Family-centered • Evidence-informed • Clinician-guided

Autism Screening & Evaluation

Understand early signs of autism, complete helpful screening steps, and learn how comprehensive evaluations support diagnosis, treatment planning, and access to services.

Clinician and parent supporting a young child during a warm developmental moment

What Is Autism Screening?

Autism screening helps families and clinicians identify developmental or autism-related concerns early. Screening tools can highlight patterns that may benefit from follow-up—but screening does not replace a full diagnostic evaluation by a qualified professional.

Early communication differences

Limited gestures, delayed speech, or difficulty using words to request, comment, or respond may appear in early screening conversations.

Social interaction differences

Reduced eye contact, limited shared interest, or difficulty joining peer play may be areas families notice first.

Repetitive behaviors

Repeating words, lining up toys, strong routines, or focused interests can be part of how a child self-regulates and learns.

Sensory differences

Some children are more sensitive to sounds, textures, or lights; others may seek movement or sensory input.

Delayed milestones

Missing expected communication, play, or daily living milestones may signal a need for screening or evaluation.

Parent concerns

If something feels different from expected development, sharing concerns with a pediatrician or evaluator is an important first step.

Early Signs Families May Notice

These patterns are common reasons families explore screening or evaluation. Every child is different.

Limited eye contact
Delayed speech or communication
Limited response to name
Repetitive movements
Strong preference for routines
Sensory sensitivities
Difficulty with transitions
Limited pretend play
Challenges with peer interaction

Every child develops differently. These signs do not confirm autism, but they may indicate that a screening or evaluation could be helpful.

M-CHAT-R Online Screener

The Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R) is a screening tool commonly used for toddlers. It is designed for children around 16–30 months and helps identify whether a child may benefit from further evaluation. It is not a diagnosis—a clinician should review concerns and next steps with your family.

  • M-CHAT-R is a screening tool commonly used for toddlers.
  • It is designed for children around 16–30 months.
  • It helps identify whether a child may benefit from further evaluation.
  • It is not a diagnosis.
  • A clinician should review concerns and next steps.

Quick parent questionnaire

Most families complete 20 yes/no questions in under five minutes from home.

Helps identify possible autism risk

The screener highlights social, communication, and play patterns that may need follow-up.

Supports early next steps

Results can guide whether monitoring, pediatric follow-up, or evaluation may be helpful.

Best used with professional guidance

Share results with your pediatrician or Eden's team to plan appropriate next steps.

Complete Screening and Discuss Next Steps

M-CHAT-R results are informational and should not be treated as a diagnosis.

Autism Screening Tools

Eden offers parent-friendly online screeners to help families take an early step. Choose the tool that best matches your child's age.

Toddlers • 16–30 months

M-CHAT-R/F

  • For children approximately 16–30 months
  • Parent questionnaire
  • Early autism screening tool
  • Not a diagnosis
Take M-CHAT-R
School-age • Ages 4–11

CAST (Childhood Autism Spectrum Test)

  • For older children
  • Parent questionnaire
  • Helps identify possible autism-related concerns
  • Not a diagnosis
Take CAST

Screening tools do not diagnose autism. Results should be discussed with qualified professionals.

Comprehensive Autism Evaluation Process

A comprehensive evaluation brings together screening, history, observation, and clinical judgment to support diagnosis, recommendations, and treatment planning.

  1. 1

    Parent concern or referral

    Families, pediatricians, or schools raise concerns about communication, behavior, or development.

  2. 2

    Initial screening

    Parent questionnaires or screening tools help identify whether further evaluation may be helpful.

  3. 3

    Intake and developmental history

    Clinicians review milestones, medical history, family priorities, and prior records.

  4. 4

    Observation and clinical assessment

    Direct observation of communication, play, social interaction, and daily living skills.

  5. 5

    Standardized tools when appropriate

    Tools such as ADOS-2 may be used as part of a broader evaluation—not as the only factor.

  6. 6

    Clinical recommendations

    Findings are interpreted alongside history, parent input, and developmental context.

  7. 7

    ABA therapy planning or referral support

    Families receive guidance on therapy options, school supports, and community resources.

  8. 8

    Insurance or Medicaid authorization support

    Eden can help families understand documentation needs for coverage and authorization.

ADOS-2 Assessment

The Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) is a structured observational assessment used as part of autism evaluations. It may help clinicians observe communication, social interaction, play, and restricted or repetitive behaviors. It should be administered by trained professionals and is one part of a broader diagnostic process—not the only factor.

Structured observation

Play-based activities are tailored to the child's age, language level, and developmental stage.

Social communication

Clinicians observe eye contact, gestures, shared enjoyment, and back-and-forth interaction.

Play and interaction

How a child uses toys, engages in pretend play, and participates in social activities is observed.

Repetitive behaviors

Restricted interests, repetitive movements, or strong routines may be noted when clinically relevant.

Clinical interpretation

Scores are reviewed alongside developmental history, parent concerns, and other evaluation data.

Family discussion

Results are explained in family-friendly language with clear next-step guidance.

What Happens After Evaluation?

After an evaluation, families should receive clear information and practical guidance—not confusion about what comes next.

Results review

Clinicians explain findings in understandable terms and answer family questions.

Recommendations

Suggested supports may include therapy, school services, or additional assessments.

ABA therapy planning

If ABA is appropriate, Eden can help with intake, assessment, and treatment planning.

Parent guidance

Families receive strategies and resources to support daily routines and communication.

School support suggestions

Evaluation results may inform IEP conversations and classroom accommodations when appropriate.

Insurance or Medicaid documentation

Reports and records needed for authorization or benefits review are discussed.

Treatment goals

Initial goals focus on communication, safety, independence, and family priorities.

Next steps with Eden

Our team helps connect screening, evaluation, and ABA services when clinically appropriate.

Helpful Documents to Prepare

Gathering records before an evaluation or intake call can save time and help clinicians understand your child's full picture.

  • Child's diagnosis or referral notes if available
  • Pediatrician notes
  • Insurance card
  • Medicaid information if applicable
  • Previous evaluations
  • IEP or school documents
  • Speech/OT/PT reports
  • Parent concerns and questions
  • Developmental history

Screening vs Evaluation

Understanding the difference helps families know what to expect at each stage.

Screening

  • Shorter process
  • Identifies possible concerns
  • May use parent questionnaires
  • Does not diagnose
  • Helps decide next steps

Evaluation

  • More comprehensive
  • May include observation and testing
  • Reviews developmental history
  • Can support diagnosis and recommendations
  • Helps guide treatment planning

Frequently Asked Questions

No. Screening tools identify possible concerns and help families decide whether further evaluation may be helpful. Only a qualified clinician can diagnose autism after a comprehensive evaluation.

Ready to Take the Next Step?

If you have concerns about your child's development, Eden can help guide your family through screening, evaluation, documentation, and next steps for ABA therapy.

Stay connected with our family newsletter