Autism Program
Phoenix Children’s considers requests for an autism evaluation from pediatric primary care providers or pediatricians.
Autism Diagnostic Evaluation
To efficiently meet growing demands for services, our Developmental pediatrics and Psychology programs have partnered to provide care for children recommended to have an autism evaluation.
- Our Developmental Pediatrics team conducts autism evaluations for children aged 12 months up to 4 years.
- Our Psychology team conducts autism evaluations for children aged 4 years up to 7 years who have co-occurring complex medical needs, genetic conditions and/or sensory organ impairment (e.g., blind, visually impaired, deaf or hard of hearing).
We recognize that there are children who are 4 years up to 7 years old without complex medical needs or genetic differences, as well as older children who also need autism evaluations. For these children, we recommend looking at our list of Additional Resources below or speaking to your primary care physician.
To begin the process for a new request for an autism evaluation at Phoenix Children’s, follow these step-by-step instructions.
- Schedule an appointment with your child’s primary care provider to discuss your concerns. Important things to talk about during the appointment include developmental milestones, your child’s relationships with other children and any behavioral differences you think may be related to autism. Together, you and your child’s primary care provider will develop a plan for next steps. This might include an autism evaluation request through Phoenix Children’s or a community autism organization.
- If a request for an autism evaluation at Phoenix Children’s is placed by your child’s primary care provider through our referral process, our team will review the information and may request more information about your child from their primary care provider
- Once your child’s autism evaluation is scheduled, you will get a request to complete a new patient packet. You may also get a ‘teacher packet’ for your child’s primary teacher to complete, depending on your child’s age. If requested, you may be asked to send the packet back before the evaluation or bring it with you to the evaluation. We may also ask you to provide copies of any previous evaluations (e.g., educational evaluation, psychological evaluation, speech language or occupational therapy evaluation).
Frequently Asked Questions
Additional FAQs about the Autism evaluation process can be found here.
Evaluating a child for autism spectrum disorder is a complex process. Highly trained, experienced professionals will gather information from you, your child and their medical and educational records to help determine whether your child has autism and what support they may need.
Depending on your child’s age and circumstances, we also offer telehealth evaluation. Telehealth visits are an excellent way for us to begin your child’s care. During these visits, we will speak with you about your concerns and gather other important information about your child and your family. We will observe your child in a comfortable setting, provide a plan of care with recommendations and next steps and schedule a follow-up appointment.
Depending on your child’s specific needs, age and background, you may have one appointment or multiple appointments, each lasting between 90 minutes and 4 hours. The length of your child’s first appointment will be estimated before scheduling the evaluation at Phoenix Children’s.
Depending on your child’s age and needs, your family will work with one or more of our specialty providers at Phoenix Children’s. Our specialists include clinical psychologists, developmental pediatricians and pediatric nurse practitioners. You will know what kind of provider your family will be supported by at the time the appointment is scheduled.
- A legal guardian must come with your child to the autism evaluation or be present for a telehealth appointment. We will be asking you several questions about your child’s life, including developmental milestones. Please gather as much information as you can from your child’s other caregivers (e.g., the other parent, daycare, teachers, grandparents) so that you will be able to answer questions more easily.
- Please arrange childcare for other children in your household. Depending on your child’s age, siblings may not be allowed in evaluations as they can be distracting. Some visits last up to 4 hours, and we do not offer childcare.
- Please bring with you any equipment your child uses for daily living (e.g., communication devices, hearing devices, glasses, wheelchair).
- Please feed your child breakfast and/or lunch prior to the evaluation.
- Bring snacks and drinks for your child, especially if they have a special diet.
- Bring one or two of your child’s favorite toys, as there may be breaks during the appointment. However, try to avoid bringing things that your child has difficulty transitioning away from, as we will have other activities for them to do.
- If your child takes medications for any reason, please give medications as prescribed.
- Talk to your child about what to expect during their appointment (e.g., playing games and doing activities with our providers).
Phoenix Children’s autism diagnostic evaluation process has several steps:
- Review of available medical and school records: The provider will review the background information you provide from school, daycare, or other healthcare providers. We ask that you provide this information in advance to help us prepare for your child’s appointment and allow us to have a more complete understanding of your child’s development.
- Parent/caregiver clinical interview: During the evaluation, you will be asked a lot of questions about your child’s past and current development, social relationships and behaviors. The provider will ask you about your child’s developmental milestones, medical history and family history, as well as your child’s communication, play and social skills and emotional and behavioral functioning. You will also be asked about your child’s favorite activities and things they do well.
- Observation/interaction with your child: An autism evaluation may look quite different from other medical appointments. An important part of the evaluation is for the provider to spend time playing with and talking to your child. We may also engage in games and activities to understand how your child thinks and behaves. This helps us understand your child’s strengths and areas for growth. We will work with you and your child to make the evaluation as positive an experience as possible.
It may take more than one appointment to gather information necessary to make an accurate diagnosis. You will leave each appointment with as much information as possible. At the end of the evaluation, the provider will discuss the results and next steps with you and your child. We encourage you to read through the report with your child’s primary care provider.
Please know that your child may or may not be diagnosed with autism spectrum disorder. Because we evaluate for other conditions as well, your child may be diagnosed with something other than autism or in addition to autism. If we do not think your child is on the autism spectrum, we will talk with you about what else may explain your child’s strengths and difficulties. We will also offer you recommendations for the best next steps.
Our Newborn Early Screening Team (NEST) Clinic offers developmental monitoring (including autism-related monitoring) for infants under 12 months of age.
Autism Management
If your child’s primary care provider has requested further medical care for autism, our team of developmental providers will complete a comprehensive evaluation to make recommendations specific to your child’s needs. Children with autism often have other co-occurring medical conditions such as anxiety, ADHD, sleep concerns, eating issues and/or genetic conditions. Our team of experts are specialized in the care of children with autism and will evaluate your child for any co-occurring conditions.
Our initial autism management evaluations are completed either in person or via telehealth. The appointment can take up to 90 minutes. You will be sent forms to complete electronically prior to the visit. We also ask that you send in any pertinent evaluations such as those completed by the school or other professionals. We ask you to provide this information in advance as it will help us understand your child’s medical and developmental history.
Mental Health Therapy
Our program offers caregiver support and evidence based therapeutic intervention for children and their families to help them better understand autism. Our designated therapist helps families of children with autism:
- Navigate developmental conditions
- Manage anxiety
- Treat depressive symptoms
- Respond to medical complexities, adjustments and life transitions
If you and your child are interested in a mental health consultation, please talk with your child’s provider during their visit.
Additional Resources
Early Intervention and Special Education Evaluation:
- For children under 3 years old:
- Request a free developmental evaluation which may qualify your child for therapy services through the Arizona Early Intervention Program (AzEIP) at 602-532-9960.
Special Education Services:
- For children 2 years, 9 months through 18 years old:
- Contact your local public school district to request a free evaluation for special education services. Even children who are not yet in school can receive an evaluation through their school district.
- Children between the ages of 3 and 5 years old may qualify for early childhood special education (also known as developmental preschool).
- To learn more about special education, the Arizona Department of Education have several resources on their website.
It is important to know that AzEIP and school districts do not provide medical diagnoses of autism but can help determine what support services in the school setting may be important for your child.
Contact
Please direct any questions to one of the departments below, based on your child's age:
- For children younger than 4 years old, please contact the Developmental Pediatrics program at 602-933-2327.
- For children 4 years up to 7 years old, please contact the Psychology program at 602-933-0414.