Frequently Asked Questions (FAQ)

 

1. What is the ADOS-2, and why is it important for diagnosing autism?  

   The ADOS-2 (Autism Diagnostic Observation Schedule, Second Edition) is a gold-standard diagnostic tool used to identify autism spectrum disorder (ASD). It consists of structured and semi-structured activities designed to observe communication, social interaction, and play. The assessment provides critical insights into your child’s developmental profile, helping determine their specific needs and guiding appropriate interventions.  

 

2. How should parents prepare for the ADOS-2 examination?  

   Parents should prepare by ensuring their child is well-rested, has eaten, and is in a calm state prior to the appointment. You’ll remain in the room during the session to provide emotional security, but your role will primarily be that of an observer. Comfort your child when needed, but avoid coaching or directing their responses. The clinician may ask you to interact with your child briefly, such as demonstrating an activity or game that makes them smile.  

 

3. What should I expect during the ADOS-2 session?

   The ADOS-2 is tailored to your child’s developmental level, using one of the following modules:  

   - **Module T:** Designed for toddlers with little or no phrase speech, focusing on play-based interactions.  

   - **Module 1:** For children with limited phrase speech, emphasizing communication and social responses.  

   - **Module 2:** For children who use phrases fluently but are not yet conversational, exploring social and imaginative behaviors.  

   During the session, the clinician will engage your child in play, conversation, and activities to assess their natural behaviors. These observations are crucial for accurate diagnosis.  

 

4. Will I need to provide any materials for in-home testing?  

   Yes, for in-home testing, parents are responsible for providing a quiet, private room with minimal distractions (no TV, toys, or other people). The room should have a small table and chair for the child, as well as a chair for the parent. The clinician will bring sanitized toys and materials for testing.  

 

5. Are there any health or hygiene precautions for in-home testing?

   Absolutely. Our clinicians wear shoe covers to prevent germs from spreading in your home or will remove their shoes entirely based on your preference. All testing toys and materials are thoroughly disinfected before each session. However, medical face masks cannot be worn during the ADOS-2 assessment, as facial expressions must be visible to ensure accurate observation. If someone in your household is sick, please notify us to reschedule. Our clinicians are never sent into homes if they are unwell.  

 

6. What happens if my child has dietary restrictions for the snack portion of the ADOS-2? 

   The ADOS-2 includes a snack activity where cookies, crackers, and low-sugar juice are offered. This is used to observe social and communication behaviors during a routine task. If your child has dietary restrictions or preferences, please inform us in advance, and you may provide an alternative snack for the clinician to use.  

 

7. Why is early diagnosis important for children with autism?  

   Early diagnosis allows children to start therapies like Applied Behavior Analysis (ABA), speech therapy, and occupational therapy during their critical developmental years. Research shows that early intervention can significantly reduce disruptive behaviors, improve communication, and enhance cognitive and social skills. The toddler years are when the brain is most adaptable, making it the ideal time to build foundational skills that support lifelong learning and growth.  

 

8. What should I do if I’m unsure whether my child might have autism? 

   If you’re uncertain about your child’s development, a professional evaluation is the best step. Signs such as delayed speech, lack of eye contact, repetitive behaviors, or difficulty with social interactions may warrant an assessment. Our team provides comprehensive evaluations to help you understand your child’s developmental progress and determine whether additional steps are needed.  

 

9. What is autism, and does it mean my child isn’t smart or is intellectually disabled? 

   Autism is a neurodevelopmental condition that affects how individuals communicate, interact socially, and process information. It is not an indicator of intelligence or capability. While some autistic children may also be diagnosed with an intellectual disability, many children with autism have unique strengths and talents, and their potential is limitless with the right support. A diagnosis helps identify how to best nurture and develop those strengths.  

 

10. What happens after my child receives an autism diagnosis?  

   After a diagnosis, you will receive a detailed report with recommendations for therapies, interventions, and referrals. This may include ABA therapy, speech therapy, occupational therapy, genetic testing, or diagnostic imaging. Our team will provide all necessary documentation for insurance approval to ensure your child receives the care they need promptly.  

 

11. Why do clinicians need to observe facial expressions during the ADOS-2? 

   Facial expressions are a vital part of social communication, and observing them is essential for an accurate autism diagnosis. This is why medical face masks cannot be worn by clinicians during the assessment. Clear observation of both the child’s and clinician’s facial expressions allows for better understanding and evaluation of social cues and responses.  

 

12. How does the in-office assessment differ from the in-home assessment?  

   In-office assessments take place in a controlled, child-friendly environment. This setting eliminates potential distractions and provides a consistent testing environment. In-home assessments, on the other hand, offer the convenience of evaluation in a familiar and comfortable space for the child. Both options provide accurate and comprehensive evaluations tailored to your family’s needs.  

 

13. How soon will I receive results after the assessment?

   After the assessment is complete, you will receive a detailed report including the results of the evaluation, recommendations for therapies, and any required forms for insurance or referrals. Our team will guide you through the next steps to ensure timely access to support services.  

 

14. What if my insurance isn’t accepted?

   If your insurance plan is not listed among those we accept, we can provide you with a document called a "superbill." This detailed receipt includes all the necessary information for you to submit to your insurance provider for potential reimbursement. Reimbursement depends on your specific insurance plan and coverage.  

 

15. Can I reschedule if my child is sick or unable to attend?  

   Yes, we understand that emergencies happen. If your child is unwell, please notify us as soon as possible. In-home and in-office assessments can be rescheduled at no additional charge. However, short notice cancellations will be subject to a $25 cancellation fee.