Reply to Steps for getting evaluated for 4 year old for potential autism

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Unless you are made of money, start with your county or state free evaluation which will also set you up for an IEP. If you want something more specialized most large hospitals and all childrens hospitals have autism clinics likely covered by insurance. [/quote]

Yes, this is the most cost effective way. But a warning that many schools are using outdated concepts of autistic behavior that misses autism in many girls.[/quote]

Sigh. No, they will perform the ADOS which is the gold standard assessment (and gender neutral). If they don’t do the ADOS then insist on it or to get an independent examination after. [/quote]

I'm a special ed lawyer. I have never seen a school psychologist perform an ADOS or be certified to do so. They don't even have PhDs. What school district are you in that does the ADOS?[/quote]

In addition to the poster who said PG, I've seen school psychs administer the ADOS in LCPS and MCPS. You're a special ed lawyer and you don't know that some school psychologists have PhDs? Most are certified with a specialist degree, but there are school psychologists in every local district with PhDs in school psychology. Some are practicing with only their school psych certification and some are also licensed psychologists. Also, the publisher of the ADOS classifies it as needing level C qualifications to administer (which includes certified school psychs at the specialist level) rather than a level N (needs to have a PHD).[/quote]

What’s with the attitude?[/quote]

Probably from how frustrating it is to deal with special ed lawyers who make incorrect claims and waste families thousands of dollars![/quote]

I'm not the special ed attorney but I feel like the truth is somewhere in between. I don't doubt many school districts can administer the ADOS, the question is will they and if so how long until they will actually do it? Autistic girls (on average) often do better than autistic boys at younger ages and then struggle more at older ages as social demands increase. Unless there is a significant educational impact right now Child Find will wave you off. And even if they don't wave you off their goal will never be to diagnose your child ASAP. They will do what they are legally required to do. It is not their job to provide the top level gold standard of services to treat neurodevelopmental conditions.
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You are acting like the ADOS is a magic, fail-proof tool. It's not! It is culturally biased and less likely to identify level 1 girls. It is a great tool, sure, but it is just a tool. [/quote]

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