Trained in the scientist-practitioner model, Dr. Carmichael seeks to utilize evidence-based assessments and interventions that reflect the best practice model. She relies on a comprehensive clinical interview with the parent/caregiver, review of any available records, consideration of medical history and psychosocial history, standardized behavior rating scales, information from teachers/caregivers (via interview or standardized behavior ratings,) observation/play with the child as well as administration of standardized assessments that have been well-researched in populations with disabilities (i.e., Differential Ability Scales-Second Edition, Reynolds Intellectual Assessment System-Second Edition, the Childhood Autism Rating Scale-Second Edition, the DKEFS, the BASC-3, BRIEF-2 and the Autism Diagnostic Observation Schedule-Second Edition.)
For autism evaluations, Dr. Carmichael refers to guidelines for best practice assessment for individuals with autism spectrum disorders as outlined by the American Academy of Neurology and the American Academy of Child and Adolescent Psychiatry, which promote a comprehensive, developmental approach. Best practices in the assessment of autism is a highly-evolving area due to the flood of research into the areas of autism, causes, core impairments, related affected areas and how to most adequately measure this. Autism also looks quite different in children at different ages and level of language development or cognitive development, requiring constant upkeep with the literature. Assessment of the child or adult may also include collaboration or consultation with the pediatrician, developmental pediatrician, child psychiatrist, therapist, speech pathologist, occupational therapist, special education teacher or other professionals.
So, to summarize, the purpose of an assessment is to determine the reason behind why friendships, emotional regulation, learning, or work can all be so challenging, as well as to help guide your family in what to do about it. While every assessment is individualized for you, the following outlines the general process of what to expect when you work with me: