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Autism Early Signs Checklist
Here’s a helpful checklist of behaviors you can track, followed by information on screening resources you can access locally or online:
Autism Early Signs Checklist (by Age Range)
By 12 Months
☐ Rarely or never makes eye contact
☐ Doesn’t respond to name
☐ Doesn’t point to show interest (e.g., “look at that”)
☐ Doesn’t wave goodbye
☐ Doesn’t smile back at people
By 18 Months
☐ No single words (e.g., “mama,” “ball”)
☐ Doesn’t imitate others (like clapping, waving)
☐ Seems uninterested in playing with others
☐ Repetitive motions (rocking, flapping hands)
☐ Fixates on parts of toys (e.g., spinning wheels)
By 24 Months
☐ No two-word phrases (without repeating)
☐ Doesn’t follow simple instructions (e.g., “Get your shoes”)
☐ Avoids social games (e.g., peek-a-boo)
☐ Prefers to play alone
☐ Has intense reactions to changes in routine or environment
Any Age
☐ Doesn’t engage in pretend play (e.g., feeding a doll)
☐ Hyper- or hypo-sensitivity to sounds, lights, textures
☐ Strong interest in unusual objects or topics
☐ Repeats phrases out of context (echolalia)
☐ Difficulty understanding emotions or social cues
How to Use the Checklist
Print or write down what you observe
Record the frequency, context, and age
Share your observations with your child’s pediatrician or child psychologist
🌐 Screening & Diagnostic Resources
Online Screening Tools
M-CHAT-R/F (for children 16–30 months):
https://m-chat.org – Free, research-based online version with follow-up questions
Local Resources (U.S. examples)
Call 2-1-1 or visit https://www.211.org for local early intervention programs
Contact your state's Early Intervention Program (for ages 0–3): Free evaluations even without a diagnosis
School District Child Find services (ages 3+): Free assessments to identify developmental delays
🧠 Next Steps if You’re Concerned
Document behaviors using the checklist
Take a screening test (like M-CHAT)
Talk to your pediatrician and request a referral for evaluation
Contact Early Intervention Services in your area for free help
M_CHAT.ORG | Welcome to M-CHAT.ORG | Free, instant, online M-CHAT scoring | Lineagen M-Chat The Modified Checklist for Autism in Toddlers (M-CHAT) is a validated developmental screening tool for toddlers between 16 and 30 months of age. It is designed to identify children who may benefit from a more thorough developmental and autism evaluation. Once an autism diagnosis is reached, medical....
Detecting Autism in a Child
Detecting autism in a child typically involves a combination of developmental monitoring, screening, and a comprehensive diagnostic evaluation. Here's a clear breakdown of how it’s done:
1. Developmental Monitoring
This is an ongoing process where parents, caregivers, or healthcare providers observe a child's growth and behavior over time.
Key things to watch for (early signs):
Limited eye contact or facial expressions
Delayed speech or language skills
Lack of response to name by 12 months
Repetitive behaviors (hand-flapping, rocking)
Unusual interest in certain objects or topics
Difficulty with social interactions or pretend play
Extreme sensitivity (or lack thereof) to sensory input (sounds, textures)
2. Developmental Screening
Screening tools are used during regular well-child visits (usually at 18 and 24 months) or when concerns arise.
Common screening tools:
M-CHAT-R/F (Modified Checklist for Autism in Toddlers, Revised with Follow-Up): For toddlers 16–30 months
Ages and Stages Questionnaires (ASQ)
CSBS (Communication and Symbolic Behavior Scales)
These are typically questionnaires that parents fill out.
3. Comprehensive Diagnostic Evaluation
If screening indicates a risk, a full evaluation is needed by a specialist like:
Developmental pediatrician
Child psychologist or psychiatrist
Pediatric neurologist
Evaluation includes:
Observation of the child’s behavior
Developmental history
Standardized tools (e.g., ADOS-2, Autism Diagnostic Observation Schedule)
Parent interviews
Hearing and vision tests (to rule out other issues)
When to Act
If your child isn’t meeting milestones (e.g., no words by 16 months, no two-word phrases by 2 years)
If social interaction seems very limited
If your child has regressed in speech or social skills
Early intervention is key, so it's important not to “wait and see” if there are concerns. Diagnosis can be made reliably as early as 18–24 months, though some children are diagnosed later.
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Physics of the Crash – The sudden force of impact can create a whiplash effect, throwing objects (including shoes) in different directions. Loose-fitting or slip-on shoes (flip-flops, Crocs, or even sneakers that aren't tightly laced) can easily fly off.
Body’s Natural Response – During high-impact situations, the body tenses up, and feet may flex or move in ways that push shoes off. If a victim is ejected from the vehicle, shoes can get pulled off by friction against the ground.
Airbags and Seatbelts – While airbags protect the upper body, the lower body can still experience strong forces. The feet might hit the dashboard, floor, or pedals, causing shoes to pop off.
Rolling and Tumbling – If the crash involves rolling or being thrown from the vehicle, the body twists and moves unpredictably, making shoes more likely to come off.
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