Conheça o M-chat: um instrumento de triagem para o TEA

Entendendo Autismo

5 May 201612:10

Summary

TLDRThe video script discusses the importance of early detection of autism and introduces a triage tool designed for parents, teachers, and professionals to identify atypical behaviors in children from 18 months old. The Modified Checklist for Autism in Toddlers (M-CHAT) is highlighted as an effective screening tool, developed over the past 20 years based on solid clinical studies. It consists of 23 items, with 17 non-specific and six specific to autism, helping to identify risk without bias. The script emphasizes the significance of systematic symptom tracking and the M-CHAT's role in early diagnosis and intervention, potentially changing a child's future.

Takeaways

😀 Early detection of atypical behaviors can assist in diagnosing autism symptoms from 18 months of age.
👨‍🏫 The script discusses a triage tool that can be used by parents, teachers, and professionals to aid in early diagnosis of autism.
🔍 Actively seeking signs and symptoms of autism in children should become a more common routine in society.
🚫 Passive attitudes and other factors can lead professionals dealing with children to overlook or miss the opportunity to identify signs of autism.
🧠 Autism is a serious developmental disorder that can reduce a child's future potential and severely impact their social and communicative abilities.
👶 Early diagnosis is proven to be the best form of treatment to reduce the effects of autism in childhood.
📝 Systematic tracking of symptoms in the first years of life is one of the most important practices for identifying autism.
📊 The script introduces scales and triage tools developed over the last 20 years based on solid clinical studies to identify common and consistent signs of autism.
📋 The Modified Checklist for Autism in Toddlers (M-CHAT) is highlighted as a screening tool that can be used for children between 18 months and two years.
📝 The M-CHAT consists of 23 items, with 17 related to behaviors associated with autism and six specific to autism signs.
⚠️ If a child does not meet the criteria for two of the most important items (27, 9, 13, 14, 15) or for three items overall, they are considered at risk for autism and should be referred for specialized assessment.

Q & A

What is the main purpose of the tool discussed in the script?
-The main purpose of the tool discussed in the script is to assist in the early detection of atypical behaviors that may indicate signs of autism, particularly from 18 months of age. It is designed to be used by parents, teachers, and professionals.
Why is early detection of autism important according to the script?
-Early detection of autism is important because it is a severe developmental disorder that reduces a child's future potential and significantly impacts their social and communicative abilities. Early diagnosis is the best form of treatment and can reduce the effects of autism in childhood.
What are the benefits of systematic symptom tracking in the first years of life for children?
-Systematic symptom tracking in the first years of life is one of the most important practices as it allows for early intervention. This can change the future of a child by addressing the signs of autism promptly and effectively.
What is the Modified Checklist for Autism in Toddlers (M-CHAT) mentioned in the script?
-The Modified Checklist for Autism in Toddlers (M-CHAT) is a screening tool composed of 23 items that allows for the identification of a high risk of autism in children. It is based on solid clinical studies and is designed to be used with children between 18 months and two years of age.
How is the M-CHAT different from other screening tools mentioned in the script?
-The M-CHAT is different because it is based on a combination of 17 items that are not specific to autism but are related to it, and six items that represent specific signs of autism. The questions are shuffled to avoid bias in diagnosis.
What are the criteria for determining if a child is at risk for autism using the M-CHAT?
-A child is considered at risk for autism if they answer 'no' to two of the most important items (27, 9, 13, 14, 15) or to three of any items from the scale. If this is the case, the child should be referred for specialized assessment.
What is the significance of the item about a child's interest in other children as mentioned in the script?
-The item about a child's interest in other children is significant because a lack of interest is a specific sign of autism. Children with autism often have difficulty with social interactions, which includes not being interested in other children.
Why is the item about a child's ability to play appropriately with toys important in the M-CHAT?
-The item about a child's ability to play appropriately with toys is important because it can indicate if the child is engaging in repetitive behaviors or only playing with a part of the toy, which are common signs of autism.
How does the script emphasize the importance of shared attention in the context of autism?
-The script emphasizes the importance of shared attention by highlighting items that measure behaviors such as pointing to share interest, looking at someone when called by name, and checking a parent's reaction, which are often absent in children with autism.
Where can one find the M-CHAT and other resources mentioned in the script?
-The M-CHAT and other resources can be found on the website 'entendendo autismo' (understanding autism), which is available for download or can be accessed through a link provided in the video.
What is the final recommendation for those who have used the M-CHAT and found a child to be at risk for autism?
-The final recommendation is to refer the child for a specialized assessment to further investigate the signs of autism and provide appropriate support and interventions.

Outlines

00:00

🔍 Early Detection of Autism: The Importance of Screening Tools

This paragraph discusses the significance of early detection in diagnosing atypical behaviors and autism symptoms from 18 months of age. It emphasizes the role of parents, teachers, and professionals in using screening tools to aid in the diagnosis and potentially change a child's future. The script highlights the need for active monitoring of signs and symptoms of autism in children, comparing this practice to routine health checks in various fields such as agriculture and medicine. It underscores the impact of autism on a child's social and communicative abilities and stresses the importance of early diagnosis and intervention.

05:02

📝 Understanding the Modified Checklist for Autism in Toddlers

The second paragraph delves into the specifics of the Modified Checklist for Autism in Toddlers (M-CHAT), a tool designed for early detection of autism. It explains the composition of the checklist, which includes 23 items based on clinical evidence of common autism symptoms. The script clarifies that the checklist is not diagnostic but rather a means to identify children at risk who should be referred for specialized assessment. It also outlines the items that are considered specific to autism and those that are related but not exclusive to the condition, emphasizing the importance of unbiased observation and the avoidance of leading questions in the assessment process.

10:06

👶 Key Indicators and Risk Criteria for Autism Screening

This paragraph provides a detailed explanation of the key indicators and risk criteria used in the M-CHAT to identify potential autism in toddlers. It lists specific behaviors and responses that parents and professionals should look for, such as a lack of interest in other children, repetitive play with toys, and lack of shared attention. The script also mentions the importance of observing the child's eye contact, response to their name, and ability to imitate, which are all significant in the context of autism screening. It concludes by stating the conditions under which a child should be considered at risk and referred for further evaluation, based on their responses to the checklist items.

Mindmap

Keywords

💡Autism Spectrum Disorder (ASD)

Autism Spectrum Disorder (ASD) refers to a developmental disorder characterized by challenges with social interaction, communication, and repetitive behaviors. The video emphasizes the importance of early detection of ASD symptoms in children as young as 18 months to provide timely interventions that can significantly impact their social and communicative development.

💡Early Diagnosis

Early diagnosis is the process of identifying signs of autism in children at a young age, ideally between 18 months and 2 years. The video stresses that early diagnosis is crucial for effective treatment and reducing the impact of autism on a child's development. It highlights how early detection allows for quicker interventions that can change the course of a child's life.

💡Screening Tool

A screening tool is an instrument used to identify potential signs of autism in children. In the video, the Modified Checklist for Autism in Toddlers (M-CHAT) is presented as a reliable screening tool that parents, teachers, and professionals can use to detect early symptoms of autism in children. The tool consists of specific questions that help in assessing the risk of ASD.

💡M-CHAT (Modified Checklist for Autism in Toddlers)

The M-CHAT is a widely used screening tool designed to detect autism in young children. The video explains how the M-CHAT consists of 23 items that assess common behaviors associated with autism. If a child shows risk signs based on this checklist, they should be referred for a more detailed evaluation by specialists.

💡Red Flags

Red flags refer to specific behaviors or lack thereof that may indicate a child is at risk for autism. The video lists several such behaviors, such as a child not showing interest in other children or not pointing to objects to show interest. These red flags, especially if multiple are present, suggest the need for further evaluation.

💡Social Interaction

Social interaction involves how a child engages with others. The video points out that difficulties in social interaction, such as not responding to their name or not showing interest in other children, are key indicators of autism. Identifying these challenges early can help in diagnosing ASD and starting appropriate interventions.

💡Communication Skills

Communication skills refer to a child's ability to convey information, express needs, and engage in social exchanges. The video highlights that children with autism often show delays or differences in communication, such as not engaging in pretend play or not using gestures like pointing. These are critical markers assessed by the M-CHAT.

💡Attention Sharing

Attention sharing, or joint attention, is the ability to focus on an object or event with another person. The video notes that children with autism often struggle with this, such as not following a parent's gaze or pointing to share interest in something. This behavior is a significant focus in early autism screening.

💡Parental and Professional Involvement

Parental and professional involvement is crucial in the early detection and diagnosis of autism. The video encourages parents, teachers, and healthcare professionals to be proactive in observing signs of autism and using tools like the M-CHAT to screen children. Their active participation is vital in ensuring early intervention and better outcomes for the child.

💡Intervention

Intervention refers to the strategies and therapies used to support children with autism. The video underscores that early intervention, following an early diagnosis, can significantly improve a child's social, communicative, and cognitive development. It suggests that timely and appropriate interventions can mitigate the challenges posed by autism.

Highlights

The discussion is about an early detection tool for atypical behaviors to aid in the diagnosis of autism symptoms from 18 months old.

The tool could be used by parents, teachers, and professionals to facilitate quick diagnosis and potentially change a child's future.

Actively seeking signs and symptoms of autism in children should become a more common routine in society.

Autism is a serious developmental disorder that reduces a child's future potential and severely impacts their social and communicative abilities.

Early diagnosis is proven to be the best form of treatment and reduction of autism's effects in childhood.

Systematically tracking symptoms in the first years of life is one of the most important practices.

The Modified Checklist for Autism in Toddlers (M-CHAT) is introduced as an effective screening tool.

The M-CHAT has been developed over the last 20 years based on solid clinical studies and is scientifically validated.

The scale consists of 23 items derived from evidence of autism symptoms and other common signs observed in children.

17 items are not autism-specific but related to the disorder, and six items represent specific signs of autism.

The observation is crucial as it allows for non-biased questioning without inducing a diagnosis.

If a child scores positively on two of the most important items or fails three items overall, they are at risk for autism.

The specific items to watch for include lack of interest in others, repetitive play, and lack of shared attention gestures.

The M-CHAT is designed for children between 18 months and two years of age.

The scale is available for download on the website 'entendendo autismo' for use in practice.

The video encourages sharing knowledge for effective inclusion and awareness in dealing with autism.

The video concludes with an invitation to visit the website for more tips and to download the M-CHAT scale.