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For all items except 2, 5, and 12, the response “NO” indicates ASD risk; for items 2, 5, and 12, “YES” indicates ASD risk. The following algorithm maximizes psychometric properties of the M-CHAT-R: LOW-RISK: Total Score is 0-2; if child is younger than 24 months, screen again after second birthday. Instructions for Taking and Scoring the M-CHAT-R (available in other languages here) about yourself and your child before continuing on to the M-CHAT-R. M-CHAT-R Scoring Instructions. To score the M-CHAT-R, use this list of failed responses to compare the parents' responses on the screener. The child receives one point for each failed response. A child demonstrates Medium-Risk for ASD if the total score is 3-7, and a Follow-Up Interview should be performed. PLEASE NOTE: The M-CHAT was not designed to be scored by the person taking it. In the validation sample, the authors of the M-CHAT scored all checklists. 1 Jan 2017 A recent study by the M-CHAT developers, published in the March 2013 issue of Pediatrics, has resulted in new scoring guidelines for the Scoring M-CHAT-R/F. Total Score 0-2: The score is LOW risk. No Follow-Up needed. Total Score 3-7 : The score is MODERATE risk. Administer the M-CHAT-R Follow-Up items that correspond to the at-risk responses. Total Score: 8-20 : The score is HIGH risk. It is not necessary to complete the M-CHAT-R Follow-Up at this time Screening and Scoring Guides ages of 18-24 months and you suspect they may have autism, please view the M-CHAT and M-CHAT Scoring Guides below. The Modified Checklist for Autism in Toddlers (M-CHAT; Robins, Fein, guidelines: The M-CHAT can be administered and scored as part of a well-child.M-CHAT. Modified Checklist for Autism in Toddlers. The M-CHAT is designed to screen for Autism Spectrum Disorders in toddlers (i.e., over the age of 12 months PLEASE NOTE: The M-CHAT was not designed to be scored by the person taking it. In the validation sample, the authors of the M-CHAT scored all checklists.