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Diagnostic Assessment of Autistic-Spectrum Disorders - ADOS-2
An assessment regarding a suspected diagnosis of Autism Spectrum Disorder requires careful consideration of data that is gathered from caregivers, school personnel and the direct assessment/observation of the child in structured activities. The evaluation of the child’s functioning within multiple domains are considered. Data is integrated into a report in a fashion that supports recommendations for intervention at home, at school and within the social environment. The report is designed to provide parents, teachers and physicians with concise outcome data regarding the results of an otherwise comprehensive assessment process.

An Autism Spectrum Disorder Assessment requires approximately three hours to complete and is accomplished over three sessions. A Parent Feedback Session and written report are offered at the conclusion of the assessment process. Autism Spectrum Disorder Assessments are fully reimbursed via Ohio Medicaid. Self-pay assessment fees range between 800.00 and 1200.00, depending on the number of sessions needed to complete the evaluation process and the completion of collateral activities, such as consultation with school-based personnel and review of school and medical records.

In addition to data provided via caregiver interview and teacher observation, the following measures are utilized in an Autism Disorder Assessment:

The Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) is an observational assessment that is used to identify Autism Spectrum Disorders. The ADOS-2 provides a semi-structured, standardized assessment of communication, social interaction, play and restricted and repetitive behaviors.

The Gilliam Autism Rating Scale – 3rd Edition (GARS-3) is a norm-referenced instrument that assesses a child’s functioning within six subscales: Restricted/Receptive Behaviors, Social Interaction, Social Communication, Emotional Responses, Cognitive Style and Maladaptive Speech. These subscales are used to derive the Autism Index Score, a rating regarding the probability of an Autism-Spectrum diagnosis. The GARS-3 is administered during the Parent Interview portion of the assessment process and may be compared to data obtained from other adults who observe the child in different settings, such as within the school environment.

The Kaufman Brief Intelligence Test, Second Edition (KBIT-2) is a brief, standardized measure of intelligence; including overall, Verbal, and Nonverbal intelligence. The KBIT-2 is used in conjunction with the test battery to rule out the influence of any cognitive impairments.

The Peabody Picture Vocabulary Test-Third Edition (PPVT-III) is a norm-referenced measure of receptive vocabulary and is used as part of the test battery to rule out the influence of communicative disorders on Autism ratings.

The Vineland Adaptive Behavior Scales, Second Edition (Vineland-II) provides a standardized measure of adaptive functioning from birth to adulthood and includes Communication, Daily Living Skills, Socialization, and Motor Skills. The Vineland-II is administered during the Parent Interview portion of the assessment process.

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