Autism Spectrum Disorder Multi-Disciplinary Assessments
The Education and Psychology Clinic offers comprehensive Autism Spectrum Disorder Diagnostic Assessments to families which are in line with international best practice guidelines. This involves using clinical observation skills, developmental information, standardized tests (Cognitive and Adaptive Assessment, Speech and Language Therapy and/or Occupational Therapy Assessment, Social, Emotional and Behavioural Assessment) and formal Autism diagnostic testing (ADI-R and the ADOS-2). In addition, each child is provided with a Sensory Profile.
Such assessments are multi-disciplinary, meaning that there are always at least two professionals involved (Lorraine the Psychologist and another therapist, such as a Speech and Language Therapist or an Occupational Therapist, depending on the child’s needs). All therapists who work with the Education and Psychology Clinic have experience working with the Health Service Executive and share a special interest in Autism Spectrum Disorders.
Undergoing Autism Spectrum Assessment is often a worrying and stressful experience. As a result, the clinic provides families with time and support during this process. Once the assessment is complete, the therapists provide each family with detailed recommendations and a Suggested Plan for Intervention so that families have the tools to support their child’s development. Recommendations for the child’s preschool or school are also included in this assessment package.
Full Autism Team Assessment: €1, 600
A Differential Diagnostic Team Autism Assessment involves looking at a child or young person’s skills in a number or areas in order to assess for a number of disorders and needs. In particular, the child is assessed for the presence of an Autism Spectrum Disorder. The elements of this assessment are detailed below, in line with best National and International practice recommendations.
What does a team assessment include?
PHASE 1 – This takes 2-3 hours face to face time
Developmental History €200: Parents meet with 2-3 therapists to discuss topics such as communication development, motor, play or social skills (depending on the age of the child or young person). Concerns and worried are also explored. Parents will also be given the opportunity to talk about their child’s strengths and needs, to ask questions and to tell the therapists anything else which is relevant.
Diagnostic Interview- ADI-R or Childhood Autism Rating Scale (CARS) Questionnaire €300: These are standardised interviews and assessments which assess whether the child meets the criteria for an Autism Spectrum condition in terms of early and current development. This involves topics such as social communication, social interaction and restricted and repetitive behaviours.
Formal Pragmatic Language Assessment AND/OR Sensory Screening €200: These elements are €160 each. The team will recommend which one they feel would be most beneficial for your child.
Phase 2 – This takes 2-3 hours face to face time
- Autism Diagnostic Observation Schedule 2 (ADOS 2) or Childhood Autism Rating Scale (CARS) Observation Assessment – €300: These tests formally assess the child’s social interaction and social communication skills. They are standardised, play based assessments, often administered by two therapists. This is carried out in accordance with the DSM-5 and the Department of Education and Skills criteria.
- Social, Emotional and Behavioural Assessment and Observations – €400: This involves looking at how the child or young person’s social, emotional and behavioural skills are developing, and will identify whether there are any presenting needs or concerns in this area. This step also involves ruling out a range of other possible disorders (e.g. ADHD or mental health needs). This includes observations in the clinic, preschool/school or school consultation.
- The Report – €200: A Differential Diagnostic Assessment Report is written up, including a review of Previous Multi-Disciplinary Assessments (e.g. Speech and Language Therapy Assessment, Occupational Therapy etc.).
- This report summarises relevant background information, and the child’s performance on the various tests. Their needs in particular areas are identified.
- A diagnosis may be made at this point, if it applies to the child’s presentation. Reports take 2-3 weeks to complete.
- Most importantly, the report will provide the child’s parents and teachers with a strengths and needs profile and a number of recommendations and some resources which will help to support the child in reaching their potential.
Learning AND Academic Assessment €400: This may involve looking a child’s development, their cognitive and learning skills and the development of some academic skills. Sometimes this identifies a Specific Learning Difficulty (e.g. Dyslexia)
Cognitive/IQ or Developmental Assessment on its own €200: This may involve looking at the development of areas such as memory, problem solving, verbal abilities and processing skills. This involves a Formal Assessment, which means that the psychologist will meet the child or young person, and will ask them to complete a number of tasks and puzzles. This is done in a child-friendly manner. These tasks explore how the child or young person is functioning cognitively or intellectually.
Full School Age Speech and Language Therapy Expressive and Receptive Language €300 add on (6 years +)
Early Intervention Speech and Language Therapy Expressive and Receptive Language €200 add on (0-5 years)
Full School Age Occupational Therapy Assessment €300 add on (includes movement, fine motor, sensory and writing assessment) (6 years +)
Early Intervention Occupational Therapy Assessment €200 add on (includes movement, fine motor, sensory and writing assessment) (0-5 years)
Follow up School/Preschool Visits to support/advise staff €200 within 1 hr of EPT Clinic: Additional half day school/preschool visit may be requested by parents, whereby they may wish that the psychologist provides the school with additional training/support.
Follow up School/Preschool Visits to support/advise staff €300 within 2 hrs of EPT Clinic: Additional half day school/preschool visit may be requested by parents, whereby they may wish that the psychologist provides the school with additional training/support.
Review and Consultation (Required for for HSE and TUSLA Work) €200: This involves a review of previous assessments and/or consultation with the child’s therapists (e.g. speech and language therapist, play therapist, occupational therapist etc.), school/preschool staff (e.g. the child’s principal, teacher, SNA) or other important people in the child’s life (e.g. a child minder).