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Autism diagnostic observation schedule (ADOS) assessment

  • SEND
  • Neurodiversity
Adult and child playing connect 4 at a table

The autism diagnostic observation schedule assessment is also known as the ADOS assessment. It's a tool used to help clinicians assess autism in children, young people and adults. It uses play and conversation to get information from your child or young person.

Using the ADOS assessment we will be looking at your child or young person's:

  • communication skills
  • social skills
  • play skills
  • repetitive behaviours
  • restricted behaviours

Clinicians cannot diagnose autism only using the ADOS assessment. It's used alongside other tools like observations or assessments from professionals. It's a snapshot of your child or young person's communication skills. It may not show the whole range of their strengths and difficulties. 


What to bring to the appointment

We will provide the toys and games for the assessment. You might want to bring some things from home to keep your child or young person entertained whilst they wait for the appointment.

You could bring:

  • Toys and books keep them entertained as they wait
  • Snacks if you think they might get hungry 
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Information

Face masks and face coverings

During the assessment, we request that you and your child or young person do not wear masks or face covering. The clinician will not be wearing a face mask, your child or young person will need to see the clinician's face. The assessment will be invalid if a face mask or face covering is worn. 

What will happen during the appointment

The clinician will greet you and bring you and your child or young person into the clinic room. You will be asked for written consent for the clinician to video the assessment. This is so they can refer to it in the future. This video recording will be used for assessment purposes only.

The ADOS assessment focuses on playing and having a conversation. During the assessment your child or young person will be given the opportunity to do some activities and play games. These include:

  • making a story with objects
  • playing with toys
  • puzzles
  • talking about pictures in a book

The games are chosen for your child or young person based on their age and their language skills.

If your child is under 5 years old, you may be asked to sit in the clinic room during the assessment. During the assessment, please only respond if your child approaches you. Please do not join in or give your child any instructions. This is to make sure we have an accurate and reliable assessment. 

If your child is over 5 years old, you may be asked to sit outside the clinic room during the assessment. This will only be if your child or young person is comfortable with this. 

It's completely okay if your child doesn't want to play or engage in activities. Whatever your child does on the day will help us to understand them.

Child in yellow cardigan playing with a toy house

Last reviewed: 27 November, 2024

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This information has been co-produced with parents, young people, local parent forums, CAMHS, education psychology and other key partners. It was also created with a neurodiverse team. 

The language around neurodiversity is changing and evolving. We want to ensure our information is inclusive and sensitive. The terms used in this pack are the most up to date when the information was created. If there are any outdated words or terminology, no offense is intended and we will work hard to update these. We are grateful for your support and feedback.

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