Assessments for Autism and PDD

Autism and Pervasive Developmental Disorder (PDD) are developmental disabilities that share many of the same characteristics. Usually evident by age three, autism and PDD are neurological disorders that affect a child’s ability to communicate, understand language, play, and relate to others.

In the diagnostic manual used to classify disabilities, the DSM-IV-TR (American Psychiatric Association, 2000), “autistic disorder” is listed as a category under the heading of “Pervasive Developmental Disorders.” A diagnosis of autistic disorder is made when an individual displays 6 or more of 12 symptoms listed across three major areas: (a) social interaction, (b) communication, and (c) behavior. When children display similar behaviors but do not meet the criteria for autistic disorder, they may receive a diagnosis of Pervasive Developmental Disorder-NOS (not otherwise specified, or PDD-NOS). Although the diagnosis is referred to asPDDNOS, throughout the remainder of this fact sheet, it will be referred simply as PDD, as it is more commonly known.

Autistic disorder is one of the disabilities specifically defined in the Individuals with Disabilities Education Act (IDEA), the federal legislation under which children and youth with disabilities receive special education and related services. IDEA, which uses the term “autism,” defines the disorder as “a developmental disability significantly affecting verbal and nonverbal communication and social interaction, generally evident before age 3, that adversely affects a child’s educational performance. Other characteristics often associated with autism are engagement in repetitive activities and stereotyped movements, resistance to environmental change or change in daily routines, and unusual responses to sensory experiences.”

How Common is Autism / PDD?

Information from the National Institute of Mental Health indicates that between 2 and 6 per 1,000 people have some form of autism / PDD. These disorders are four times more common in boys than in girls.

The causes of autism and PDD are unknown. Currently, researchers are investigating areas such as brain development, structure, genetic factors and biochemical imbalance in the brain as possible causes. These disorders are not caused by psychological factors.

What are the Signs of Autism / PDD?

Some or all of the following characteristics may be observed in mild to severe forms:

  • Communication problems (e.g., using and understanding language);
  • Difficulty relating to people, objects, and events;
  • Unusual play with toys and other objects;
  • Difficulty with changes in routine or familiar surroundings; and
  • Repetitive body movements or behavior patterns.

Children with autism or PDD vary widely in abilities, intelligence, and behaviors. Some children do not speak; others have language that often includes repeated phrases or conversations. Children with more advanced language skills tend to use a small range of topics and have difficulty with abstract concepts. Repetitive play skills, a limited range of interests, and impaired social skills are generally evident as well. Unusual responses to sensory information—for example, loud noises, lights, certain textures of food or fabrics—are also common.

What About School?

Early diagnosis and appropriate educational programs are very important to children with autism or PDD. The Individuals with Disabilities Education Act (IDEA) includes autism as a disability category. Children with autism and PDD are eligible for an educational program appropriate to their individual needs. Educational programs for students with autism or PDD focus on improving communication, social, academic, behavioral, and daily living skills. Behavior and communication problems that interfere with learning require the assistance of a professional who is particularly knowledgeable in the autism field, who develops and helps to implement a plan which can be carried out at home and school.


The classroom environment should be structured so that the program is consistent and predictable. Students with autism or PDD learn better and are less confused when information is presented visually as well as verbally. Interaction with nondisabled peers is also important, for these students provide models of appropriate language, social, and behavioral skills. To overcome frequent problems in generalizing skills learned at school, it is very important to develop programs with parents, so that learning activities, experiences, and approaches can be carried over into the home and community.

With educational programs designed to meet a student’s individual needs and specialized adult support services in employment and living arrangements, many children and adults with autism orPDD grow up to live and work successfully in the community.

 
 
 
 

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