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Autism primarily affects three areas of behavior: communication, social interactions or connectedness, and behavioral rigidity. Because autism spectrum disorders are diagnosed based on behavior, the evaluation includes both formal assessments, as well as structured play and interaction scenarios. Standardized tests are used for this purpose, and may include the Autism Diagnostic Observation Schedule (ADOS), Wechsler Intelligence Scale for Children-IV-Integrated (WISC-IV-I), Wechsler Preschool and Primary Scale of Intelligence-Third Edition (WPPSI-III), and others. The Wechsler scales are widely used and broadly accepted tests of cognitive skills for children with and without developmental delays or learning differences. The ADOS is a semi-structured assessment that specifically examines those behaviors commonly associated with autism.
Additional information is gathered from people who are most familiar with the child via Childhood Autism Rating Scale (CARS), Gilliam's Autism Rating Scale-Second Edition (GARS-2), Gilliam's Asperger's Disorder Scale (GADS), Social Responsiveness Scale, Social Communication Questionnaire (SCQ) and Vineland Adaptive Behavior System-Second Edition (VABS-2). These instruments are in rating scale format and are typically completed by parents, caregivers, and teachers.
Other standardized instruments and informal measures may be used as needed to determine the presence of the behavioral characteristics of autism spectrum disorders (ASD). Of course, each evaluation is designed to address the particular needs of each child and family. In addition to addressing the impact of behaviors often associated with autism, comprehensive evaluations may include an assessment of cognitive and intellectual skills, educational performance, social/emotional adjustment, and independent living skills.
Similiar to our Psychological-Educational evaluations, an autism spectrum disorder (ASD) evaluation will include an Intake appointment with the parents or caregivers, several evaluation sessions, and an Interpretative Parent Conference providing results and recommendations. At this time, there is no waiting list for evaluations. Parents can expect to begin the process with an Intake appointment within a week of initial contact with our office, barring any family scheduling constraints.
The cost of the evaluation depends on several factors, including: 1) the age of the child 2) the complexity of the testing and 3) the unique needs of each child. Typically, testing is completed over three sessions. At times, two sessions are adequate. Our focus is on providing the best testing environment and ensuring that each child has the time and energy to do their very best.
The Autism Spectrum Disorder (ASD) Clinic is led by Carol Capehart, MA, LPA and is based at our Midtown clinic.
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