Autism Spectrum Intervention/Treatment Evaluation Checklist

The purpose of this checklist is to determine the baseline standard by which the person’s development is going to be measured or compared to. During the assessment period it is suggested to complete the checklist (this is called the baseline assessment), then to introduce one new intervention, then to redo the checklist in 2-4 weeks time (during which you are doing the intervention) to assess how well the person is responding to the intervention or treatment.

Date of Baseline Assessment:

Date of Next Assessment:

Type of Intervention or Treatment:

Assessment Checklist

For each statement mark N,S, or V for N = Not true, S = Somewhat true, V = Very True as to the validity of the statement.

Symptom: Deficits in Communication

I. Speech/Language Communication

1. Knows own name

2. Responds to ‘No’ or ‘Stop’

3. Can follow some commands

4. Can use one word at a time

5. Can use 2 words at a time

6. Can use 3 words at a time

7. Knows 10 or more words

8. Can use sentences with 4 or more words

9. Explains what he/she wants

10. Asks meaningful questions

11. Speech tends to be meaningful / relevant

12. Often uses several successive sentences

13. Carries on fairly good conversation

14. Has normal ability to communicate for his/her age

Symptom: Social Impairment

II.  Sociability

1. Seems to be in a shell – you cannot reach him/her

2. Ignores other people

3. Pays little or no attention when addressed

4. Uncooperative and resistant

5. No eye contact

6. Prefers to be left alone

7. Shows no affection

8. Fails to greet parents

9. Avoids contact with others

10. Does not imitate

11. Dislikes being held/cuddled

12. Does not share or show

13. Does not wave ‘bye bye’

14. Disagreeable/not compliant

15. Temper tantrums

16. Lacks friends/companions

17. Rarely smiles

18. Insensitive to other’s feelings

19. Indifferent to being liked

20. Indifferent if parent(s) leave

III. Sensory/Cognitive Awareness

1. Responds to own name

2. Responds to praise

3. Looks at people and animals

4. Looks at pictures (and T.V.)

5. Does drawing, coloring, art

6. Plays with toys appropriately

7. Appropriate facial expression

8. Understands stories on T.V.

9. Understands explanations

10. Aware of environment

11. Aware of danger

12. Shows imagination

13. Initiates activities

14. Dresses self

15. Curious, interested

16. Venturesome – explores

17. “Tuned in” – Not spacey

18. Looks where others are looking

Symptom: Rigid, Repetitive Behaviours and Interests

IV. Health/Physical/Behavior

1. Bed-wetting

2. Wets pants/diapers

3. Soils pants/diapers

4. Diarrhea

5. Constipation

6. Sleep problems

7. Eats too much/too little

8. Extremely limited diet

9. Hyperactive

10. Lethargic

11. Hits or injures self

12. Hits or injures others

13. Destructive

14. Sound-sensitive

15. Anxious/fearful

16. Unhappy/crying

17. Seizures

18. Obsessive speech

19. Rigid routines

20. Shouts or screams

21. Demands sameness

22. Often agitated

23. Not sensitive to pain

24. “Hooked” or fixated on certain objects/topics

25. Repetitive movements

Source: The Autism Treatment Evaluation Checklist (ATEC) was developed by Bernard Rimland and Stephen M. Edelson of the Autism Research Institute

There is a triad of symptoms for the autism spectrum:

  • Social impairment
  • Deficits in communication – different kinds of problems, may not be able to talk, or may have lots of language but have problems with communicating with people in a social context
  • Rigid, repetitive behaviours and interests – less well defined, ranging from repetitive motor movement like hand flapping or insisting on a particular schedule or particular routine
  • Problems in all three areas above are classified as an autism spectrum disorder

Related Articles:

List of Questions to Ask Before Considering Medication

Social Impairment Can Be Improved by Teaching How to Pay Attention to People Instead of Things

List of Treatments, Therapies and Interventions for Social Impairment that Improve Social Skills

People on the Autism Spectrum Have to Learn Information That Neurotypical People Already Understand Instinctively

Complete List of All Articles on Autism Spectrum Directory

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