Steps to Diagnosis and the First Minute

Abstract

This chapter will list the steps needed to reach a diagnosis of ASD, especially in the young child. The “ADOS” (Autism Diagnostic Observation Schedule) test for ASD is introduced.

We will review who needs subspecialty referrals and how your clinical impression can be shared with parents before that appointment occurs. At an autism specialty clinic, best practice involves an interdisciplinary team, and the nature of such an “ID” team is discussed. The role of each major discipline as well as the critical role of the parent(s) is reviewed. We will discuss how to use the first diagnostic minute to your best advantage, through listening, watching, and prompting the child with brief social offerings and seeing their initial response to verbal input. The concept of positive and negative signs of ASD is introduced.