I worry that this diagnosis will negatively affect the rest of our family and create additional problems within our family structure.

CARE’s team members are thoroughly trained in providing support in the form of parent education.  You and our clinicians can work together to analyze and modify environmental variables that will enhance your parental skills.  All team members value cultural diversity and support the decisions you make to meet your family’s needs. Our clinicians provide purpose, process, procedures, and progress with family members who are involved with your child/individual.

I keep hearing the words “developmental delay,” what do they mean? Aren’t all children unique and develop in their own good time?

Yes, all of us develop in our own good time. There exists an appropriate time-line however in all of human behavior beyond what we call normal behavior. Early diagnosis and treatment can help. Comparing your child with many others of the same age…

Behavioral warning signs may include:

  • Inability to stay focused on an activity for as long some time as other children of the same age
  • Focuses on unusual objects for long periods of time
  • Rarely makes eye-contact with others
  • Easily frustrated when trying to do simply tasks
  • Aggressive, combative, or acting out while appearing to be stubborn
  • Violent behaviors on a daily basis
  • Stares into space, rocks body or talks to self often
  • Does not seek love and approval from parents or caregivers

What type of screening and assessment tools does CARE use?

The CARE uses a variety of research based screening and assessment tools, including:

  • Ages & Stages Questionnaire-3
  • Developmental Milestones and the Checklist of Autism in Toddlers
  • Verbal Behavior Milestones Assessment and Placement Program
  • Assessment of Basic Language and Learning Skills
  • Assessment of Functional Living Skills

Other appropriate tools as used as needed.

Will this diagnosis negatively affect the rest of our family and create additional problems within our family structure?

CARE’s team members are dedicated to providing family support in the form of parent education and support. In addition, we have counseling services that will help you and your love ones understand and cope with a diagnosis.

You have many ‘letter’ names or acronyms for your services and programs. How do I know what you are talking about if I don’t know what those letters mean?

CARE clinicians are more than willing to explain everything they learn about your loved one’s diagnosis, and the tools they will use in the assessment, the programs they recommend, and explain any words or acronyms you don’t understand. CARE’s job is to cooperatively partner with the family and/or caregivers so that they are always included.

Will my child/individual always have the same person to work with?

CARE is dedicated to having our team members offer services that match the unique needs of each client. This includes delivering feedback to parents while remaining sensitive to cultural, behavioral, emotional and personal needs. This means we may have more than one clinician working with your child/individual. We will always attempt to provide continuity of staff and service in working with your loved one.

How can I tell whether or not my child is on the autism spectrum?

Here are some infant behaviors that may help identify development delays or autism:

  • Lack of eye contact
  • Staring at objects or into space without interaction
  • No cooing, babbling, or making sounds of pleasure and surprise
  • Little response to bright colors, facial expressions, recognition of family
  • Using gestures to get needs met


Here are toddler behaviors that may help you decide whether or not your child needs help:

  • Lack of social connection with family or other children
  • Seeming disinterest in using words or sounds in getting needs met
  • Little or no enjoyment is socializing, sharing, playing or interaction with others
  • Lagging far behind in language skills, play skills, interest in the world

Here are a few child/individual behaviors you may be able to identify:

  • Aggression toward self, others, property
  • Anger without apparent cause
  • Non-compliance – stubborn or ignores others
  • Tantrums
  • Self-injury

Consult with your doctor and psychologist for a diagnosis.

Tell me about Applied Behavior Analysis

Behaviors are learned, and through ABA they can be unlearned.  ABA is a field of study that helps determine effective methods for changing unwanted (or unsuccessful) behavior patterns into socially acceptable behaviors.  ABA covers a wide variety of behaviors including (but not limited to) language and communication, social skills, play skills, self-help skills, and behavior excesses that negatively impact home, school, work, and community involvement.

In addition to ABA, I noticed you have a program called BUILD. What does that mean?

B.U.I.L.D. is a comprehensive play-based program for infants and toddlers that helps them acquire the skills they need to achieve more typical development. These practices are introduced in the child’s natural environment with coaching provided to the parent/caregiver.

How can I be sure these programs will help my child?

CARE clinicians know that families/caregivers are the most important providers of love, caring relationships, and safe nurturing environments that support ideal conditions for childhood development. When parents/caregivers get the support and intervention for children at risk of with developmental delays and challenges, the probability of future problems can be considerably reduced and the quality of the child/individual’s life enhanced.

Is Autism Spectrum Disorder only diagnosed in childhood?

Research indicates that it is most often identified within the first three years of life. Often, it is missed and some people become youths or adults without a specific diagnosis. Each individual with autism is unique. About 40 percent of these individuals have average or above average intellectual capabilities. Many on the spectrum discover unique ways to view the world and to succeed in a less controlled environment. Further research identifies another 25 percent of individuals with ASD can learn to communicate using means other than verbal or social communication.

What are some of the difficulties children and individuals with Autism Spectrum Disorder or other diagnoses display?

Children and individuals with ASD often experience difficulties in the following areas:

Social skills

  • Deficits in making friends and interacting with other people
  • Limited understanding of social cues
  • Spending more time alone rather than with others
  • Relating to people and events with difficulty
  • Lacking spontaneous play skills
  • Lacking interest in toys and activities related to play


  • Verbal and non-verbal communication is often delayed
  • Developing language slowly or not at all
  • Understanding of ideas may be limited
  • Limited use of words
  • Attaching little or no meaning to words they use
  • Not able to take another person’s perspective

Patterns often found in children and individuals on the autism spectrum may include:

  • Very rigid behaviors and/or excessive fixation on specific objects or topics
  • May react differently to sounds, sight, smell, touch and taste, which affects behavior and the sensations felt
  • May have unusual sleep patterns
  • Repetitive behaviors often present, such as vocalizations, movements, obsessions, and rigid routines
  • Other common repetitive behaviors include hand-flapping, rocking, jumping and twirling, arranging and rearranging objects, and repeating sounds, words, or phrases
  • Sometimes the repetitive behavior is self-stimulating, such as wiggling fingers in front of the eyes