1. Early Warning Signs of Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum 1 Authors Liz Harstad, MD, Children’s Hospital Boston, Harvard Medical School Carol Baum, MD, Warren Alpert Medical School of Brown University Yvette Yatchmink, MD, PhD, Warren Alpert Medical School of Brown University Editors Georgina Peacock, MD, MPH, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention Carol Weitzman, MD, Yale University School of Medicine Jana Thomas, MPA, Porter Novelli Early Warning Signs of Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum

2. Early Warning Signs of Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum 2 Learning Objectives 1.Identify key social-emotional and language milestones through 24 months of age. –Describe typical social skills that are present in children from birth through 24 months. –Identify expected language milestones from birth through 24 months. –Identify expected play skills by age. 2.Recognize the major early warning signs of ASD. –Identify key red flags for ASD. –Recognize the difference between a typical temper tantrum and one of a child with ASD.

3. Early Warning Signs of Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum 3 Part I You are attending a family reunion, and during a quiet moment, your cousin Elizabeth takes you aside…

4. Early Warning Signs of Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum 4 What stands out to you about the mother’s concerns?

5. Early Warning Signs of Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum 5 Early Warning Signs of Autism Observation: Response to Name, Kyle, 12 Mos.

6. Early Warning Signs of Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum 6 Early Warning Signs of Autism Observation: Joint Attention, Noeliah, 15 Mos.

7. Early Warning Signs of Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum 7 What would you say to Elizabeth?

8. Early Warning Signs of Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum 8 Part II During your conversation, you find out that Mark attained his motor milestones typically…

9. Early Warning Signs of Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum 9 After observing Mark, how has your initial reaction changed?

10. Early Warning Signs of Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum 10 Early Warning Signs of Autism Observation: Nathan & Ben: 1 Year 7 Mos. Early Warning Signs of Autism

11. Early Warning Signs of Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum 11 Part III - Epilogue After quickly reviewing these references in your mind, you do have concerns about Mark, and commend your cousin for picking up these issues so early…

12. Early Warning Signs of Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum 12 How would you apply the information in this case? What did you learn through this case?

13. Early Warning Signs of Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum 13 Post-Learning Exercise Test each other on developmental milestones Go to: www.cdc.gov/ncbddd/actearly/milestones/index/htmlwww.cdc.gov/ncbddd/actearly/milestones/index/html Pull up the developmental page for different age groups Take turns testing each other on the developmental milestones for each age Go into a waiting room and “borrow” a typically developing child (or two). Interact and observe the child/children and try guessing the age of the child.

14. Early Warning Signs of Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum 14 Potential Next Case: Screening for Autism Spectrum Disorder Case Goals Perform autism-specific screening as recommended by the AAP. Develop an appropriate management plan based on ASD screening results.

15. Early Warning Signs of Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum 15 Developed in partnership with Health Resources and Services Administration Maternal and Child Health Bureau