Autistic Disorder Criteria - F84.0 (299.00)

  • DSM-5 Autism Spectrum Disorder diagnosis criteria
  • Developmental Screening/Testing -- Coding Fact Sheet for Primary Care Pediatricians 
The DSM–5’s classification involves a shift from the categorical approach of ASD to a dimensional approach (American Psychiatric Association, 2013). 
Full-text criteria source directly from: American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

Assessment & Screening Tools

The American Academy of Pediatrics (AAP) recommends that all children be screened for developmental delays and disabilities during regular well-child doctor visits at 9 months, 18 months, and 24 (or 30) months. Additional screening might be needed if a child is at high risk for developmental problems because of preterm birth or low birth weight. In addition, all children should be screened specifically for ASD during regular well-child doctor visits at 18 months and 24 months, with additional screening needed if a child is at high risk for ASD (e.g., having a sibling with an ASD) or if symptoms are present.
dpipscreeningtoolgrid.pdf
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Parent report (SCREENING)
  • Modified Checklist for Autism in Toddlers (M-CHAT-R/F) w/ follow-up
  • Ages and Stages Questionnaires (ASQ)
  • Communication and Symbolic Behavior Scales (CSBS)
  • Parents’ Evaluation of Developmental Status (PEDS)
  • CSBS DP Infant-Toddler Checklist (ages 3 - 24 months)
  • Autism Behavior Checklist (ABC)
  • Gilliam Autism Rating Scale – Second Edition (GARS-2): Ages 3-22 years
  • Social Communication Questionnaire (SCQ)
  • Autism Treatment Evaluation Checklist (ATEC) - free
Clinician (SCREENING)
  • MCHAT and MCHAT official website screening (16 - 48 mo)
  • MCHAT-R/F Modified Checklist for Autism in Toddlers - Revised with Followup (2013); official website & online MCHAT-R/F w/instant scoring
  • Screening Tool for Autism in Toddlers and Young Children (STAT)
  • Autism Spectrum, Social Communication Severity
  • Autism Screening Tool Kit for Primary Care Providers by Developmental Pediatrician Alison Schonwald, MD; Boston Children's Hospital
Clinician (DIAGNOSTIC & OTHER)
  • Autism Diagnosis Interview – Revised (ADI-R): 18 months and older
  • Autism Diagnostic Observation Schedule – Generic (ADOS-G)
  • Childhood Autism Rating Scale (CARS): 2 years old and older
  • Gilliam Autism Rating Scale – Second Edition (GARS-2): Ages 3-22 years
  • Autism Screening Instrument for Educational Planning (ASIEP-3)
  • Autism Diagnostic Interview-Revised (ADI-R)
  • Childhood Autism Rating Scale (CARS)
  • Autism Research Institute's Form E-2 Checklist

Position Papers & Practice Parameters

  • ​Screening and Diagnosis of Autism: Report of the Quality Standards Subcommittee of the American Academy of Neurology and the Child Neurology Society

Articles

  • Autism Spectrum Disorder: Parents' Medication Guide (American Academy of Child and Adolescent Psychiatry)
  • Naturalistic Developmental Behavioral Interventions: Empirically Validated Treatments for Autism Spectrum Disorder (Schreibman et al, 2015)
  • Psychiatric disorders that are co-morbid with autism spectrum disorders (Simonoff et al, 2008)
  • Autism Spectrum Disorder (ASD) and genomics
  • Optimal Outcome in Individuals with a History of Autism (Fein et al, 2013)
  • DSM V changes
2 part publication from 2016 JPHC special issue on behavior:
  • Johnson, N. L., Burkett, K., Reinhold, J., & Bultas, M. W. (2016). Translating Research to Practice for Children With Autism Spectrum Disorder: Part I: Definition, Associated Behaviors, Prevalence, Diagnostic Process, and Interventions. Journal of Pediatric Health Care 30(1),15-26, doi: 10.1016/j.pedhc.2015.09.008
  • Bultas, M. W., Johnson, N. L., Burkett, K., & Reinhold, J. (2016). Translating Research to Practice for Children With Autism Spectrum Disorder: Part 2: Behavior Management in Home and Health Care Settings. Journal of Pediatric Health Care 30(1), 27-37 doi:10.1016/j.pedhc.2015.09.009
Dietary Interventions for ASD:
  • Fraguas, D., Diaz-Caneja, C.M., Pina-Camacho, L., Moreno, C., Duran-Cutilla, M., Ayora, M., et al. (2019). Dietary interventions for autism spectrum disorder: a meta analysis. Pediatrics. October, 2019.
2014 Evidence-based practice guide for ASD kids
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Resources

  • Interview Template
  • "Detect Autism. Act Early": CDC Link for parents (and professionals)
  • Autism Overview​
  • The Spectrum of Autism Symptoms (National Center on Birth Defects and Developmental Disabilities)
  • CDC Autism Case Training: Educational modules for providers on various aspects of autism diagnosis and services
  • Autism: What We Know National Institute of Child Health and Human Development)
  • Comparison in Dev't between Typical Kids and/or Kids w/Delays Table (birth - 3), by Volkmar
  • University of Washington on-line DBP resources (developed by Sam Zinner, MD). Good things to explore on this site include:
    1. Screening Tools
    2, Resources - some of these are Washington-specific but many are national
    3. DBP In the News - short reviews of DBP-related studies that have been in the popular press
For Your Families
  • Autism Speaks Family Toolkit
  • "Your Child's Rights" (Autism Speaks, 2015)
  • Autism Health Insurance Project - assists families in obtaining medically necessary treatments through their health plans; provides direct services to assist families with obtaining single case agreements (SCAs), writing appeals and requesting regulatory intervention. 
  • Video Glossary (Autism Speaks) - log in here (free) to see high quality examples of typically developing children and those on the autism spectrum
  • First 100 Days Kit - For Families of Newly Diagnosed Children (Autism Speaks)
  • Search Autism Apps
  • Handouts for parents: Section 1 and Section 2
  • See page 14 regarding Teaching Your Child with Autism How to Read, from the 2013 Parent Reading Guide (cross-posted to the Childhood Literacy SIG): http://pdf.ftp-wehaa.com/LATIMES/LATIMES-2013-Parent-Reading-Guide.pdf 
  • Autism Treatment Network​
  • Autism Assistance Dogs (and an article on Rover about them)
Organizations:
  • Autism Society of America
  • Autism Speaks​: This website has many resources for providers and families, but some of the highlights are:
    1. Video Glossary - log in here (free) to see high quality examples of typically developing children and those on the autism spectrum.
    2. First 100 Days Toolkit - a great resource for families with a newly diagnosed child.
    3. Autism Apps - both family resources and kid-friendly, some are educational/communication support and others are more for fun (for iPad and iPhone).
  • First Signs
Advocacy (from Autism Speaks)
  • The ABC's of Basic Advocacy and Negotiation Skills
  • Learning the Skills
  • School Advocacy
  • Autism Advocacy in the Community: A Parent Perspective
  • Community Advocacy
  • Learning the Language of Self-Advocacy
  • Resources
  • Individualized Education Program (IEP)
Games & Activities
  • http://www.autismspeaks.org/autism-apps
  • http://www.visualaidsforlearning.com/
  • http://www.babybumblebee.com/
  • http://www.funbrain.com/
  • http://www.starfall.com/
  • https://www.poissonrouge.com/
  • Help for medical procedure preparation via iPad app
Other
  • Transitioning to Adulthood​​ (Autism Speaks, 2015)
  • BrainNET
  • "What happened to Aspergers?" Here is a quick hand-out for parents on the "new" Autism Spectrum Disorder (ASD).

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