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Autism Screening- MCHAT, ADOS, Vineland and BECA Assessments

Free Workshop

Increase Talking &
Decrease Tantrums

in Young Children with

Autism &/or Speech Delays

In this episode, I take you through the critical autism screening process by comparing several key tools, including the M-CHAT, ADOS, Vineland, and my own BECA assessment.
This is an important episode for anyone who may be wondering if their child has autism, is wondering what diagnosis might look like or anyone who might want more information on how a child was diagnosed using autism screening tools.
I explain how each of these tools plays a unique role in identifying and addressing developmental delays in children. Autism screening is vital because it helps us understand what’s happening early on, enabling us to intervene before a formal diagnosis is made.
By using these assessments together, parents and professionals can create the most effective intervention plans.
I also share how the BECA assessment I’ve developed can provide a comprehensive view of a child’s developmental baseline, making it easier to tailor interventions that lead to meaningful progress.
So come join me as we navigate different autism screening tools!

You'll Learn

  • What are different autism screening tools
  • MCHAT- What is it and how is it used?
  • ADOS- Autism assessment and what to expect
  • Vineland- Benefits of an adaptive assessment
  • BECA- A tool for planning intervention regardless of diagnosis
  • Summary of autism screening and assessment tools

Autism Screening and Autism Assessment

Each tool we will look at today has a different function. Some tools like the MCHAT are used as an autism screening tool to determine if a child is at risk for autism and needs further developmental assessments. This tool does not assess or diagnose autism. Other screening or assessment tools like the ADOS and vineland are standardized assessments used by highly trained professionals to diagnose autism. The last assessment, the BECA, is helpful for navigating necessary interventions regardless of if a child has autism or not.
So let’s get into what each of these screening tools are and how they are used.
autism screening. Ados, MCHAT, Vineland
Autism screening and assessment tools play an important role on determining what supports a child may benefit from.

M-CHAT Screening

The M-CHAT, or Modified Checklist for Autism in Toddlers, is a widely used screening tool designed to assess the risk of autism in young children between 16 and 30 months of age. This 20-question checklist is typically completed by parents during pediatric well visits and includes questions that help identify potential early signs of autism.
The M-CHAT focuses on critical developmental behaviors, such as a child’s response to their name, ability to imitate, and use of gestures like pointing. While it is a valuable tool for early detection, it is important to note that the M-CHAT is a screener, not a diagnostic tool, and results should be followed up with further evaluation by professionals if concerns arise.

M-CHAT Autism Screening Quick Facts

  • The M-CHAT is used for children aged 16 to 30 months to screen for autism risk.
  • It consists of 20 questions that parents typically answer during well visits.
  • Questions cover key behaviors, such as responding to their name and pointing to objects.
  • It is a screening tool, not a diagnostic one, meaning it can indicate risk but not confirm a diagnosis.
  • The American Academy of Pediatrics recommends using the M-CHAT during 18-month and 24-month checkups.
  • False positives and negatives are possible, so follow-up assessments are crucial.
  • Parents can also complete the M-CHAT outside of well visits if they have concerns.
  • The M-CHAT is available for free, allowing for easy access and early intervention.

ADOS Testing

The ADOS, or Autism Diagnostic Observation Schedule, is a comprehensive and highly regarded tool used by professionals to diagnose autism spectrum disorder across a wide age range, from toddlers to adults.
Unlike screening tools, the ADOS involves direct observation and interaction with the child or individual in a clinical setting, using structured activities to assess communication, social interaction, and play or imaginative use of materials.
The ADOS is divided into different modules based on the individual’s age and language abilities, ensuring that the assessment is tailored to their developmental level. Because of its thoroughness and the need for specialized training to administer it, the ADOS is considered the gold standard in autism diagnosis.
That being said…is an ADOS test required to be diagnosed with autism? NO! There are many assessments that may be used alongside or instead of the ADOS.

ADOS Autism Assessment Quick Facts

  • The ADOS is a structured, standardized tool used to diagnose autism across all ages, from toddlers to adults.
  • It involves direct observation in a clinical setting, which may limit its feasibility in more natural environments like the home.
  • Professionals administering the ADOS require extensive training; Normally a psychologist, pediatrician, neurologist or psychiatrist administers.
  • The assessment is divided into four modules, tailored to the individual’s language and developmental abilities. This makes it accessible to a wide range of individuals.
  • Each module involves structured tasks, such as playing games or answering questions, to assess social and communication behaviors.
  • The ADOS is considered the gold standard for autism diagnosis, especially when signs are unclear.
  • It uses a four-point scale to score behaviors, with higher scores indicating more severe symptoms.
  • Although it is highly standardized, the ADOS is only one part of a comprehensive autism assessment.
  • Not needed for an autism diagnosis.

Vineland for Autism

The Vineland Adaptive Behavior Scales, often referred to simply as the Vineland, is a standardized assessment tool used to evaluate the adaptive behaviors and developmental skills of individuals from birth to 90 years old.
Unlike tools focused on diagnosing autism specifically, the Vineland assesses broader developmental delays and intellectual disabilities by examining key areas such as communication, daily living skills, socialization, and motor skills.
The assessment can be administered through interviews with parents, teachers, or caregivers, making it versatile for different settings. There is often little to no direct observations.
The Vineland is particularly useful for developing educational plans and intervention strategies by providing a detailed profile of an individual’s adaptive functioning.

Vineland Adaptive Behavior Scales Quick Facts

  • The Vineland is used to assess adaptive life skills and developmental delays, not specifically to diagnose autism.
  • It is a standardized assessment completed by trained professionals through interviews with parents, teachers, or caregivers.
  • The Vineland measures functional domains including communication, daily living skills, socialization, and motor skills.
  • It is applicable across a wide age range, from birth to 90 years old.
  • The assessment is scored on a scale of zero to three, with higher scores indicating stronger adaptive skills.
  • Unlike the ADOS, the Vineland does not involve direct observation; instead, it relies on reports from those familiar with the individual.
  • The Vineland’s results are valuable for creating educational and intervention plans, such as IEPs (Individualized Education Programs) and 504 plans.
  • It plays a role in providing insight into a child’s life skills, which are critical for planning effective interventions.

Barbera Early Childhood Assessment™

autism screening. BECA assessment.
The BECA screener is not actually a screener at all but can help us develop an intervention plan accross 3 developmental domains
The BECA, or Barbera Early Childhood Assessment, is a digital tool I created to help parents and professionals obtain a comprehensive baseline of a child’s developmental skills, particularly in cases of autism, speech delays, and other developmental concerns.
Unlike other assessments, the BECA is designed to be user-friendly and accessible, providing immediate results that highlight a child’s strengths and areas needing improvement across three main categories: self-care and adaptive skills, language and learning skills, and problem behaviors.
While not yet validated or standardized, the BECA aligns with established assessments like the VB-MAPP and aims to support early intervention by helping users create targeted teaching plans to improve the child’s overall functioning.

BECA Autism Screening and Assessment Quick Facts

  • The BECA is a digital assessment tool developed by Dr. Mary Barbera in 2022 to measure baseline developmental skills in children.
  • It is particularly useful for children with autism, speech delays, or other developmental issues, focusing on areas like self-care, language, and behavior.
  • The BECA assessment is completed online, taking about 10 minutes, and provides instant results via email.
  • It is not yet validated or standardized but aligns with existing tools like the VB-MAPP and standardized speech assessments.
  • The BECA helps identify strengths and areas for improvement, allowing parents and professionals to create a personalized one-page intervention plan.
  • It can be used to track progress over time, such as before and after a school year.
  • The BECA is effective whether or not a child has a formal autism diagnosis, as it aids in improving critical life skills.
  • The assessment is currently available for free and available for all here.

Autism Screening Tools Summary

In conclusion, each of these autism screening and assessment tools plays a vital role in understanding and supporting children with developmental delays.
The M-CHAT is an excellent starting point for early screening, helping to identify potential signs of autism in toddlers. The ADOS, as the gold standard in autism diagnosis, provides a detailed clinical evaluation.

The Vineland focuses on assessing adaptive life skills, offering valuable insights for creating effective intervention plans. 

Finally, my BECA assessment is designed to give parents and professionals a comprehensive baseline of a child’s abilities, guiding the creation of personalized teaching plans.

Together, these tools empower us to make informed decisions and take early action to support each child’s unique needs.

Resources

Free Workshop

Increase Talking &
Decrease Tantrums

in Young Children with

Autism &/or Speech Delays