Overemphasis of the Autism Diagnostic Observation Schedule (ADOS) Evaluation Subverts a Clinician's Ability to Provide Access to Autism Services

J Am Acad Child Adolesc Psychiatry. 2019 Dec;58(12):1222-1223. doi: 10.1016/j.jaac.2019.07.933. Epub 2019 Jul 26.


A concerning trend has emerged in the diagnosis and treatment of autism spectrum disorder (ASD) that has a negative impact on care. Quite often, a clinician's diagnosis of ASD using DSM-5 criteria is no longer sufficient for individuals with ASD to access services. Insurance companies, school districts, and developmental disability agencies commonly require an Autism Diagnostic Observation Schedule (ADOS) to be eligible for services.

Publication types

  • Letter

MeSH terms

  • Adult
  • Autism Spectrum Disorder / classification
  • Autism Spectrum Disorder / diagnosis*
  • Autism Spectrum Disorder / psychology
  • Autism Spectrum Disorder / therapy*
  • Child
  • Diagnosis, Differential
  • Diagnostic and Statistical Manual of Mental Disorders
  • Humans
  • Psychometrics / instrumentation