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What to expect from ADOS-2 Evaluation?
Diagnosing autism is a pivotal step for families navigating neurodiversity, as it delivers essential answers and steers them toward specialized treatments. Historically, autism has been misunderstood, leading to misdiagnoses, stigmatization, and missed opportunities for individuals to reach their full potential with appropriate support.
Thankfully, advancements in the study and comprehension of autism have led to the development of accurate diagnostic tools like the ADOS-2 evaluation (Autism Diagnostic Observation Schedule, Second Edition). The ADOS-2 evaluation employs a structured and standardized methodology to observe and assess the behavior and social interactions of individuals exhibiting autism traits. This tool enables a comprehensive and precise diagnosis, assisting doctors in identifying developmental disorders with enhanced accuracy.
For many parents seeking an autism diagnosis for their loved ones, the term “ADOS-2 evaluation” may arise, prompting the question: What to expect from ADOS-2 evaluation? In this blog by ABA Centers of Rhode Island, we will delve into the autism diagnosis process using this tool, providing a thorough and clear explanation for parents.
The Journey to an Autism Diagnosis
Children regularly attend medical check-ups to track their development, and it is often during these visits that healthcare professionals begin to observe potential developmental delays. Children can display autism traits as early as 18 months, with signs such as speech delays, limited language skills, reduced eye contact, and difficulties in social interactions becoming evident.

While early diagnosis of Autism Spectrum Disorder (ASD) is possible, most children receive a diagnosis around the ages of 2 or 3. The American Academy of Pediatrics recommends evaluations at 9, 18, and 30 months to identify any developmental delays promptly.
Various evaluation methods, including the ADOS-2, DISCO, and ADI-R, involve a comprehensive review of the child’s medical and developmental history, assessment of crucial developmental milestones, and clinical evaluations supported by standardized tests.
In this multidisciplinary approach, psychologists, psychiatrists, neurologists, and other specialists collaborate to provide a holistic understanding of the individual’s profile and needs.
ADOS-2 Evaluation: An Essential Tool in Autism Diagnosis
During an ADOS-2 evaluation, clinicians assess individuals’ social interaction skills, communication, play, and imaginative use of materials. This assessment can be tailored to the client’s developmental stage and language abilities, making it suitable for all ages and levels of functioning.
The ADOS-2 evaluation is a highly effective diagnostic tool. According to the Journal of Autism and Developmental Disorders, its efficacy and sensitivity rates range from 89% to 92% in correctly identifying autism, while its specificity rates range from 81% to 85% in accurately distinguishing individuals without autism.
How the ADOS-2 Evaluation Works
The ADOS-2 evaluation consists of four steps that provide a comprehensive assessment for autism diagnosis:
- Module Selection:
Clinicians choose the appropriate module based on the individual’s age and language level:
- Module 1: Children with little or no verbal speech.
- Module 2: Children who use sentences but are not fluent in verbal language.
- Module 3: Children and teens with fluent speech.
- Module 4: Older teens and adults with fluent speech.
- Standardized Activities:
Each module includes a series of structured or semi-structured activities designed to elicit behaviors related to ASD. These activities help clinicians observe social and behavioral responses pertinent to an autism diagnosis.
- Behavioral Observations:
During the evaluation, the clinician observes and records specific behaviors, such as eye contact, gestures, facial expressions, and the ability to interact and respond. Additionally, the clinician notes repetitive behaviors and restricted interests.
- Scoring and Interpretation:
After collecting data, the clinician scores the observed behaviors using a standardized scoring system. They interpret the scores to determine the presence and severity of ASD symptoms. The results of the ADOS-2 evaluation are analyzed alongside developmental history and other assessments to arrive at a comprehensive autism diagnosis.
My Child Received a Diagnosis of Autism: What's Next?
Getting an autism diagnosis can be an emotional and uncertain experience, adding stress to your family’s life. While the uncertainty about the future can be overwhelming, it also represents an opportunity to learn and grow alongside your child with the guidance of experts in the field. Thankfully, with the increased acceptance of autism, science has developed specialized methodologies to meet the needs of individuals on the spectrum.

Here are some steps to help you begin navigating the autism journey:
- Educate Yourself: Start by researching reliable resources, such as the ABA Centers of Rhode Island blogs, to better understand autism and the needs of neurodiverse individuals.
- Build Support Networks: Join support groups, either in your community or online, to share your experiences and gain insights from other families navigating neurodiversity.
- Explore Therapeutic Support: Investigate therapeutic interventions, such as applied behavior analysis (ABA), which address the needs of individuals with autism and set developmental goals to help them achieve independence and develop essential skills.
- Apply the Learnings: During ABA sessions, parents receive training that enables them to apply effective strategies at home and in various settings, fostering their child’s progress and development.
- Don’t Forget About You: It is common for parents to focus primarily on their child’s specific needs, often neglecting their own physical and emotional well-being. However, prioritizing self-care is crucial to providing quality care for your child.
Comprehensive Autism Diagnostics and Support at ABA Centers of Rhode Island
Navigating a developmental disorder can be overwhelming for any family. However, early diagnosis is crucial, as it can unlock access to appropriate therapies and supports at the right time. Early intervention significantly enhances the effectiveness of ABA therapy and the development of neurodiverse children.
At ABA Centers of Rhode Island, we provide comprehensive autism services, ranging from autism evaluation and diagnosis to home and school-based ABA therapy. Regardless of your child’s age, we are here to offer professional support and guidance.
Contact us now to experience the benefits of specialized support for your child’s development—call (855) 922-4184 to speak with a specialist.