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The Autism Diagnostic Observation Schedule (ADOS) is a standardized protocol for assessing social and communicative behavior associated with autism. It was created by Catherine Lord, PhD; Michael Rutter, MD FRS; and colleagues in 1989 and developed for full clinical application by Western Psychological Services and released in 1999. The protocol consists of a series of structured and semi-structured tasks that involve social interaction between the examiner and the subject. The examiner observes the subject's behavior and assigns identified segments to predetermined observational categories. Categorized observations are subsequently combined to produce quantitative scores for analysis. Research-determined cut-offs identify the potential diagnosis of autism or related autism spectrum disorders, allowing a standardized assessment of autistic symptoms. The current edition has four Modules for use with individuals from non-verbal 2 year olds to verbally fluent adults. A revision, the ADOS-2, is currently in development for release in 2010 and will include improved algorithms for Modules 1 to 3 and a Toddler Module to facilitate assessment in children ages 12 to 20 months. The Autism Diagnostic Interview-Revised (ADI-R), a companion instrument, is a structured interview conducted with the parents of the referred interview and covers the full developmental history of the referred individual.[1]
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