Autism
Provider Forms and Tools
SCREENING INFORMATION:
- Surveillance and Screening Algorithm: Autism Spectrum Disorders American Academy of Pediatrics 2007 Link
- Screening for autism in young children: The Modified Checklist for Autism in Toddlers (M-CHAT) and other measures. Dumont-Mathieu T, Fein D. (2005) Ment Retard Dev Disabil Res Rev. 11(3):253-62
A review looking at five tools designed for use with children under three years of age, with particular discussion of the M-CHAT. The other four tools reviewed: Checklist for Autism in Toddlers (CHAT), Pervasive Developmental Disorders Screening Test (PDDST), Screening Tool for Autism in Two year olds (STAT), and Checklist for Autism in Toddlers-23 (CHAT-23)
SCREENING TOOLS:
- Modified Checklist for Autism in Toddlers (M-CHAT)
The M-CHAT is designed to screen for autism spectrum disorders in toddlers, especially at 18 and 24 months, although it can be used over the age of 12 months. It can be completed by a parent. Positive screens suggest a high risk for an autism spectrum disorder and may indicate a need for referral.
Importantly, the follow-up interview should be administered for children with positive screens.
The interview greatly reduces the false positive rate, which avoids unnecessary referrals. Please note that if the healthcare provider has concerns about ASDs, children should be
referred to a specialist regardless of the score on the M-CHAT or M-CHAT follow-up interview.
- Checklist
- Scoring Instructions
- Follow-up Interview - Administer only those items for which the parent indicated behavior that demonstrates risk for autism spectrum disorders (ASDs), and/or those which the healthcare provider has concerns may not have been answered
accurately.
- Scoring program and scoring template are available Link
- M-CHAT translations available:
- Arabic
- Arabic, version 2 with scoring instructions and Follow-up Interview
- Bangla
- Chinese
- Czech
- Dutch
- French
- French Canadian
- German
- Greek
- Gujarati
- Icelandic
- Japanese
- Japanese with illustrations
- Kannada
- Kurdish
- Portuguese - Brazil
- Portuguese - Portugal
- Sinhala
- Somalian
- Spanish - Western Hemisphere
- Spanish - Spain
- Tamil
- Turkish
- Vietnamese
- Urdu
- In progress:
MANAGEMENT TOOLS:
The Physician's Guide to Caring for Children with Disabilities and Chronic Conditions - Autism and PDD Chapter
Edited by Drs. Robert Nickel and Larry Desch. Paul H. Brookes Publishing Company. (2000) See the specific pages highlighted below -
www.ohsu.edu/outreach/cdrc/medicalhome/docs/autism.pdf
- Family and Physician Management Plan Summary for Children and Adolescents with Autism and Pervasive Development Disorders (6 pages)
- Questions for Parents to Ask Themselves Regarding Specific Treatments (1 page)
- Observations of Play (4 pages)
Page History:
Reviewed by Felice Orlich, Ph.D. Dec. 21, 2005
Reviewed and updated by Katherine TeKolste, August 26, 2009
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