When to Assess?

Family members or sometimes a teacher or coach may be the first to notice possible signs. At other times an individual may begin to see characteristics in themselves and begin to wonder if they themselves are autistic.  Visit Autism Assessment for Individuals for more information.

The best time to seek assessment for autism is when the signs and characteristics of autism are first noted. The earlier autism is identified or diagnosed, the sooner strategies and services can be put in place to help children or adults to function more comfortably in their community and to reach their individual potential. 

The American Academy of Pediatrics (AAP) recommends that all children be screened for autism at their 18 and 24-month well-child visits. Screening usually involves completing a questionnaire that addresses areas related to autism. If the screening identifies some characteristics often related to autism, that does not mean that they have been diagnosed with autism. It means that further assessment will be helpful to clarify whether a child meets that pattern of characteristics of autism.  If the screening indicates that everything is “normal,” that does not mean that the child absolutely does not have autism. If concerns regarding autism continue, a parent may ask for further assessment or screening. Screenings are not perfect and sometimes will miss an autistic person. 

The AAP provides more information on the screening and assessment process here: AAP Recommendations .

The AAP’s Executive Summary: Identification, Evaluation, and Management of Children With Autism Spectrum Disorder is available here:  AAP Executive Summary.