A.L.A.R.M.

This initiative developed by the AAP summarizes the principles of early detection and intervention in the acronym A.L.A.R.M.

Autism is prevalent

• 1 out of 6 children are diagnosed with a developmental disorder and/or behavioral problem
• 1 in 166 children are diagnosed with an autism spectrum disorder
• Developmental disorders have subtle signs and may be easily missed

Listen to parents

• Early signs of autism are often present before 18 months
• Parents usually DO have concerns that something is wrong
• Parents generally DO give accurate and quality information
• When parents do not spontaneously raise concerns, ask if they have any

Act early

• Make screening and surveillance an important part of your practice (as endorsed by the AAP)
• Know the subtle differences between typical and atypical development
• Learn to recognize red flags
• Use validated screening tools and identify problems early
• Improve the quality of life for children and their families through early and appropriate intervention

Refer

• To Early Intervention or a local school program (do not wait for a diagnosis)
• To an autism specialist, or team of specialists, immediately for a definitive diagnosis
• To audiology and rule out a hearing impairment
• To local community resources for help and family support

Monitor

• Schedule a follow-up appointment to discuss concerns more thoroughly
• Look for other features known to be associated with autism
• Educate parents and provide them with up-to-date information
• Advocate for families with local early intervention programs, schools, respite care agencies, and insurance companies
• Continue surveillance and watch for additional or late signs of autism and/or other developmental disorder

AAP