Checklist for Autism in Toddlers (CHAT

British researchers have developed a screening tool called the Checklist for Autism in Toddlers (CHAT )

الباحثون البريطانيون صمموا مقياس يلفت نظر الاطباء الى الطفل المشتبه بالتوحد من عمر 18 شهر ..ولكنه لا يعتبر اداة تشخيصية ..يطبق هذا المقياس من قبل طبيب الاطفال... اوطبيب العائلة .. حيث يقوم بتحويل الطفل للمختصين بالتوحد عند الاشتباه بحالته ..الذين بدورهم يقومون بتطبيق الاختبارات الخاصة التى تثبت التشخيص ..ا

..وللدخول على موقع المجلة الطبية البريطانية للطب النفسي ومعرفة معلومات اكثر ..اضغط قى الرابط

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The CHAT Screening Tool

The following test can be used by a Pediatrician or Family Doctor during the 18 month developmental check-up. The CHAT should not be used as a diagnostic instrument, but can alert the primary health professional to the need for an expert referral.
Yes No I. During the appointment, has the child made eye contact with you?

Yes No *ii. Get the child's attention, then point across the room at an interesting object and say, "Oh look! There's a (name of toy)!" Watch the child's face. Does the child look across to see what your are pointing at? (1)

Yes No *iii. Get the child's attention, then give child a miniature toy cup and teapot and say, "Can you make a cup of tea?" (Substitute toy pitcher and glass and say, "Can you pour a glass of juice?") Does the child pretend to pour out tea (juice), drink it, etc? (2)
Yes No *iv. Say to the child, "Where's the light?", or "Show me the light."Does the child POINT with his/her index finger at the light? (3)
Yes No v. Can the child build a tower of bricks (blocks)? (If so how many?) (Number of bricks....)

* Indicates critical questions that are most indicative of autistic characteristics.

1. (To record YES on this item, ensure the child has not simply looked at your hand, but has actually looked at the object you are pointing at.)

2. (If you can elicit an example of pretending in some other game, score a YES on this item.)

3. (Repeat this with, "Where's the Teddy Bear?" or some other unreachable object; if child does not understand the word "light". To record a YES on this item, the child must have looked up at your face around the time of pointing.)

The British Journal of Psychiatry, 1996, vol 168, pp. 158-163

The British Journal of Psychiatry, 1992, vol 161, pp. 839-843

ايضا هناك مقياس CHAT المعدل او Modfied الذي يتكون من 23 فقرة ويطبق ايضا من قبل طبيب الاطفال او طبيب الرعاية الاولية

Modified Checklist for Autism in Toddlers (M-CHAT) Form

23 item checklist for identifying autism in primary care
Please fill out the following about how your child usually is. Please try to answer every question. If the behavior is rare (e.g., you've seen it once or twice), please answer as if the child does not do it.
1. Does your child enjoy being swung, bounced on your knee, etc.? Yes No
2. Does your child take an interest in other children? Yes No
3. Does your child like climbing on things, such as up stairs? Yes No
4. Does your child enjoy playing peek-a-boo/hide-and-seek? Yes No
5. Does your child ever pretend, for example, to talk on the phone or take care of dolls, or pretend other things? Yes No
6. Does your child ever use his/her index finger to point, to ask for something? Yes No
7. Does your child ever use his/her index finger to point, to indicate interest in something? Yes No
8. Can your child play properly with small toys (e.g. cars or bricks) without just mouthing, fiddling, or dropping them? Yes No
9. Does your child ever bring objects over to you (parent) to show you something? Yes No
10. Does your child look you in the eye for more than a second or two? Yes No
11. Does your child ever seem oversensitive to noise? (e.g., plugging ears) Yes No
12. Does your child smile in response to your face or your smile? Yes No
13. Does your child imitate you? (e.g., you make a face-will your child imitate it?) Yes No
14. Does your child respond to his/her name when you call? Yes No
15. If you point at a toy across the room, does your child look at it? Yes No
16. Does your child walk? Yes No
17. Does your child look at things you are looking at? Yes No
18. Does your child make unusual finger movements near his/her face? Yes No
19. Does your child try to attract your attention to his/her own activity? Yes No
20. Have you ever wondered if your child is deaf? Yes No
21. Does your child understand what people say? Yes No
21. Does your child sometimes stare at nothing or wander with no purpose? Yes No
23. Does your child look at your face to check your reaction when faced with something unfamiliar? Yes No

©1999 Diana Robins, Deborah Fein, & Marianne Barton

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