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a handbook for parents of children with autism spectrum disorders

a handbook for parents of children with autism spectrum disorders

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ANSWERS TO YOUR QUESTIONS<br />

I think my infant or toddler may have developmental delays. How do I<br />

know?<br />

The following red flags may indicate that your child is at risk <strong>for</strong><br />

developmental problems and is in need <strong>of</strong> a developmental evaluation. A child<br />

exhibiting any <strong>of</strong> these “red flags” should be screened to ensure that he or<br />

she is on the right developmental path.<br />

Social and Communication Red Flags<br />

If your baby or toddler is showing any <strong>of</strong> the following signs, ask your<br />

pediatrician or family practitioner <strong>for</strong> an immediate evaluation:<br />

As early as<br />

infancy, a baby<br />

can begin to show<br />

the three hallmark<br />

features <strong>of</strong> Autism:<br />

communication<br />

challenges,<br />

impaired social<br />

interactions, and<br />

repetitive behavior.<br />

No big smiles or other warm, joyful expressions by six months or<br />

thereafter.<br />

No back-and-<strong>for</strong>th sharing <strong>of</strong> sounds, smiles, or other facial expressions<br />

by nine months or thereafter.<br />

No babbling by 12 months.<br />

No back-and-<strong>for</strong>th gestures, such as pointing, showing, reaching, or<br />

waving by 12 months.<br />

No words by 16 months.<br />

No two-word meaningful phrases (<strong>with</strong>out imitating or repeating) by<br />

24 months.<br />

Any loss <strong>of</strong> speech, babbling, or social skills at any age.<br />

The primary care physician or pediatrician can provide a developmental<br />

screening in order to determine whether the child has a developmental delay.<br />

See Appendices A-C <strong>for</strong> the full diagnostic criteria <strong>for</strong> Autism and related<br />

<strong>disorders</strong>.<br />

The Academy <strong>of</strong> Pediatrics recommends a developmental screening during<br />

each visit. There is a specific screen designed to detect the early signs <strong>of</strong><br />

Autism.<br />

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