Transcript The Multi-Dimensional Scale for Autism and ADHD

The Multi-Dimensional Scale
for Autism and ADHD
Rebecca McKenzie
The Multi-Dimensional Scale for Pervasive
Developmental Disorder and AttentionDeficit/Hyperactivity Disorder
Yasuko Funabiki, Shisei Tei, Toshiya Murai
Pervasive Developmental Disorder:
 Pervasive developmental disorder not otherwise specified
(PDD-NOS)
 Autism
 Asperger syndrome
 Rett syndrome
 Childhood disintegrative disorder (CDD)
But
Assessment of the Scale carried out with:
 Autism
 Aspergers
 PDDNOS
 ADHD
Beyond diagnostic
criteria
In clinical practice children with ASC and ADHD may
have symptoms of the other condition which in effect
amount to a dual or secondary diagnosis. Children
with ASC and ADHD also often have similar additional
symptoms which fall outside of diagnostic criteria e.g.
 Sensory difficulties
 Disordered sleep
Why is diagnosis
not enough?
Diagnosis may :
1. Not reflect individual differences
2. Not indicate the type or level of support
required
3. Not refer to symptoms which cross
diagnostic boundaries or are seen as being
secondary
MSPA aims to better describe real
symptom profiles on an individual
basis. Providing a very simple visual
representation of where support is
needed and at what level
For:
 The patient themselves
 Parents
 Carers
 Support staff
 Teachers
Who can it
be used for?
Children over 2 years with:
 Pervasive developmental disorder not otherwise
specified (PDD-NOS)
 Autism
 Asperger syndrome
 Rett syndrome
 Childhood disintegrative disorder (CDD)
 ADD/ADHD
Raters
Can be:
 Psychiatrists
 Clinical professionals
 Psychiatric social workers
 Trained graduate students in medical or education
fields e.g. health visitor or SENCo
Must have some comparative knowledge of typical
development
Background
information
 Comprehensive information about child’s
behaviour from birth from participant, parents,
teachers
 Documentation, medical/educational records
 Interview with child and parent
 Observation and/or interaction with the child
Rater completes a
questionnaire with 5 point
response scale
Scores outside the red line show support
is needed and at what level, 5 being
extensive support required
3- TA support in mainstream
4- TA/peer support in small group within mainstream on
some occasions
5- Extensive support, outside of mainstream for most of the
time
Issues to consider
 Overlap between ASC and ADHD?
 Changes to DSM criteria
 Sensory and sleep difficulties have tended to be
given secondary status
 Need to share information with parties who may not
be able to access complex reports