Adult Autism Diagnostic Observation Schedule Evaluation Report Template

Identifying Information:  
John Doe, a 25-year-old male, was referred by Dr. Emily Carter for an ADOS-2 assessment on 1 November 2024. The referral was made to evaluate concerns regarding social communication difficulties and repetitive behaviors.
Background and Reason for Referral:  
John has a history of social interaction challenges and repetitive behaviors, which prompted the referral for an ADOS-2 assessment. He has been previously diagnosed with social anxiety disorder and ADHD.
Developmental History:  
John met early developmental milestones on time, but his language development was slightly delayed. He exhibited limited social interactions during early childhood and had difficulty with motor coordination.
Assessment Session:  
The assessment took place at the City Mental Health Clinic, with John and his mother present. The session lasted approximately 90 minutes and was completed in one session.
Behavioral Observations:  
John appeared anxious but was cooperative throughout the assessment. He maintained attention and showed motivation to complete tasks, though he occasionally displayed signs of distress.
ADOS-2 Module Administered:  
Module 4 of the ADOS-2 was administered due to John's age and verbal fluency.
Summary of Observed Behaviors:  
Overall Level of Non-Echoed Spoken Speech:  
John demonstrated coherent and articulate speech, though he occasionally struggled with volume control.
Speech Abnormalities Associated with Autism:  
No significant abnormalities in intonation or rhythm were observed.
Immediate Echolalia:  
No immediate echolalia was observed during the session.
Stereotyped/Idiosyncratic Use of Words or Phrases:  
John occasionally used repetitive phrases that were contextually inappropriate.
Offers Information:  
John spontaneously shared personal experiences related to his hobbies.
Asks for Information:  
He asked relevant questions to clarify tasks during the assessment.
Reporting of Events:  
John accurately reported past events with appropriate detail.
Conversation:  
He was able to initiate and maintain conversations, demonstrating an understanding of turn-taking.
Shared Enjoyment in Interaction:  
John smiled and laughed during interactive tasks, indicating shared enjoyment.
Communication of Own Affect:  
He used facial expressions and gestures effectively to communicate emotions.
Comments on Others' Emotions/Empathy:  
John showed empathy by acknowledging the assessor's feelings verbally.
Insight into Typical Social Situations and Relationships:  
He demonstrated an understanding of social norms and appropriate behaviors.
Responsibility:  
John expressed a willingness to complete tasks and follow rules.
Quality and Amount of Social Overtures:  
He frequently initiated social interactions with appropriate quality.
Quality of Social Response:  
John's responses were relevant and engaging.
Amount of Reciprocal Social Communication:  
He engaged in reciprocal communication, sharing dialogue effectively.
Imagination/Creativity:  
John displayed creativity through storytelling and imaginative play.
Overall Quality of Rapport:  
The rapport between John and the assessor was positive, with ease of interaction.
ADOS-2 Scores and Interpretation:  
John's ADOS-2 scores fell within the range indicative of Autism Spectrum Disorder. The scores align with the diagnostic criteria for ASD, particularly in social communication and restricted interests.
Clinical Impressions:  
The assessment suggests the presence of ASD features, particularly in social communication and repetitive behaviors. Further evaluation is recommended to confirm the diagnosis.
Diagnostic Formulation (if applicable):  
Based on the ADOS-2 results and clinical judgment, John meets the diagnostic criteria for Autism Spectrum Disorder.
Recommendations:  
1. Enrollment in social skills training programs.  
2. Consideration of cognitive behavioral therapy for anxiety management.  
3. Academic accommodations to support learning.
Follow-up and Next Steps:  
A follow-up appointment is scheduled in three months to review progress and adjust interventions as needed.