Monday, February 6, 2023

Comments by timothycarl

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  • I have followed this web page off and on for its perspective and also as a check on mental health practices that follow a herd mentality. But I never registered before. But I felt to finally do so because I was aghast at the article regarding Autism screening. But not because I was disturbed about the high false positive rate- I knew that already as a 20 year veteran of Autism evaluation, but because of the article GETTING IT WRONG about screening. The reason for the high false positive rate in Autism screening for infants and toddlers is to avoid False negatives so that a child does not receive an actual evaluation for the possibility of Autism. I did several hundred screenings the last few years using the M-CHAT and a few others. Most often this was done as a precaution with the parent (s) fully apprised of this being done and only with their permission. So let me make this simple for readers. A positive screen is not a diagnosis. And it even states in the M-CHAT material that the screener will have lots of false positives but that most children will not get an Autism diagnosis. There is much to admire from Mad in America. But this article is not one. This is Assessment 1.0 information. The real concern I have is providers who are insensitive in how they handle the screening process such as not skillfully helping parents with their concerns and worries. But to screen children who show some delay and peculiar behaviors just as a precaution that they may have a serious condition? Lastly, the title of the article suggests inaccuracy when the screening process does not claim to be accurate- its just 20 items- but that it helps to guide next steps.