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Developmental Evaluation and Screening
The developmental evaluation and screening tool, how it was developed, and its validity and reliability
The Modified Checklist for Autism in Toddlers is a tool that is scientifically validated for screening kids aged between sixteen and thirty months for autism spectrum disorder risk. Marianne Barton, a clinical psychologist, and Deborah Fein and Diana Robins, neuropsychologists, developed or created the original version.
According to AAP (American Academy of Pediatrics), all children need to receive the autism screening at eighteen and twenty four month of age. This tool is recommended by AAP for the same. This tool shows high validity and reliability in the assessment of child autism symptoms (Guy et al., 2015).
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Child, purpose for visit, and the historian
The child was a eighteen month old male Hispanic baby. The mother, who was also the historian, had brought the child to the healthcare center for concerns that he was not responsive to many of the things that he was being told. In addition, he had a tendency of confusing words where words were often replaced for others. The mother was actually concerned that children of the same age were way ahead in these developmental milestones. She thought her child had some kind of abnormality.
Using the tool for the patient’s developmental evaluation
The mother was interviewed on the twenty-question while the healthcare provider wrote the answers. The first section identified twenty behavioral autism spectrum characteristics. The parent was asked if her child had ever experienced any of those (Guy et al., 2015). The mother reported an adequate amount of characteristics in this section, and the provider therefore created a follow-up form that outlines particular questions connected to that characteristic.
The tool was not completed for the characteristics not possessed by the child. This follow-up form asked questions on the basis of the flow-chart format. Ultimately, the child was categorized as fail or pass for every characteristic. For the initial section, the parent responded no for questions 12, 5, 3, 2, 8, and 6. Basically, this indicated an autism spectrum disorder risk. A yes response indicated a risk for ASD for the other three questions.
Since the child was classified as having a high to medium risk for the autism spectrum disorder, a follow-up portion was assigned at the age of twenty four months. During this follow-up section, the provider would be directed by the flowchart format to determine if or not the behavior of the child suggested the presence of ASD. The child would fail on all the items where the parent described abnormal behavior.
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Interpreting the results
The child’s score was larger than three, and this indicated that the risk of an autism spectrum disorder diagnosis was 47.5%.
Summary of the developmental status’ assessment
The child was evaluated for autism. On the first section, the parent responded no for questions 12, 5, 3, 2, 8, and 6. This indicated that the child’s risk of autism was very high. His score was bigger than 3, also indicating a high risk.
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Recommendations
The mother should ensure that the child remains free of alcoholic drinks and beverages such as coffee. Moreover, he should not consume big fish as these are likely to have mercury and lead. In addition, he should attend regular medical checkups. Finally, eating healthy, exercising, and taking supplements and recommended vitamins should not be underrated (Guy et al., 2015).
Reference
Guy, A., Seaton, S. E., Boyle, E. M., Draper, E. S., Field, D. J., Manktelow, B. N., Marlow, N., & Johnson, S. (2015). Infants born late/moderately preterm are at increased risk for a positive autism screen at 2 years of age. London: Praeger Publishers.
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