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Autism Treatment Evaluation Checklist (ATEC)

ATEC Test

The child assessment test (ATEC) was created to help parents and doctors assess the effects of autism treatment.
The maximum score is 179, the higher the score, the higher the degree of progression of the disease.
15 points or below indicate that a diagnosis of autism cannot be made.
A child without specific neurological disorders has a score of 0 or very low values.
It is good to take this test from time to time to check the effectiveness of the interventions we undertake for the child's treatment, 2 or 4 times a year.
ATEC tests are officially recognized in the USA for diagnosing children.

The test includes the assessment of:

  • speech/language/communication

  • socialization

  • sensory/cognitive awareness

  • health/physical development/behavior

Check how deep your child's autism is

I. Speech / Language / Communication
Nr Possible answers:
(green = 0 pkt)
(yellow = 1 pkt)
(orange = 2 pkt)		 Truth partial truth that's not true
1. Knows own name
2. Responds to 'No' or 'Stop'
3. Can follow some commands
4. Can use one word at a time (No!, Eat, Water, etc.)
5. Can use 2 words at a time (Don't want, Go home)
6. Can use 3 words at a time (Want more milk)
7. Knows 10 or more words
8. Can use sentences with 4 or more words
9. Explains what he/she wants
10. Asks meaningful questions
11. Speech tends to be meaningful/ relevant
12. Often uses several successive sentences
13. Carries on fairly good conversation
14. Has normal ability to communicate for his/her age
II. Socialising
Nr Possible answers:
(green = 0 pkt)
(yellow = 1 pkt)
(orange = 2 pkt)		 that's not true partial truth Truth
1. Seems to be in a shell - you cannot reach him/her
2. Ignores other people
3. Pays little or no attention when addressed
4. Uncooperative and resistant
5. No eye contact
6. Prefers to be left alone
7. Shows no affection
8. Fails to greet parents
9. Avoids contact with others
10. Does not imitate
11. Dislikes being held/cuddled
12. Does not share or show
13. Does not wave 'bye bye'
14. Disagreeable/not compliant
15. Temper tantrums
16. Lacks friends/companions
17. Rarely smiles
18. Insensitive to other's feelings
19. Indifferent to being liked
20. Indifferent if parent(s) leave
III. Sensory/Cognitive Awareness:
Nr Possible answers:
(green = 0 pkt)
(yellow = 1 pkt)
(orange = 2 pkt)		 Truth partial truth that's not true
1. Responds to own name
2. Responds to praise
3. Looks at people and animals
4. Looks at pictures (and T.V.)
5. Does drawing, coloring, art
6. Plays with toys appropriately
7. Appropriate facial expression
8. Understands stories on T.V.
9. Understands explanations
10. Aware of environment
11. Aware of danger
12. Shows imagination
13. Initiates activities
14. Dresses self
15. Curious, interested
16. Venturesome - explores
17. "Tuned in" - Not spacey
18. Looks where others are looking
IV. Health / Physical development / Behaviour
Nr Possible answers:
(green = 0 pkt)
(yellow = 1 pkt)
(orange = 2 pkt)
(red = 3 pkt)		 No problem Little problem Moderate problem Serious problem
1. Bed-wetting
2. Wets pants/diapers
3. Soils pants/diapers
4. Diarrhea
5. Constipation
6. Sleep problems
7. Eats too much/too little
8. Extremely limited diet
9. Hyperactive
10. Lethargic
11. Hits or injures self
12. Hits or injures others
13. Destructive
14. Sound-sensitive
15. Anxious/fearful
16. Unhappy / crying
17. Seizures
18. Obsessive speech
19. Rigid routines
20. Shouts or screams
21. Demands sameness
22. Often agitated
23. Not sensitive to pain
24. "Hooked" or fixated on certain objects/topics
25. Repetitive movements (slimming, rocking, etc.)


Results of the evaluation