Autism screening & diagnostic support 

Something feels different. Maybe your child isn't quite hitting the same milestones as other children their age, or their pediatrician suggested taking a closer look. An autism screener is a simple, no-cost first step that can help bring some of your questions into focus.
At Action Behavior Centers, we offer two screening tools, the M-CHAT-R and the CAST, that parents can complete at home to understand better their child's risk for autism spectrum disorder (ASD) and whether a full autism evaluation is the right next step.

What are the steps in the autism diagnostic process?

Not sure where to begin? Here's what the process looks like at ABC.

1. Complete a no-cost online screener

Start at home with a simple online autism screening tool. These questionnaires ask about your child's social, communicative, and play behaviors. They can help you understand whether your child may be at risk for autism and whether further evaluation is worth pursuing.

2. Schedule an autism evaluation

If your child receives a high-risk screener score or if you have ongoing concerns, the next step is an in-person or telehealth evaluation. Depending on your region and your child's age, this may be an ADOS-2 or an Initial Diagnostic Evaluation (IDE)

3. Review results with your child's provider

After the evaluation, results are shared with your child's pediatrician or specialist. If your child completed an ADOS-2, we compile the results into a summary sent directly to their doctor. If your child completed an IDE, a licensed psychologist will review findings with you directly.

4. Confirm diagnosis

Based on evaluation results, parent questionnaires, and your child's developmental history, your doctor or psychologist will determine whether your child meets the criteria for autism spectrum disorder. You'll receive guidance on what the diagnosis means and what comes next.

Why an autism diagnosis matters

Early diagnosis opens the door to early intervention, and early intervention has been shown to support better long-term outcomes for autistic children.1 Many families find that having a diagnosis brings clarity and opens doors to a support system they didn't have before.

A diagnosis is often required before a child can:

Top ABA Therapy near you available at Action Behavior Centers
Online Screener

M-CHAT-R screening tool for autism in toddlers

The Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R) is a parent-report screening tool designed to assess autism risk in toddlers. 

  • Takes just a few minutes to complete at home
  • A high-risk score does not confirm an autism diagnosis
  • An autism specialist should further assess children who receive a high-risk score
Online Screener

The CAST autism screening tool for older children

The Childhood Autism Spectrum Test (CAST) is a parent questionnaire developed by the Autism Research Centre (ARC) at the University of Cambridge.¹

  • Designed for school-age children
  • A high score suggests your child may benefit from further evaluation
  • A high score does not confirm an autism diagnosis

What’s the difference between the M-CHAT-R and the CAST?

Both screening tools are designed to help identify signs of autism early. Here's a simple breakdown to help you choose the right one for your child. Not sure which screener makes sense? Contact us and we can help!

M-CHAT-R

  • For toddlers (16 months to 3 years old)
  • 20 yes/no questions
  • Screens for early autism risk in toddlers
Take the M-CHAT

CAST

  • For school-age (4 to 11 years old)
  • 39 yes/no questions
  • Screens for autism symptoms and communication difficulties
Take the CAST

Frequently asked questions about autism testing

View all FAQs

Does an autism screener tell me if my child has autism?

No. A screener is not a diagnostic tool and cannot confirm or rule out an autism diagnosis. It's designed to identify whether your child may be at risk and whether further evaluation is worth pursuing. Many children who receive a high-risk score turn out not to have autism, and some autistic children score low on screeners. If you have concerns about your child's development, a full autism evaluation with a qualified specialist is the best next step.

Who can diagnose autism?

In the U.S., autism is diagnosed by qualified medical and mental health professionals through a comprehensive evaluation. This process may include direct observation, developmental history, caregiver interviews, and standardized diagnostic tools to determine whether a child meets criteria for autism spectrum disorder. Many children can be evaluated as early as 18 months old.

Professionals who may diagnose autism include:

  • Developmental pediatricians
  • Child psychologists or neuropsychologists
  • Child psychiatrists
  • Pediatric neurologists

Board Certified Behavior Analysts® (BCBAs®) may support the evaluation process, but a formal autism diagnosis is typically made by one of the specialists listed above.

What happens after my child is diagnosed with autism?

A diagnosis is a starting point, not an ending. It gives your family clarity, direction, and access to supports that can help your child learn and grow. Your child is the same person they were before the diagnosis. It simply gives you a clearer picture of how they experience the world and how to support them best.

After a diagnosis, your child's pediatrician may recommend therapies based on your child's individual needs. One commonly recommended option is ABA therapy. At ABC, a BCBA completes an initial assessment and builds a personalized plan for your child based on family goals. Our admissions team also works with insurance providers to verify coverage before services begin. Contact us to learn about ABA therapy availability in your area or to schedule a tour of your nearest ABC center.

When did autism become a diagnosis in the United States?

Autism became a formal medical diagnosis in the U.S. in 1980, when the American Psychiatric Association recognized “Infantile Autism” in the Diagnostic and Statistical Manual of Mental Disorders (DSM-III). This marked an important shift by separating autism from childhood schizophrenia and creating consistent diagnostic criteria.

Over time, the understanding of autism expanded, leading to today’s diagnosis of autism spectrum disorder (ASD). Key milestones include:

  • 1943: Leo Kanner described early infantile autism
  • 1980 (DSM-III): Autism recognized as a formal diagnosis
  • 1987 (DSM-III-R): Criteria expanded, renamed Autistic Disorder
  • 1994 (DSM-IV): Autism-related conditions grouped under Pervasive Developmental Disorders (including Asperger’s syndrome), laying the groundwork for viewing autism as a "spectrum"
  • 2013 (DSM-5): All related diagnoses were unified under ASD, the standard used today