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M-CHAT-R/F General Information

The Modified Checklist for Autism in Toddlers, Revised with Follow-Up (>M-CHAT-R/F; Robins, Fein, & Barton, 2009) is a 2-stage parent-report screening tool to assess risk for Autism Spectrum Disorder (ASD). The M-CHAT-R/F is an autism screening tool designed to identify children 16 to 30 months of age who should receive a more thorough assessment for possible early signs of autism spectrum disorder (ASD) or developmental delay.


The American Academy of Pediatrics (AAP) recommends that all children receive autism-specific screening at 18 and 24 months of age, in addition to broad developmental screening at 9, 18, and 24 months. The M-CHAT-R/F, one of the AAP recommended tools, can be administered at these well-child visits.


Early Intervention sites offer further evaluations of your child free-of-charge. These developmental assessments often vary from county to county and may involve a physical exam, a cognitive exam, a hearing assessment, and a speech assessment. In addition to these important components of a thorough evaluation, you may also consider genetic testing and/or specialized assessments provided by a medical geneticist, a clinical psychologist, a developmental pediatrician, a pediatric psychiatrist, or a pediatric neurologist.


Click (http://pediatrics.aappublications.org/content/120/5/1183.full?sid=0fd178ff-4404-4475-8936-8a9b2a9615f4) to view the AAP policy on developmental screening recommendations and guidelines. A statement of reaffirmation for this policy was published in September of 2010 and can be found at – http://pediatrics.aappublications.org/content/126/6/e1622.full