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ADOS - 2 & ADI - R

We are experienced, dynamic team working with children, young people and adults who are on the path being assessed for autism spectrum disorder. We offer ADOS – 2, ADOS informed (online) and ADI-R assessments as part of your diagnostic process. 

What is ADOS - 2?

ADOS – 2 is the autism diagnostic observation schedule that looks at individual’s engagement through play and questioning. It is used to assess and diagnose autism spectrum disorders across age, developmental level and language skills. The test is usually part of a wider assessment and will not be used as a stand alone diagnostic tool. 

ADOS – 2 is administered by a trained practitioner. It looks at communication, reciprocal social connect on, and limited/repetitive actions and interests which are the hallmarks of autism disorder that would typically manifests before the age of three.

What Tools are Used to Carry Out ADOS - 2?

To administer ADOS 2 practitioners must use ADOS kit. This is specially designed kit to carry out semi structured activities with children, young people and adults. 

The assessment will typically last between 40-60 minutes. 

ADOS kit

Brief Observation of Symptoms of Autism (BOSA)

BOSA is ADOS informed assessment tool developed during COVID -19 for use of online assessments. 

What is ADI - R?

ADI – R is a semi structured interview carried out with parents or to care givers  to collect developmental information from early years. It consist of questions that looks at various difficulties, both “Lifetime” and “Current” scores in the 3 domains of social interaction, communication, and range of restrictive, repetitive, and stereotyped behaviours and interests are obtained. This tool is used alongside ADOS – 2, and both together serves as a “Gold Standard” in ASD assessments and diagnosis.  

The interview would typically last between 90-150 minute. 

Post-Diagnostic Support

National guidelines (NICE) states that following a diagnosis of ASD, patients should be allocated a named worker to develop personalised support plan. The plan should be based on person’s individual needs, strengths and weaknesses. 

  • any post-diagnostic support that the person and their family and carers need

  • what interventions, support and timescales are most appropriate for the person; these include clinical interventions and social support, such as support in relation to education, employment or housing

  • preventative action to address triggers that may provoke behaviour that challenges

  • any further interventions for identified coexisting conditions.

The plan should also include any risk assessment and management for children/adults with behavioural difficulties. If the child is reaching 18 years of age, the pan should also include transition to adult services. ASD in Adults: Diagnosis and Management. 

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