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• Triad of impairments
1. Social communication
2. Social interaction
3. Repetitive/restricted (imagination)
5 years old: show concern for others, agree to more rules, aware of gender, more
independence in social scenarios
6-8 years: more attention to friendships, wants to be liked and accepted, thinks about
future, understands place in the world
5 years old: speaks, tells a simple story in complete sentences, uses future tense, says
name and address.
5 years old: can count 10 or more things, can print some letters and numbers, can copy
basic geometric shapes, knows about things used everyday like food and money
6-8 years: rapid development of cognitive skills, more concern for others
5 years old: stands on one foot for 10 seconds or longer, hops, skips, somersaults, use
eating utensils, use the toilet independently
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Language and Communication: knows basic rules of grammar, can tell stories, can say
first and last name
Cognitive: name some colors and numbers, understands the idea of counting, starts to
understand time, remembers parts of a story, knows the difference between same and
different, plays board and card games, says what will happen next in a book
Motor: hops/stands on one foot for up to 2 seconds, catches bounced ball most of the
time, pours and cuts with supervision, mashes own food
Language and Communication: speaks, tells a simple story in complete sentences, uses
future tense, says name and address
Cognitive: can count 10 or more things, can print some letters and numbers, can copy
basic geometric shapes, knows about things used everyday like food and money
Motor: stands on one foot for 10 seconds or longer, hops, skips, somersaults, use eating
utensils, use the toilet independently
The early warning signs for ASD include concerns about a child's
social skills, communication, and restricted or repetitive patterns of
behaviors, interests, activities, and emotional regulation.
Social stories
Explain social situations to autistic children and help them learn ways of behaving in these
situations.
Example:
Going to the supermarket or about behavioral strategies for example “It's okay to feel angry
but it's not okay to hit, next time take a deep breath and think.”
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1. Adult patients, 10 years from the date the patient was last seen.
2. Minor patients, 28 years from the date of birth.
3. Deceased patients, five years from the date of death.
• Educational laws
1. Individuals with Disabilities Education Act (IDEA):
legislation that ensures students with a disability are provided with Free Appropriate
Public Education that is tailored to their individual needs.
2. Least Restrictive Environment (LRE):
Provision in IDEA that requires students with disabilities to be educated with non-
disabled peers to the maximum extent appropriate
3. Individualized Education Program (IEP):
A document developed for each public school child in the U.S. who needs special
education; defines the individualized objectives of a child
4. Americans with Disabilities Act (ADA)
A civil rights law that prohibits discrimination based on disability.
5. Rehabilitation Act:
Prohibits discrimination based on disability in programs conducted by federal agencies
or funded by federal programs
6. 504 Plan:
A plan developed to ensure that a child who has a disability receives accommodations
that will ensure their academic success and access to the learning environment
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