IDENTIFYING CHILDREN WITH AUTISM
SPECTRUM DISORDER AT 18 MONTHS
IN A GENERAL POPULATION SAMPLE
METHODS: BACKGROUND ON
Questionnaire filled out by RESEARCH:
parents: M-CHAT (Modified
Checklist for Autism in Parents of children with an
Toddlers) ASD typically say they were
The questionnaire is concerned for their child's
used for identifying development at around 18
Autism Spectrum months
Disorders in toddlers
aged 16-30 months The earliest behavioral
signs of an ASD seem to
23 yes-or-no questions that become prevalent during a
help determine if a child child's second year of life
has autism
With the large potential for
If a child scores below a children with an ASD, it is
20/23, or fails two of the six common for toddlers to be
"critical items," they are tested at regular health
identified as being at-risk check-ups
for having an Autism
Spectrum Disorder The M-CHAT is the most
frequently used method of
SIX "CRITICAL ITEMS": testing a child for an ASD
This method is used for
both children who have
1 - "imitation"
been recommended for
2 - "interest in other children"
a screening and for
3 - "initiative to joint attention
routine health check-
(point for interest)"
ups (the test is more
4 - "response to joint attention
accurate in toddlers
(follow point)"
who were
5 - "show objects to others"
recommended)
6 - "response to name"
FINDINGS:
173 34.7% 1/3
of the 52,026 children of the 173 toddlers of the diagnosed children
have been diagnosed failed either portion of were identified as a result
with ASD the questionnaire of the test
IMPLICATIONS FOR THE
DISCUSSION:
CLASSROOM:
Based on the findings (as seen
above), the researchers Knowing that the majority of
concluded that this method toddlers passed the M-CHAT, there is
cannot be relied upon to a possibility that elementary
diagnose toddlers with an ASD. classrooms have a student(s) with an
Only 1/3 of the 173 diagnoses undiagnosed ASD. This can be
were determined as a result of difficult from a teaching perspective,
the M-CHAT. The majority of because a teacher cannot
children later diagnosed with confidently know how to best help
an ASD, nearly 66%, passed the the student if their condition is
M-CHAT and were diagnosed undiagnosed. For upper elementary
with an ASD later than the 18- and secondary teachers, the student
month cut-off. will have (hopefully) received a
diagnosis by the time they get here.
Stenberg, N., Bresnahan, M., Gunnes, N., Hirtz, D., Hornig, M., Lie, K. K., Lipkin, W. I., Lord, C., Magnus, P.,
Reichborn-Kjennerud, T., Schjølberg, S., Surén, P., Susser, E., Svendsen, B. K., Tetzchner, S., Øyen, A.-S., &
Stoltenberg, C. (2014). Identifying Children with Autism Spectrum Disorder at 18 Months in a General Population
Sample. Paediatric & Perinatal Epidemiology, 28(3), 255–262. https://doi.org/10.1111/ppe.12114