AUTISM SCREENING AND DIAGNOSIS PEARLS FOR PEDIATRICS. Catherine Riley, MD Developmental Behavioral Pediatrician

Size: px
Start display at page:

Download "AUTISM SCREENING AND DIAGNOSIS PEARLS FOR PEDIATRICS. Catherine Riley, MD Developmental Behavioral Pediatrician"

Transcription

1 AUTISM SCREENING AND DIAGNOSIS PEARLS FOR PEDIATRICS Catherine Riley, MD Developmental Behavioral Pediatrician

2 Disclosure I do not have any financial relationships to disclose I do not plan to discuss unapproved of off label use of products

3 Objectives 1. Identify appropriate screening tools used by pediatricians to identify risk factors related to possible ASD. 2. Describe the areas of atypical development associated with a diagnosis of ASD. 3. Explain the diagnostic criteria of autism spectrum disorders.

4 Why is Screening Important? Early Identification of children at risk for developmental disabilities Early Evaluation and Diagnosis for developmental conditions Early Intervention and services Improved child, family, and society outcomes Research has shown that the earlier you intervene the more effective and less costly your intervention will be and the bigger the effect on the child s developmental trajectory. Center on the Developing Child at Harvard University (2008, 2010)

5 Why Screen? 70% 7 out of 10 children with developmental disabilities were not identified until they started school 67% Clinical assessment without screening missed delays in 2 out of every 3 children under the age of 2 (Palfrey, J.S., et al., Early identification of children's special needs: a study in five metropolitan communities. J Pediatr, (5): p ) Hix-Small, H., et al., Impact of implementing developmental screening at 12 and 24 months in a pediatric practice. Pediatrics, (2): p )

6 Benefits of Autism Screening 54% diagnosed with Autism Spectrum Disorders Of children who fail the M-CHAT Screen 89% diagnosed with developmental delay 98% show a developmental concern warranting evaluation Chlebowski C et al. Large-scale use of the modified checklist for autism in low-risk toddlers. Pediatrics Apr;131(4):e1121-7

7 Developmental Screening in Arizona 21.7% of children age 10 months to 5 yrs received standard developmental screening during a well child visit Rank 47 in the country in 2016 (based on data from ) There is a lot of room for improvement

8 AAP Screening Algorithm Identifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening Council on Children With Disabilities, Section on Developmental Behavioral Pediatrics, Bright Futures Steering Committee and Medical Home Initiatives for Children With Special Needs Project Advisory Committee Pediatrics 2006;118;405 DOI: /peds

9 Jack, a 24-month-old boy, comes in for a well-child visit. His mother reports he says a couple words, drags her to the fridge when he wants something and tantrums a lot. Upon review of his records you note he had reached all of his developmental milestones on time. What is the next best step to take? A. Advise Jack s mother to wait and see if he outgrows it; he may be a late bloomer B. Encourage Jack s mother to arrange more play dates for him C. Recommend a behavioral reward system be implemented for Jack s behavior D. Ask Jack s mother to complete an autism specific screening questionnaire

10 AHCCS Approved Screening Tools Autism Screens Modified Checklist for Autism in Toddlers Revised with Follow-Up (M- CHAT-R/F)

11 MCHAT-R/F The M-CHAT-R is a parent-completed questionnaire Valid for toddlers between months The M-CHAT-R includes a Follow-Up Interview, in which the parent is asked questions to help clarify answers and obtain additional information for at-risk items. Sensitivity of the M-CHAT-R with Follow-Up is 85% and Specificity is 99%. Evaluation is warranted for any child who screens positive.

12 M-CHAT-R/F Paths

13 Case--Matthew Matthew -18 months old and is coming in for a routine health care maintenance visit. As you enter the room, you smile at Matthew and ask his mother and father how he s doing. Great, they reply. He loves to explore our apartment and laughs like crazy when we play peek-a-boo. We have started taking him to the park, and he enjoys playing with blocks. You do a physical exam on Matthew and note that he has said very few words. His eye contact is variable. When you ask about his language, Matthew s parents indicate that he only has a couple of words. It is a bilingual household. Although Matthew is a quiet and sweet boy, you remain concerned about his language and variable eye contact. Given his age, Matthew should have an ASD-specific screening as well as a general developmental screening as part of his 18-month checkup.

14 -Parents complete the MCHAT R/F If the M-CHAT-R Total Score is in the High-Risk category for ASD (total score of 8-20 points), refer for a comprehensive diagnostic evaluation and eligibility evaluation for early intervention If the M-CHAT-R Total Score is in the Medium-Risk for ASD (total score of 3-7 points), conduct the Follow-Up interview. If the Follow-Up Interview raises concerns, or if the child fails any two items on the Follow-Up, referral for comprehensive evaluation is warranted. If the M-CHAT-R Total Score is in the Low-Risk for ASD (total score of 0-2 points) AND the provider and parents have no concerns, then continue developmental surveillance at all subsequent health supervision visits.

15 Follow Up Interview Administer only those items for which the parent indicated behavior that demonstrates risk for autism spectrum disorder (ASD), meaning the item was failed, and/or those which the health care provider has concerns may not have been answered accurately.

16

17 MCHAT Follow Up Interview 6. Does your child point with one finger to ask for something or to get help?

18 9. Does show you things by bringing them to you or holding them up for you to see? Not just to get help, but to share?

19 FAILED M-CHAT-R/F 3 7 Fails on Screen 2 or more Fails on Interview HIGH RISK 8 or more Fails on Screen

20 What would contribute to a false negative or false positive screen? A parent or caregiver who does not fully comprehend the items Completing the M-CHAT-R at an early age (younger than the recommended age) -Approximately 30% of children with ASD show a period of typical development followed by plateau or regression, and screening too early might miss some of these later-onset children. A child with other forms of developmental delay -toddlers with severe developmental delays or impairments in vision and/or hearing mild symptoms and even an absence of symptoms at 18 months does not rule out a later diagnosis of ASD Clinical judgment should be considered. Even if a screen is negative, if there are professional or parental concerns, the child should be referred for a comprehensive evaluation and to early intervention.

21 What is Autism? Autism Spectrum Disorder (ASD) : Neuro-developmental disorder with core deficits: soautism Spectrum Disorder (ASD) : Neuro-developmental disorder with core deficits: social interaction and social communication repetitive/ stereotyped behaviors Differences in brain growth and organization A spectrum DSM-5 combined former diagnoses: Autistic Disorder, Asperger s, PDD-NOS Can see both developmental delay and deviancete

22 Symptoms of ASD DSM-IV : 1. Social 2. Communication 3. Repetitive/ stereotyped behaviors DSM-5 : 1. Social 2. Repetitive/ stereotyped behaviors

23 Deficits in Social Emotional Reciprocity Poor response to name Reduced showing objects of interest Difficulty initiating & responding to joint attention Lack of initiation of social interaction Doesn t engage in simple social games Use of others as tool Does not offer comfort/ notice others distress

24 Deficits in Non-Verbal Communication Decreased and/or poorly coordinated eye contact Impaired use and understanding of: Gestures (pointing, waving, nodding/shaking head) Prosody (volume/ pitch/ intonation of speech) Facial expressions Body language

25

26 Deficits in Relationships/Play In own world, limited interest in others Doesn t try to attract attention of others Lack of interest in peers Lack of cooperative play (>24 months) Doesn t notice another s distress/ disinterest Delayed imaginative play Older ages: Lack of theory of mind Difficulty understanding social cues/ conventions Lack of imaginative play with peers Difficulty making friends

27

28 Stereotyped Repetitive Behaviors/Interests Speech: Echolalia Pronoun reversal Idiosyncratic language Repetitive vocalizations Motor mannerisms: Hand (clapping, flapping) Body (rocking, spinning) Toe-walking Repetitive use of objects: Non-functional play (dropping) Lining up toys/ objects Repetitive actions (open/ close doors, turning lights on/off)

29 Routines/Rituals Rigid or unusual routines Ritualized behavior Repetitive questioning about a topic Verbal rituals Excessive resistance to change Difficulty with transitions Over-reaction to trivial changes

30 Preoccupations Abnormal interests Abnormally intense interests Pre-occupations (e.g. letters/ numbers) Focus on non-relevant parts of objects Unusual attachments to objects Having to carry around/ hold specific or unusual objects

31

32 Sensory High pain tolerance Unusual visual exploration: Visual inspection Peering Hyper-sensitive to sensory input Certain sounds, bright lights Tactile defensiveness Hypo-sensitive/ sensory- seeking Licking/ sniffing objects

33

34 DSM 5 A. Persistent deficits in social communication and social interactions (all 3): (1)social-emotional reciprocity Does not show, share, initiate social interactions Not able to have a back and forth conversation Uses parent hand as a tool (2)Deficits in nonverbal communicative behaviors Decreased eye contact Limited facial expressions Does not point/limited use of gestures (3)Deficits in developing and maintaining relationships Not interested in play with peers Limited pretend and imaginative play Hard time making and keeping friends

35 B. Restricted, repetitive patterns of behavior, interests, or activities (at least 2) (1) (2) (3) (4) motor stereotypies, echolalia, repetitive use of objects Excessive adherence to routines Highly restricted, fixated interests Hyper-or hypo-reactivity to sensory input

36 Present in early childhood Limit and impair everyday functioning Not due to ADHD, LD, adjustment disorder Take into account: educational and environmental factors Language differences Co-existing mental illness Physical (sensory, motor, illness, pain)

37 Resources M-CHAT-R/F CDC Learn the Signs. Act Early. American Academy of Pediatrics Developmental Screening Recommendations Sections/Council-on-Children-with-Disabilities/Pages/Description-and- Policy.aspx (Watch unique side-by-side videos that show the early signs of autism in toddlers, and other resources)

DSM-IV Criteria. (1) qualitative impairment in social interaction, as manifested by at least two of the following:

DSM-IV Criteria. (1) qualitative impairment in social interaction, as manifested by at least two of the following: DSM-IV Criteria Autistic Disorder A. A total of six (or more) items from (1), (2), and (3), with at least two from (1), and one each from (2) and (3): (1) qualitative impairment in social interaction,

More information

The Clinical Progress of Autism Spectrum Disorders in China. Xi an children s hospital Yanni Chen MD.PhD

The Clinical Progress of Autism Spectrum Disorders in China. Xi an children s hospital Yanni Chen MD.PhD The Clinical Progress of Autism Spectrum Disorders in China Xi an children s hospital Yanni Chen MD.PhD Conception The autism spectrum disorders (ASDs) are neurodevelopmental disability characterized by

More information

AUTISM SPECTRUM DISORDER: DSM-5 DIAGNOSTIC CRITERIA. Lisa Joseph, Ph.D.

AUTISM SPECTRUM DISORDER: DSM-5 DIAGNOSTIC CRITERIA. Lisa Joseph, Ph.D. AUTISM SPECTRUM DISORDER: DSM-5 DIAGNOSTIC CRITERIA Lisa Joseph, Ph.D. Autism Spectrum Disorder Neurodevelopmental disorder Reflects understanding of the etiology of disorder as related to alterations

More information

Autism Spectrum Disorder What is it?

Autism Spectrum Disorder What is it? Autism Spectrum Disorder What is it? Robin K. Blitz, MD Director, Developmental Pediatrics Resident Autism Diagnostic Clinic Lecture Series #1 Learning Objectives What can we talk about in 20 minutes?

More information

Autism/Pervasive Developmental Disorders Update. Kimberly Macferran, MD Pediatric Subspecialty for the Primary Care Provider December 2, 2011

Autism/Pervasive Developmental Disorders Update. Kimberly Macferran, MD Pediatric Subspecialty for the Primary Care Provider December 2, 2011 Autism/Pervasive Developmental Disorders Update Kimberly Macferran, MD Pediatric Subspecialty for the Primary Care Provider December 2, 2011 Overview Diagnostic criteria for autism spectrum disorders Screening/referral

More information

An Autism Primer for the PCP: What to Expect, When to Refer

An Autism Primer for the PCP: What to Expect, When to Refer An Autism Primer for the PCP: What to Expect, When to Refer Webinar November 9, 2016 John P. Pelegano MD Chief of Pediatrics Hospital for Special Care Disclosures None I will not be discussing any treatments,

More information

DSM 5 Criteria to Diagnose Autism

DSM 5 Criteria to Diagnose Autism DSM 5 Criteria to Diagnose Autism Patient Name Patient Date of Birth Patient Health Plan Provider Name and Credential Date of Exam Only a doctoral level clinician (MD, PhD, and/or PsyD) can complete this

More information

From Diagnostic and Statistical Manual of Mental Disorders: DSM IV

From Diagnostic and Statistical Manual of Mental Disorders: DSM IV From Diagnostic and Statistical Manual of Mental Disorders: DSM IV (I) A total of six (or more) items from (A), (B), and (C), with at least two from (A), and one each from (B) and (C) (A) qualitative impairment

More information

DSM- 5 AUTISM SPECTRUM DISORDER

DSM- 5 AUTISM SPECTRUM DISORDER DSM- 5 AUTISM SPECTRUM DISORDER A. Persistent deficits in social communication and social interaction across multiple contexts, as manifested by the following, currently or by history A1. Deficits in social-emotional

More information

Autism or Something Else? Knowing the Difference

Autism or Something Else? Knowing the Difference Autism or Something Else? Knowing the Difference SUSAN BUTTROSS, M.D., FAAP PROFESSOR OF PEDIATRICS CENTER FOR THE ADVANCEMENT OF YOUTH UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MISSISSIPPI Disclosure

More information

Fact Sheet 8. DSM-5 and Autism Spectrum Disorder

Fact Sheet 8. DSM-5 and Autism Spectrum Disorder Fact Sheet 8 DSM-5 and Autism Spectrum Disorder A diagnosis of autism is made on the basis of observed behaviour. There are no blood tests, no single defining symptom and no physical characteristics that

More information

AUTISM: THE MIND-BRAIN CONNECTION

AUTISM: THE MIND-BRAIN CONNECTION AUTISM: THE MIND-BRAIN CONNECTION Ricki Robinson, MD, MPH Co-Director, Descanso Medical Center for Development and Learning - La Canada CA Clinical Professor of Pediatrics, Keck School of Medicine-USC

More information

Evaluations. Learn the Signs. Act Early. The Importance of Developmental Screening. Conflict of Interest Statement.

Evaluations. Learn the Signs. Act Early. The Importance of Developmental Screening. Conflict of Interest Statement. Learn the Signs. Act Early. The Importance of Developmental Screening. April 19, 2012 Featured Speakers Judith Lucas, MD Pediatrician, Behavioral Health Albany Medical Center Donna M. Noyes, PhD Associate

More information

Autism Spectrum Disorder Part I: Overview, Screening, Diagnosis and Treatment Planning

Autism Spectrum Disorder Part I: Overview, Screening, Diagnosis and Treatment Planning Autism Spectrum Disorder Part I: Overview, Screening, Diagnosis and Treatment Planning Robin K Blitz, MD, FAAP Senior Medical Director, Special Needs Initiative UnitedHealthcare Learning Objectives At

More information

Understanding Autism. Julie Smith, MA, BCBA. November 12, 2015

Understanding Autism. Julie Smith, MA, BCBA. November 12, 2015 Understanding Autism Julie Smith, MA, BCBA November 12, 2015 2 Overview What is Autism New DSM-5; changes to diagnosis Potential causes Communication strategies Managing difficult behaviors Effective programming

More information

Autism Spectrum Disorder What is it?

Autism Spectrum Disorder What is it? Autism Spectrum Disorder What is it? Robin K. Blitz, MD Resident Autism Diagnostic Clinic Lecture Series #1 Learning Objectives What can we talk about in 20 minutes? What is Autism? What are the Autism

More information

Early Autism Detection Screening and Referral. What is Autism? ASD Epidemiology. ASD Basic Facts 10/10/2010. Early Autism Detection and Referral

Early Autism Detection Screening and Referral. What is Autism? ASD Epidemiology. ASD Basic Facts 10/10/2010. Early Autism Detection and Referral Early Autism Detection and Referral Early Autism Detection Screening and Referral Learning Objectives: Define autistic spectrum disorders, their epidemiology and etiology; Recognize the earliest signs

More information

Autism Spectrum Disorder Pre Cengage Learning. All rights reserved.

Autism Spectrum Disorder Pre Cengage Learning. All rights reserved. Autism Spectrum Disorder Pre 2014 2012 Cengage Learning. All rights reserved. DSM- 5 In 2013, the American Psychiatric Association released the fifth edition of its Diagnostic and Statistical Manual of

More information

Autism. Tara Anne Matthews, MD Fellow Kapila Seshadri, MD Associate Professor of Pediatrics UMDNJ Robert Wood Johnson Medical November 28, 2012

Autism. Tara Anne Matthews, MD Fellow Kapila Seshadri, MD Associate Professor of Pediatrics UMDNJ Robert Wood Johnson Medical November 28, 2012 Autism Tara Anne Matthews, MD Fellow Kapila Seshadri, MD Associate Professor of Pediatrics UMDNJ Robert Wood Johnson Medical November 28, 2012 Why Talk about Autism -Prevalence 1 in 6 children (17 %) diagnosed

More information

Recognizing Autism Under the Age of 2. Objectives YES! 11/29/2016. Are ASD symptoms present in infants and toddlers?

Recognizing Autism Under the Age of 2. Objectives YES! 11/29/2016. Are ASD symptoms present in infants and toddlers? Recognizing Autism Under the Age of 2 Beth Ellen Davis MD MPH Developmental Behavioral Pediatrics Clinical Professor of Pediatrics, UW, Seattle Objectives Recognize typical and atypical/delayed early social

More information

Autism Spectrum Disorder What is it? Robin K. Blitz, MD Resident Autism Diagnostic Clinic Lecture Series #1

Autism Spectrum Disorder What is it? Robin K. Blitz, MD Resident Autism Diagnostic Clinic Lecture Series #1 Autism Spectrum Disorder What is it? Robin K. Blitz, MD Resident Autism Diagnostic Clinic Lecture Series #1 Learning Objectives What can we talk about in 20 minutes? What is Autism? What are the Autism

More information

Diagnosing Autism, and What Comes After. Natalie Roth, Ph. D. Clinical Psychologist, Alternative Behavior Strategies

Diagnosing Autism, and What Comes After. Natalie Roth, Ph. D. Clinical Psychologist, Alternative Behavior Strategies Diagnosing Autism, and What Comes After Natalie Roth, Ph. D. Clinical Psychologist, Alternative Behavior Strategies Cigna Autism Awareness Education Series, January 12, 2017 1 Autistic Spectrum Disorder

More information

INDICATORS OF AUTISM SPECTRUM DISORDER

INDICATORS OF AUTISM SPECTRUM DISORDER INDICATORS OF AUTISM SPECTRUM DISORDER While many of the behaviors typical of Autism Spectrum Disorder are also typical of earlier stages of normal development, it is the combination or pattern of behaviors

More information

Developmental Screening Programs in Arizona: What Works?

Developmental Screening Programs in Arizona: What Works? Developmental Screening Programs in Arizona: What Works? Catherine Riley, MD Developmental Behavioral Pediatrician Assistant Professor of Pediatrics University of Arizona Jennifer Andrews, PhD Assistant

More information

Social Communication Strategies for Students with ASD Meeting the Needs 2017

Social Communication Strategies for Students with ASD Meeting the Needs 2017 Social Communication Strategies for Students with ASD Meeting the Needs 2017 Leanne Forrest Case Manager, OCDSB ASD Team Michelle MacIsaac OCDSB Speech-Language Pathologist Julia Sneyd OCDSB Itinerant

More information

Autism in Children and Young People (Herefordshire Multi-Agency Pathway and Eligibility)

Autism in Children and Young People (Herefordshire Multi-Agency Pathway and Eligibility) Autism in Children and Young People (Herefordshire Multi-Agency Pathway and Eligibility) Context Autism is a lifelong disorder that has a great impact on the child or young person and their family or carers.

More information

Autism Checklist General Characteristics

Autism Checklist General Characteristics Autism Checklist General Characteristics Abnormal tone and rhythm in speech Babbling may develop and then stop Began developing language then suddenly stopped Crying not related to needs Delay in, or lack

More information

Table 1: Comparison of DSM-5 and DSM-IV-TR Diagnostic Criteria. Autism Spectrum Disorder (ASD) Pervasive Developmental Disorders Key Differences

Table 1: Comparison of DSM-5 and DSM-IV-TR Diagnostic Criteria. Autism Spectrum Disorder (ASD) Pervasive Developmental Disorders Key Differences Comparison of the Diagnostic Criteria for Autism Spectrum Disorder Across DSM-5, 1 DSM-IV-TR, 2 and the Individuals with Disabilities Act (IDEA) 3 Definition of Autism Colleen M. Harker, M.S. & Wendy L.

More information

Include Autism Presents: The Volunteer Handbook

Include Autism Presents: The Volunteer Handbook Include Autism Presents: The Volunteer Handbook 1 The Volunteer Handbook: Working With People Who Have An Autism Spectrum Disorder Brought to you by: Include Autism 2 Include Autism, Inc. 2014 Table of

More information

Autism/Autism Spectrum Disorders

Autism/Autism Spectrum Disorders Autism/Autism Spectrum Disorders Autism spectrum disorders (ASDs) are a group of developmental disabilities that can cause significant social, communication and behavioral challenges. People with ASDs

More information

Hearing Loss and Autism. diagnosis and intervention

Hearing Loss and Autism. diagnosis and intervention Hearing Loss and Autism diagnosis and intervention Outline 1. Definitions 2. Prevalence 3. Diagnosis 4. Ideas for Intervention Definitions Definitions Autism A group of complex disorders of brain development

More information

Autism Diagnosis and Management Update. Outline. History 11/1/2013. Autism Diagnosis. Management

Autism Diagnosis and Management Update. Outline. History 11/1/2013. Autism Diagnosis. Management Autism Diagnosis and Management Update Cathleen Small, PhD, BCBA-D Developmental Behavioral Pediatrics Maine Medical Partners Outline Autism Diagnosis Brief history New, DSM-5 diagnostic criteria Expressed

More information

SURVEY OF AUTISM SPECTRUM DISORDER CONCERNS

SURVEY OF AUTISM SPECTRUM DISORDER CONCERNS Survey of Autism Spectrum Disorder Concerns Presented by Curtis L. Timmons, Ph.D., LSSP GOALS OF THE WORKSHOP 1. Understand why there were changes between the DSM-IV and the DSM-5 2. Understand the current

More information

Overview. Clinical Features

Overview. Clinical Features Jessica Greenson, Ph.D. Autism Center University of Washington Clinical Features Overview Diagnostic & Statistical Manual IV (DSM IV) Prevalence Course of Onset Etiology Early Recognition Early Recognition

More information

Early Screening of ASD & The Role of the SLP

Early Screening of ASD & The Role of the SLP Early Screening of ASD & The Role of the SLP Objectives Identify reasons for early identification Identify screenings tools that aid in identification of ASD Define the role of the SLP in screening & assessment

More information

Autism 101 Glenwood, Inc. 2013

Autism 101 Glenwood, Inc. 2013 Autism 101 Glenwood, Inc. 2013 DSM-5 CURRENT DX CRITERIA Although ASD s are neurological, there are no current medical tests to use for a diagnosis. We currently use behavioral symptoms to make a diagnosis,

More information

Section 5: Communication. Part 1: Early Warning Signs. Theresa Golem. December 5, 2012

Section 5: Communication. Part 1: Early Warning Signs. Theresa Golem. December 5, 2012 Section 5: Communication Part 1: Early Warning Signs Theresa Golem December 5, 2012 Deficits in the area of communication are one of the key characteristics of autism spectrum disorders (ASD). Early warning

More information

Starting Strong 2015 Understanding Autism Spectrum Disorders and An Introduction to Applied Behavior Analysis

Starting Strong 2015 Understanding Autism Spectrum Disorders and An Introduction to Applied Behavior Analysis Starting Strong 2015 Understanding Autism Spectrum Disorders and An Introduction to Applied Behavior Analysis Robin Talley, M.Ed., BCBA UW Autism Center Presentation Overview Overview of Autism Spectrum

More information

INFORMATION PAPER: INTRODUCING THE NEW DSM-5 DIAGNOSTIC CRITERIA FOR AUTISM SPECTRUM DISORDER

INFORMATION PAPER: INTRODUCING THE NEW DSM-5 DIAGNOSTIC CRITERIA FOR AUTISM SPECTRUM DISORDER INFORMATION PAPER: INTRODUCING THE NEW DSM-5 DIAGNOSTIC CRITERIA FOR AUTISM SPECTRUM DISORDER What is the DSM-5? The Diagnostic and Statistical Manual of Mental Disorders (the DSM) is developed by the

More information

Autism. Laura Schreibman HDP1 11/29/07 MAIN DIAGNOSTIC FEATURES OF AUTISTIC DISORDER. Deficits in social attachment and behavior

Autism. Laura Schreibman HDP1 11/29/07 MAIN DIAGNOSTIC FEATURES OF AUTISTIC DISORDER. Deficits in social attachment and behavior Autism Laura Schreibman HDP1 11/29/07 MAIN DIAGNOSTIC FEATURES OF AUTISTIC DISORDER Deficits in social attachment and behavior Deficits in verbal and nonverbal communication Presence of perseverative,

More information

Recognizing Autism Under the Age of 2

Recognizing Autism Under the Age of 2 Recognizing Autism Under the Age of 2 Beth Ellen Davis MD MPH Developmental Behavioral Pediatrics Clinical Professor of Pediatrics, UW, Seattle February 2, 2015 Objectives Recognize typical and atypical/delayed

More information

8/23/2017. Chapter 21 Autism Spectrum Disorders. Introduction. Diagnostic Categories within the Autism Spectrum

8/23/2017. Chapter 21 Autism Spectrum Disorders. Introduction. Diagnostic Categories within the Autism Spectrum Chapter 21 Overview Core features of autism spectrum disorders (ASDs) Studies seeking an etiology for ASDs Conditions associated with ASDs Interventions and outcomes Introduction ASDs Class of neurodevelopmental

More information

Developmental Disorders also known as Autism Spectrum Disorders. Dr. Deborah Marks

Developmental Disorders also known as Autism Spectrum Disorders. Dr. Deborah Marks Pervasive Developmental Disorders also known as Autism Spectrum Disorders Dr. Deborah Marks Pervasive Developmental Disorders Autistic Disorder ( Autism) - Kanner Asperger Syndrome Pervasive Developmental

More information

5. Diagnostic Criteria

5. Diagnostic Criteria 5. Diagnostic Criteria The questions that are going to be answered in this chapter are: What are the diagnostic criteria of ASD? Are the diagnostic criteria laid down in the DSM-IV-TR or ICD-10 manuals

More information

[INSERT TITLE] 2/24/19. Understanding Restricted and. Repetitive Behaviors in HFA. Kimberlee Flatt, PhD, LPC,BCBA/LBA DSM-5

[INSERT TITLE] 2/24/19. Understanding Restricted and. Repetitive Behaviors in HFA. Kimberlee Flatt, PhD, LPC,BCBA/LBA DSM-5 Understanding Restricted and [INSERT TITLE] Repetitive Behaviors in HFA Kimberlee Flatt, PhD, LPC,BCBA/LBA DSM-5 B. Restricted, repetitive patterns of behavior, interests, or activities 1. Stereotyped

More information

Autism Update: Classification & Treatment

Autism Update: Classification & Treatment Autism Update: Classification & Treatment Dana Battaglia, Ph.D., CCC-SLP NYSUT Professional Issues Forum on Healthcare April 26 th, 2013 10:30-12:30 1 Who is here today? Our Goals for This Morning Introduce

More information

OVERVIEW OF PRESENTATION

OVERVIEW OF PRESENTATION AUTISM SPECTRUM DISORDERS IN EMERGING ADULTS Douglas J. Scambler, Ph.D. Clinical Psychologist Presented at the University of Wyoming November 6, 2012 OVERVIEW OF PRESENTATION What are the autism spectrum

More information

The Nuts and Bolts of Diagnosing Autism Spectrum Disorders In Young Children. Overview

The Nuts and Bolts of Diagnosing Autism Spectrum Disorders In Young Children. Overview The Nuts and Bolts of Diagnosing Autism Spectrum Disorders In Young Children Jessica Greenson, Ph.D. Autism Center University of Washington Overview Diagnostic Criteria Current: Diagnostic & Statistical

More information

Differential Autism Diagnosis The Role of an SLP in Evaluating Social Communication Differences

Differential Autism Diagnosis The Role of an SLP in Evaluating Social Communication Differences Differential Autism Diagnosis The Role of an SLP in Evaluating Social Communication Differences DATE: October 13, 2018 PRESENTED BY: Jill Dolata, PhD, CCC-SLP & Cynthia Green, MS, CCC-SLP Goals Describe

More information

Autism Spectrum Disorder (ASD) Multidisciplinary Evaluation Team (MET) Report

Autism Spectrum Disorder (ASD) Multidisciplinary Evaluation Team (MET) Report Autism Spectrum Disorder (ASD) Multidisciplinary Evaluation Team (MET) Report Date of Report: Student Name: Date of Birth: School: Evaluation Team: Psychologist: School Social Worker (SSW): Speech & Language

More information

DSM V Criteria for Autism Spectrum Disorder

DSM V Criteria for Autism Spectrum Disorder And Autism What is Autism? Autism is a developmental disorder characterized by deficits in social skills and communication as well as stereotypical, repetitive behaviours. By definition, the symptoms must

More information

What Do We Know: Autism Screening and Diagnosis and Supporting Families of Young Children

What Do We Know: Autism Screening and Diagnosis and Supporting Families of Young Children What Do We Know: Autism Screening and Diagnosis and Supporting Families of Young Children militaryfamilieslearningnetwork.org/event/30358/ This material is based upon work supported by the National Institute

More information

Autism Spectrum Disorder (ASD)

Autism Spectrum Disorder (ASD) Autism Spectrum Disorder (ASD) What is Autism Spectrum Disorder (ASD)? (*Please note that the diagnostic criteria for ASD according to the DSM-V changed as of May, 2013. Autism Spectrum Disorder now is

More information

Autism Spectrum Disorders: An update on research and clinical practices for SLPs

Autism Spectrum Disorders: An update on research and clinical practices for SLPs DSM-IV to DSM-5: Primary Changes Autism Spectrum Disorders: An update on research and clinical practices for SLPs Laurie Swineford, PhD CCC-SLP Washington State University DSM-IV Previously we used the

More information

WHAT IS AUTISM? Chapter One

WHAT IS AUTISM? Chapter One WHAT IS AUTISM? Chapter One Autism is a life-long developmental disability that prevents people from understanding what they see, hear, and otherwise sense. This results in severe problems with social

More information

Teaching Students with Special Needs in Inclusive Settings: Exceptional Learners Chapter 9: Autism Spectrum Disorders

Teaching Students with Special Needs in Inclusive Settings: Exceptional Learners Chapter 9: Autism Spectrum Disorders Teaching Students with Special Needs in Inclusive Settings: Exceptional Learners Chapter 9: Autism Spectrum Disorders Background Autistic is a broad term coined in the twentieth century by Bleuler that

More information

What is Autism? -Those with the most severe disability need a lot of help with their daily lives whereas those that are least affected may not.

What is Autism? -Those with the most severe disability need a lot of help with their daily lives whereas those that are least affected may not. Autism Summary Autism What is Autism? The Autism Spectrum Disorder (ASD) is a developmental disability that can have significant implications on a child's ability to function and interface with the world

More information

District Pam Leonard & Sabrina Beaudry

District Pam Leonard & Sabrina Beaudry District 204 2009-2010 Pam Leonard & Sabrina Beaudry HOW DID WE GET HERE? By the end of the 2009-2010 school year, the chosen building staff representative will be able to complete the problem-solving

More information

The Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F)

The Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) The Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) Gerri L. Mattson, MD, MSPH, FAAP Pediatric Medical Consultant Children and Youth Branch Objectives Understand the importance

More information

Municipal Employee Guide to Autism Awareness

Municipal Employee Guide to Autism Awareness RISK Winter 2014 Municipal Employee Guide to Autism Awareness A D M M R M A V I S O A D M R Y C I N O I S T R A T M M I T T I V E E Michigan Municipal Risk Management Authority Administrative Advisory

More information

Putting Autism in Perspective

Putting Autism in Perspective Putting Autism in Perspective Stephanie Eger Childcare Enhancement With A Purpose UCP of Huntsville 1856 Keats Drive Huntsville, AL 35810 256.859.4900 Ext. 106 seger@ucphuntsville.org WHAT IF: You couldn

More information

Understanding Autism Spectrum Disorder. By: Nicole Tyminski

Understanding Autism Spectrum Disorder. By: Nicole Tyminski Understanding Autism Spectrum Disorder By: Nicole Tyminski What is Autism? Autism spectrum disorder (ASD) and autism are both general terms for a group of complex disorders of brain development. These

More information

1/30/2018. Adaptive Behavior Profiles in Autism Spectrum Disorders. Disclosures. Learning Objectives

1/30/2018. Adaptive Behavior Profiles in Autism Spectrum Disorders. Disclosures. Learning Objectives Adaptive Behavior Profiles in Autism Spectrum Disorders Celine A. Saulnier, PhD Associate Professor Emory University School of Medicine Vineland Adaptive Behavior Scales, Third Edition 1 Disclosures As

More information

ONE IN ONE HUNDRED AND TEN PERSONS!! 5/5/2010

ONE IN ONE HUNDRED AND TEN PERSONS!! 5/5/2010 TOPICS Nature of the autism spectrum Deciding: Where is this person on the spectrum? Beyond DSM-IV Treatment: behavioral and pharmacological An Official Notice I do not have a significant relationship

More information

AUTISM PARENT HANDBOOK. Answers to common questions. Artwork: Hey Diddle Diddle, by Eytan Nisinzweig, an artist with autism.

AUTISM PARENT HANDBOOK. Answers to common questions. Artwork: Hey Diddle Diddle, by Eytan Nisinzweig, an artist with autism. AUTISM PARENT HANDBOOK Answers to common questions Artwork: Hey Diddle Diddle, by Eytan Nisinzweig, an artist with autism. 2nd Edition Dear Parents: We are very pleased to publish the 2nd edition of the

More information

Age of diagnosis for Autism Spectrum Disorders. Reasons for a later diagnosis: Earlier identification = Earlier intervention

Age of diagnosis for Autism Spectrum Disorders. Reasons for a later diagnosis: Earlier identification = Earlier intervention Identifying Autism Spectrum Disorders: Do You See What I See? Age of diagnosis for Autism Spectrum Disorders 1970 s it was around 5-6 years of age 1980 s it was around 4-5 years of age presently the mean

More information

PROGRAMMING FOR STUDENTS WITH ASD IN THE GENERAL EDUCATION SETTING

PROGRAMMING FOR STUDENTS WITH ASD IN THE GENERAL EDUCATION SETTING PROGRAMMING FOR STUDENTS WITH ASD IN THE GENERAL EDUCATION SETTING Middle School Point Person Training District 204 2010-2011 Pam Leonard & Sabrina Beaudry WELCOME! HOW DID WE GET HERE? SMART GOAL By the

More information

Neurodevelopmental Disorders

Neurodevelopmental Disorders Neurodevelopmental Disorders Intellectual Disability Disorder Autism Spectrum Disorder (ASD) Attention-Deficit Hyperactivity Disorder (ADD/ADHD) Motor Disorders/Tourette s Disorder Intellectual Disability

More information

AUTISM IN YOUNG CHILDREN

AUTISM IN YOUNG CHILDREN AUTISM IN YOUNG CHILDREN Margo A. Candelaria, Ph.D. November 6, 2013 Agenda Prevalence Definition/Diagnostic criteria Neuroscience and Genetics Features/Red Flags Screening / Assessment Resources QUIZ

More information

AUTISM Definition. Symptoms

AUTISM Definition. Symptoms AUTISM Definition Autism spectrum disorder is a serious neurodevelopmental disorder that impairs a child's ability to communicate and interact with others. It also includes restricted repetitive behaviors,

More information

Developmental Delay In Children. Special Focus on Autism and Foster Children

Developmental Delay In Children. Special Focus on Autism and Foster Children Developmental Delay In Children Special Focus on Autism and Foster Children Objectives Statistics Definitions Causes BiopsychosocialStreams and Red Flags Autism/DD First Signs DSM-5 Early Intervention/Screening

More information

Quick guide to autism

Quick guide to autism Quick guide to autism What it looks like and how you can help What is autism? Autism is a lifelong neurodevelopmental disorder We don t know what causes autism but we do know genetics plays a role 1 in

More information

Screening of Developmental Delay and Autism Spectrum Disorders

Screening of Developmental Delay and Autism Spectrum Disorders Screening of Developmental Delay and Autism Spectrum Disorders Current guideline and significant revision written by Angela Scott, MD, PhD, in collaboration with the ANGELS Team, August 1, 2016. Guideline

More information

Adaptive Behavior Profiles in Autism Spectrum Disorders

Adaptive Behavior Profiles in Autism Spectrum Disorders Adaptive Behavior Profiles in Autism Spectrum Disorders Celine A. Saulnier, PhD Associate Professor Emory University School of Medicine Director of Research Operations Marcus Autism Center Vineland Adaptive

More information

ASD Screening, Referral, Detection. Michael Reiff MD

ASD Screening, Referral, Detection. Michael Reiff MD ASD Screening, Referral, Detection Michael Reiff MD reiff001@umn.edu ASD: Key Domains Qualitative impairment in reciprocal social interaction Qualitative impairment in communication Restricted, repetitive,

More information

Low Functioning Autism Spectrum Disorder

Low Functioning Autism Spectrum Disorder Low Functioning Autism Spectrum Disorder Walter E. Kaufmann Center for Translational Research Greenwood Genetic Center Department of Neurology, Boston Children s Hospital MIT Simons Center for the Social

More information

Pervasive Developmental Disorder Not Otherwise Specified (PDD- NOS)

Pervasive Developmental Disorder Not Otherwise Specified (PDD- NOS) Pervasive Developmental Disorder Not Otherwise Specified (PDD- NOS) What is Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS)? (*Please note that the criteria according to the DSM-V changed

More information

What is Autism? Laura Ferguson, M.Ed., BCBA.

What is Autism? Laura Ferguson, M.Ed., BCBA. What is Autism? Laura Ferguson, M.Ed., BCBA. What is Autism? ) Autism is a complex developmental disability that has a neurological basis that causes impairments in social interactions, communication,

More information

6/5/2018 SYLVIA J. ACOSTA, PHD

6/5/2018 SYLVIA J. ACOSTA, PHD SYLVIA J. ACOSTA, PHD ASSOCIATE PROFESSOR SUMMER INSTITUTE JUNE 1 Introduction to Autism Spectrum Disorder (ASD) for Educators JUNE 15, 2018 2 Objectives Participants will: Identify the 2 diagnostic categories

More information

Developmental Disabilities: Diagnosis and Treatment. Sara Sanders, Psy.D. 03/05/15

Developmental Disabilities: Diagnosis and Treatment. Sara Sanders, Psy.D. 03/05/15 Developmental Disabilities: Diagnosis and Treatment Sara Sanders, Psy.D. 03/05/15 1 Developmental Disability A severe and chronic disability that is attributable to a mental or physical impairment that

More information

Autism Spectrum Disorder: A Primer for PCPs

Autism Spectrum Disorder: A Primer for PCPs Autism Spectrum Disorder: A Primer for PCPs Learning Objectives 1. Define current ASD diagnostic criteria 2. Identify ASD screening tools, including the M-CHAT-R/F 3. Describe treatments/interventions

More information

Clinical Review of Autism Spectrum Disorders

Clinical Review of Autism Spectrum Disorders Diagnostic criteria: new guidelines-dsm V Must meet criteria A, B, C, D and E A Persistent deficits in social communication and social interaction across contexts, not accounted for by general developmental

More information

Tier 1 Diagnostic Evaluation (ASD Diagnosed)

Tier 1 Diagnostic Evaluation (ASD Diagnosed) Tier 1 Diagnostic Evaluation (ASD Diagnosed) REFERRAL INFORMATION Cody is a young boy, aged 3 years and 7 months. He was referred to a speech pathologist by his child health nurse for assessment and evaluation

More information

12/19/2016. Autism Spectrum Disorders & Positive Behavior Supports a brief overview. What is the Autism Spectrum? Autism Spectrum Disorder

12/19/2016. Autism Spectrum Disorders & Positive Behavior Supports a brief overview. What is the Autism Spectrum? Autism Spectrum Disorder Autism Spectrum Disorders & Positive Behavior Supports a brief overview What is the Autism Spectrum? DSM V (2013) included revisions with more specific diagnostic criteria and Further distinctions will

More information

Autism Spectrum Disorders & Positive Behavior Supports a brief overview

Autism Spectrum Disorders & Positive Behavior Supports a brief overview Autism Spectrum Disorders & Positive Behavior Supports a brief overview What is the Autism Spectrum? DSM V (2013) included revisions with more specific diagnostic criteria and Further distinctions will

More information

Autism Spectrum Disorder. EI/ECSE Pre-Referral and Referral Information Packet

Autism Spectrum Disorder. EI/ECSE Pre-Referral and Referral Information Packet Autism Spectrum Disorder EI/ECSE Pre-Referral and Referral Information Packet Revised 11-2013 1 Pre-Referral Team Dates South Coast Education Service District Pre-Referral Process Please use the following

More information

Autism 101: An Introduction to Understanding Autism

Autism 101: An Introduction to Understanding Autism Autism 101: An Introduction to Understanding Autism What is Autism? Autism is a disorder that affects the brain s normal development of social and communication skills. ~ Autism Society of Colorado The

More information

Valarie Kerschen M.D.

Valarie Kerschen M.D. Valarie Kerschen M.D. Greek word meaning self 1940 s Dr Leo Kanner describes classic autism 1940 s Dr Hans Asperger describes Aspergers Syndrome 1960 s Autism theorized to be due to refrigerator mothers

More information

Page24. Indexed in: Autism Spectrum Disorder (ASD) Sunny Agarwal Founder / Digital Marketing Specialist at Code- LIT. September 2018; 5(3):24-28

Page24. Indexed in: Autism Spectrum Disorder (ASD) Sunny Agarwal Founder / Digital Marketing Specialist at Code- LIT. September 2018; 5(3):24-28 Page24 Autism Spectrum Disorder (ASD) Sunny Agarwal Founder / Digital Marketing Specialist at Code- LIT Email: agarwalsunny68@gmail.com KEY WORDS: Autism, Sign/symptoms of ASD (Autism Spectrum Disorder),

More information

Autism in the United States: By the Numbers

Autism in the United States: By the Numbers Autism in the United States: By the Numbers Current Trends in Autism Spectrum Disorder Eric Kurtz, Ph.D. Director, Leadership Excellence in Neurodevelopmental Disorders Director of Clinical Operations

More information

07/11/2016. Agenda. Role of ALL early providers. AAP Guidelines, Cont d. Early Communication Assessment

07/11/2016. Agenda. Role of ALL early providers. AAP Guidelines, Cont d. Early Communication Assessment Early Communication Assessment Early Social Communication Assessment: Models for Infant Siblings at Risk for ASD How early? 9-12 months we attempt to make critical observations of younger sibs, capturing

More information

A Pilot Study on the Diagnostic Performance of DMS-IV and DMS-V for Autism Spectrum Disorder

A Pilot Study on the Diagnostic Performance of DMS-IV and DMS-V for Autism Spectrum Disorder 6 Jul 0 Vol 4 No. North merican Journal of Medicine and Science Original Research Pilot Study on the Diagnostic Performance of DMS-IV and DMS-V for utism Spectrum Disorder Yang You, MD, ai-lin Wu, PhD,

More information

Assessing Autism in Primary Care. Petra Steinbuchel, MD Medical Director Mental Health and Child Development UCSF Benioff Children s Hospital Oakland

Assessing Autism in Primary Care. Petra Steinbuchel, MD Medical Director Mental Health and Child Development UCSF Benioff Children s Hospital Oakland Assessing Autism in Primary Care Petra Steinbuchel, MD Medical Director Mental Health and Child Development UCSF Benioff Children s Hospital Oakland 1 Objectives: 1. Name assessment tools for primary care

More information

Autism Spectrum Disorder and Visual Impairment Revisited.

Autism Spectrum Disorder and Visual Impairment Revisited. Autism Spectrum Disorder and Visual Impairment Revisited. How can standardised assessment tests be adapted to assist in providing a robust diagnosis of Autism Spectrum Disorder in children who are blind

More information

UPDATE: AUTISM SPECTRUM DISORDER IN CHILDREN

UPDATE: AUTISM SPECTRUM DISORDER IN CHILDREN UPDATE: AUTISM SPECTRUM DISORDER IN CHILDREN HISTORY OF AUTISM ABLE TO TRACE THE CHANGING APPROACHES TO AUTISM BY LOOKING AT DSM CRITERIA OVER TIME IN THE BEGINNING, IT WAS PERCEIVED AS A SINGULAR DISORDER

More information

A Training Module for Early. Interventionists. VT-ILEHP ASD LEND Program 2010

A Training Module for Early. Interventionists. VT-ILEHP ASD LEND Program 2010 A Training Module for Early Interventionists VT-ILEHP ASD LEND Program 2010 Screening tool for Autism and other pervasive developmental disorders in children 12 to 48 months old Relies on a parent or person

More information

Words are not enough: Social Communication & Early Signs of Autism Spectrum Disorders

Words are not enough: Social Communication & Early Signs of Autism Spectrum Disorders Words are not enough: Social Communication & Early Signs of Autism Spectrum Disorders Pamela Rollins, MS Ed.D. University of Texas at Dallas, School of Behavior and Brain Sciences, Callier Center for Communication

More information

Course # Understanding Autism

Course # Understanding Autism Course # 503 Understanding Autism Disclaimer Slide Understanding Autism Andrea Gregory, MD, FAAP Objectives The learner will understand what Autism Spectrum Disorder encompasses and how it manifests clinically

More information

Autism Symptomology: Subtleties of the Spectrum

Autism Symptomology: Subtleties of the Spectrum Autism Symptomology: Subtleties of the Spectrum Understanding Nuanced Autism Symptomology in Students with High Functioning Autism and Females Kimberly Selders, MA; Jena Randolph, PhD; Courtney Jorgenson,

More information

AUTISM IN CHILDREN. IAP UG Teaching slides

AUTISM IN CHILDREN. IAP UG Teaching slides AUTISM IN CHILDREN IAP UG Teaching slides 2015-16 AUTISM Autism is a developmental disorder that appears in the first 3 years of life, and affects the brain's normal development of social and communication

More information