Navigating the Search for an Autism Spectrum Disorder (ASD) Diagnosis
When parents and caregivers have concerns about a child potentially having autism spectrum disorder (ASD), obtaining an appropriate assessment can be challenging due to a limited number of doctors who are appropriately qualified.communi This often results in long waitlists, causing ongoing worry about securing the right interventions for the child in a timely manner. Here are some important considerations when seeking an ASD evaluation:
A diagnosis must be made by a psychologist or physician:
Although ASD assessments are sometimes offered by counselors or social workers, they are not considered sufficient by most public agencies or other doctors to qualify a child for benefits or a medical diagnosis. Sometimes, a multidisciplinary team may conduct a coordinated assessment, with a psychologist or physician providing the final diagnosis. An ASD diagnosis is based on a comprehensive collection of information. The doctor will gather a detailed history of the child, focusing on early language development, social interactions, nonverbal behavior, play skills, and any atypical behaviors. Parents or caregivers are often asked to complete rating forms to assess relevant signs and symptoms. The provider will also meet with the child to observe their behavior and may administer specific tests to evaluate the child's skills and abilities.
The Autism Diagnostic Observation Schedule, Second Edition (ADOS-2), may be used as part of the assessment, but is not always necessary:
While the ADOS-2 can provide valuable insights to help determine if an ASD diagnosis is appropriate, it is not essential for making a diagnosis. This tool involves direct interaction with the child using play materials and engaging activities. During the assessment, the examiner collects information about the child's speech and language skills, social interactions, understanding of emotions and relationships, and behavior. For younger children, the focus is more on the quality of play, engagement with toys, communication, social engagement, and behavior.
Once an ASD diagnosis is made, the child gains access to appropriate interventions and pubic benefits. Notably, children with autism often benefit from Applied Behavior Analysis (ABA) therapy, which is typically available only to those with an established diagnosis, and is considered important for maximizing the child’s potential in school and life. An early diagnosis also opens doors for interventions and accommodations in school to minimize autism's impact on their educational potential.
At STLCCH, we provide families access to comprehensive assessment services to facilitate early diagnosis and intervention without the need for long waitlists and rushed appointments.
