- Rosa, a 24-month-old girl, comes in for her well-child care visit. The family immigrated to the U.S. from Puerto Rico one year ago. Rosa’s mother reports she currently says about five words in Spanish that she learned from her favorite cartoon show. She is described as a very active child who loves to run around the house. In your office Rosa makes minimal eye contact with you and persistently tries to run out of the room. She does not use any words during the duration of the visit. You ask her mother to complete the M-CHAT and results of the screener and follow-up interview indicate concern. What is the next best step to take?
- Schedule a follow-up visit at 30 months
- Tell Rosa’s mother she should only speak to her in English.
- Refer for an audiologic evaluation, refer to early intervention and schedule follow-up in one month
- Provide Rosa’s mother with a Spanish language picture book, encourage reading to her and repeat the M-CHAT in three months.
- Which of the following statements is TRUE regarding the Modified Checklist for Autism in Toddlers (M-CHAT)?
- It is valid for use in children 12-60 months of age
- Items are completed based on parental report and clinician observation
- M-CHAT specificity is improved through the use of the follow-up interview
- Failure of all critical items is diagnostic of an autism spectrum disorder