What is level 1 and level 2 screening, and which will this article focus on
a. Level 1 screening, involves routine developmental surveillance by providers of general services for young children, such as pediatricians.
b. Level 2 evaluation involves a comprehensive diagnostic assessment by experienced clinicians for children who fail the initial screening.
c. The article focuses on Level 2 screening
a. First, a developmental perspective must be maintained
b. A second important consideration is that the evaluation of a child with ASD should include information from multiple sources and contexts, as symptoms of ASD may be dependent on characteristics of the environment.
c. Third, it is recommended that assessments of ASD are multidisciplinary whenever possible, including professionals from psychology, psychiatry, other medical specialties as needed (e.g., pediatrics, neurology) and speech and language
the three important considerations that should inform the assessment process?
a. The first step of the core assessment process is to review with parents the child’s early developmental history and current concerns
b. Combined with this review is direct observation of and interaction with the child.
intellectual functioning.
What is the second domain correlated with?
with severity of autistic symptoms, ability to acquire skills, and level of adaptive function and is one of the best predictors of outcome.
What is the second domain’s goal?
generating a profile of the child’s cognitive strengths and weaknesses, facilitating educational planning, determining eligibility for certain IQ-related services (e.g., state funded developmental disability services), and suggesting prognosis
What is one way to overcome some of the challenges that are inherent in intellectual assessments for young students with autism?
a. Motivation can have a tremendous influence on test results, and assessments that incorporate reinforcement procedures can result in very different test scores.
Language
Adaptive behavior
8.Neurophysiological assessments are not usually useful for what types of children with ASD?
It is not useful for non-verbal or mentally retarded children with autism.
a. It is not measuring executive functioning. The observer is testing the strength of certain stimuli in the environment over the subject’s behavior, stimulus control.
a. People with autism may lack the self-insight to recognize symptoms or the motivation and social relatedness needed to report them
a. Because the goal of assessment should be to understand how ASD affects individuals in the course of daily life, when feasible it is helpful to augment the evaluation by obtaining information from teachers or others who interact with the child in the challenging and relatively unstructured school setting
Social Validity