Children with Autism Spectrum Disorders (ASDs) are well-known for engagement in challenging behaviors. Unfortunately, due to its absence as a criterion for diagnosis in the "DSM-IV-TR", little attention has been paid to the endorsement rates of such behaviors. However, a recently developed measure to assist in the diagnosis of infants and toddlers…

Detecting early signs of autism is essential for timely diagnosis and initiation of effective interventions. Several research groups have initiated prospective studies of high-risk populations including infant siblings, to systematically collect data on early signs within a longitudinal design. Despite the potential advantages of prospective…

A parent-report instrument, the First Year Inventory (FYI), was developed to assess behaviors in 12-month-old infants that suggest risk for an eventual diagnosis of autism. The target behaviors were identified from retrospective and prospective studies. FYIs were mailed to 5,941 families and 25% (N = 1,496) were returned, with higher return rates…

This article (1) defines areas in infant and preschool evaluation where clinical judgment is typically used; (2) argues that judgment-based assessments are only as good as the objectivity, reliability, and validity of its data collection and use; and (3) offers examples of procedures and clinical methods to increase diagnostic accuracy. (Author/DB)

Research findings on articulatory and acoustic characteristics of infant noncry/nondistress vocalization are applied to the clinical assessment of infant noncry vocal activity. Discussed are differentiation and definitions of cry and noncry productions, stages of vocalization, a protocol for developmental vocal assessment, and interpretation of…

Discusses the reasons that newborns and young infants cry, the communicative effect and perception of crying, crying in sick and healthy infants, the sound spectograph, and crying for the use of clinical diagnostics. (RJC)

This article discusses the difficulties of early identification of Fragile X syndrome (FXS), provides an overview and analysis of existing screening checklists, and recommends a set of characteristics to enhance the identification process of infants and toddlers with FXS. Indicators address family history, behavior, social/communication,…

This article provides an overview of the evaluation process in early intervention and describes the integration of concepts based on neurobehavior into the eligibility evaluation of the very young child. Neurobehavioral models are described and an example illustrates how the integration of neurobehavioral concepts can result in a better…

This paper provides guidelines for the audiologic assessment of infants and young children, highlighting recent technologic advances in auditory electrophysiology, acoustic immitance measure procedures, and behavioral audiometric techniques. First, audiologic assessment guidelines developed by the American Speech-Language-Hearing Association are…

Presents an analysis of existing norm-referenced measures of social and emotional competence and disability for young children birth-to-5 to determine whether these indices satisfy technical and conceptual requirements. It concludes that informal clinical opinion should be used to supplement norm-referenced measures in this area. (DB)

Describes how the clinical early intervention assessment report (CAR) can be used as a tool to promote family-centered practice. Strategies and examples for incorporating a family perspective into the CAR are presented, along with suggestions for using family-friendly terminology. An example of a rewritten CAR is provided. (Author/CR)

This article discusses the nature of joint attention, its measurement, and why this behavior domain is important for diagnosis and research with individuals with autism. Criteria in the current nosology related to the assessment of joint attention skills are reviewed and recommendations are made for assessment and intervention. (Contains…

This article reviews studies of early diagnosis of Autistic Spectrum Disorder. It discusses diagnostic criteria, reliability of early diagnosis, and the need for a comprehensive evaluation. Currently, there are no objective measures that can be used for accurate diagnosis, and the diagnosis remains clinical. Guidelines for evaluation are provided.…

This paper addresses three areas related to amplification for infants and toddlers with hearing impairments: (1) identification issues as they relate to early amplification; (2) selection of amplification; and (3) assessment of aided function. Identification issues discussed include the goal of early identification of hearing loss and the impact…

This article presents definitions of terms and issues involved in early identification of social/emotional competence in young children. Screening tools for identifying social/emotional difficulties in the birth to 3-year-old population are reviewed and recommendations are made for effective early identification and intervention systems. (Contains…