cause social problems,” points out Susan Epstein, PhD, a neuropsychologist. ![]() Problems in social communication and social interaction are often what are flagged as possible signs of autism, and that’s one source of confusion. They should be able to give clear answers to your questions and take the information you provide seriously. You can ask about the clinician’s training and experience, as well as how they usually do evaluations. These tests show how the child thinks and provide important information about what kinds of support at school would be helpful.Ī pediatrician might give the first screener, but the full evaluation should be done by someone specially trained in diagnosing autism. Structured cognitive tests should be part of the evaluation as well. It’s important for an experienced clinician to do the evaluation because they can recognize the more subtle signs of autism.Ī full evaluation should also include interviews with parents, teachers and other adults who know the child. But they might also avoid eye contact because they are very shy. For example, a child might not make eye contact because they have autism. The results of these tests can be hard to interpret. One common version is called the ADOS test. These tests include specific tasks and ways of evaluating the child, and they are backed up by research. The evaluation will include a set of tests in which the clinician watches how the child plays, behaves and communicates. A child should never get a diagnosis based on just the questionnaire. If the questionnaire indicates that a child might have autism, then it’s time for a more in-depth evaluation. Here are some tips that parents can use to make sure that their child is getting a thorough autism assessment.Īutism evaluations usually start with a screening questionnaire. Autism spectrum disorder can look very different in different children.
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