Medical Diagnosis Vs. Educational Diagnosis Of Autism Research Paper

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Autism The differences between a medical diagnosis of Autism and an educational diagnosis of Autism often have implications for the individualized educational prospects of an autistic student in public schools. Often even when a child has a medical diagnosis of autism parents still go through the diagnostic process of the school to determine what, if any, educational adjustments can or should be made. Diagnosis is made more difficult by the fact Autistic symptoms vary widely in individuals and often tend to manifest themselves in many different combinations (Lenne, 2001, P. 71). Autistic impairment includes social, communicative, and behavioral development challenges. An autistic child may have trouble with nonverbal language, poor eye contact, and difficult making and retaining friends (Lenne, 2001, P. 71). In terms of communication, there may be delays in speaking difficulty using or imitating language and incorrect use of words (Lenne, 2001, P. 71). Repeated body movements...

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71). Added to the multidimensional nature of the disorder is that the symptoms can manifest themselves in so many combinations and often mimic other disorders which make autism very difficult to diagnose. This is why diagnosis must occur in several stages and in different locations. Including parental observations, educator observations, and medical provider examinations.
In 2000, a set of guidelines were formulated by the American Academy of Neurology. (Blackwell, 2001). The panel's guidelines are widely recommended and urge providers to carryout diagnosis in several stages. In the very first stage of investigation clinical practioners are urged to screen for any children who may display behavior or characteristics which may place the child at risk for any developmental delays (Blackwell, 2001). The second investigative step is…

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In 2000, a set of guidelines were formulated by the American Academy of Neurology. (Blackwell, 2001). The panel's guidelines are widely recommended and urge providers to carryout diagnosis in several stages. In the very first stage of investigation clinical practioners are urged to screen for any children who may display behavior or characteristics which may place the child at risk for any developmental delays (Blackwell, 2001). The second investigative step is to screen for those children who are specifically at risk for autism so that they can be differentiated from those children who have other developmental disorders (Blackwell, 2001). Blackwell, et. al argue that before the diagnosis of autism is attempted all primary care physicians should routinely, when necessary, use developmental screening tests on their patients. Unfortunately, less than 1/3 of "primary care providers have been shown to conduct a standardized developmental screening test in child office visits" (Blackwell, 2001, p. 534).

The AAN guidelines urge that when a child has delayed language development or motor skills, the primary care provider should immediately engage in audio logical assessment to rule out any ear or auditory issues, followed by using the CHAT, Autism Screening Questionnaire (Blackwell, 2001, p. 535). At this stage, one of two things must happen, either the child passes or fails the test; if the child passes, then the child still must undergo a formal diagnostic procedure including a neurological evaluation, if the child fails the doctors must communicate the need for early child-hood intervention with the school district in addition to the formal diagnostic evaluation (Blackwell, 2001, p. 535). Although Blackwell, et. al do not detail the specific diagnostic indicators of autism their overview of the AAN guidelines are important in order to demonstrate the relationship between the school and the medical provider.

Whereas the medical diagnosis focuses on the symptoms the educational diagnoses often focus on the relationship between the symptom and its impact on the child in the class room. An individualized education plan is dependent on significant impairment in the classroom which is more than just behavioral in nature. Often behavioral problems in school are seen as acting out rather than a symptom


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