Autism Spectrum Disorder Evaluations & Screening for Autism

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WHAT IS AN AUTISM SPECTRUM DISORDER?

Autism Spectrum Disorder (ASD) are defined by developmental delays characterized by difficulty with social interactions, verbal and non-verbal communication, and repetitive or restricted play.

With the DSM 5 changes, Autism Spectrum Disorders will have 3 levels that differentiate a child on the spectrum according to his/her needs for care and support. Each child on the Spectrum is different.

HOW DO I KNOW IF I SHOULD GET MY CHILD AN EVALUATION?

  • Avoiding eye contact
  • Delayed speech and communication
  • Repetitive behavior (rocking or spinning)
  • Restricted interests
  • Limited non-verbal gestures (pointing)
  • Repetitive speech
  • A lack of pretend play
  • No interactive play

WHAT CAN I EXPECT (AS A PARENT) DURING THE EVALUATION?

Parents will attend a 1 hour intake session that will provide the doctor with all relevant past and current information. After the intake, insurance authorization will be acquired through our billing department. Then you will receive a phone call that explains your insurance benefits and to schedule testing. During the evaluation, parents will fill out several surveys to report history and present information about your child. It may be helpful to bring snacks for your child. You may have more than one testing appointment for your child depending on your child’s age. You will also participate in a structured interview with your doctor to discuss in more detail information concerning your child.

WHAT CAN MY CHILD EXPECT?

During an evaluation, your child will be given a cognitive test that includes questions and tasks to complete. In addition, he/she will participate in an interactional, play-based assessment with a doctor. Also, if your child is old enough, he/she will complete self-report surveys. The process of testing may take up to 8 hours.

Instruments or measures utilized by Legacy include:

  • Bayley Scales of Infant Development – Third Edition (Bayley -III)
  • Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV)
  • Wechsler Intelligence Scale for Children Fifth Edition (WISC-V)
  • Wechsler Adult Intelligence Scale Fourth Edition (WAIS-IV)
  • Leiter International Performance Scale Revised (Leiter-R)
  • Autism Diagnostic Observation Schedule – Second Edition (ADOS-2)
  • Autism Diagnostic Interview Revised (ADI-R)
  • Vineland Adaptive Behavior Scale Second Edition (Vineland-II)
  • Social Communication Questionnaire (SCQ)
  • Social Responsiveness Scale – Second Edition (SRS-2)
  • NEPSY-II – social perception subtests
  • Asperger Syndrome Diagnostic Scale (ASDS)
  • Pervasive Developmental Disorders Screening Test-II (PDDST-II)
  • Childhood Autism Rating Scale (CARS)

Autism Screening:

Legacy offers screening for Autism Spectrum Disorders from 6 months old to 24 months old. According to the National Institute of Mental Health, one in 88 children born in the United States are diagnosed on the Autism Spectrum (11/2009). Early intervention is shown to be effective for long term prognosis. The screening will include a clinical intake with the child’s caregiver(s) and a short assessment with the child focusing on basic neurological functions/intactness, receptive functions, expressive functions, and cognitive processes.

Instruments or measures utilized include: Bayley Infant Nurodevelopmental Screener (BINS) and the Pervasive Developmental Disorders Screening Test II.