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<blockquote data-quote="buddy" data-source="post: 529604" data-attributes="member: 12886"><p>In the schools no one is allowed to diagnose from that setting (if the same person works both a school and medical setting they can in the medical setting). In a medical clinic the Occupational Therapist (OT), PT and Speech Language Pathologist (SLP) are absolutely able to diagnose the types of disorders that fall under their specialties, based on legal assessment protocol, you have to put your diagnosis code in a little box for insurance to pay....If you are licensed in that area you can diagnose in that area. But if working in a school setting no one, not even the psychologist is allowed to give a medical diagnosis. However, they are all allowed to give an educational label. In the end they decide as a team (and if it is a team of just Speech Language Pathologist (SLP), gen ed teacher and admin/school dist. rep then it is just that one person giving the label...like in the case of articulation disorder or a voice or fluency disorder....then it is just those people with the parents). </p><p></p><p>The problem here is an Speech Language Pathologist (SLP) only has a piece of the puzzle, a full assessment has to be done to say yes or no to Autism Spectrum Disorders (ASD)., adhd, bipolar, or any of the other umbrella types of diagnoses. She could absolutely have diagnosed a receptive or expressive language delay/disorder, a speech disorder of some kind, or a pragmatic language disorder of some kind (which people do have without having Autism Spectrum Disorders (ASD) by the way-either alone or with a different diagnosis like fragile X or many other neuro. or genetic issues). The Speech Language Pathologist (SLP) may be perfectly right but she simply should have worded it differently, for example, in my experience and in this setting she does not show many symptoms of autism, adhd, whatever the question at hand is...., and she should have encouraged continued monitoring of any symptoms and to get a comprehensive evaluation.....being happy to share her evaluation, data and impressions. </p><p></p><p>I worked in a school one time (I think I have said this before so sorry) where after delivering the findings by our team that a child qualified under Autism Spectrum Disorders (ASD) in an early childhood program, the parent asked if they should go see the doctor. The psychologist to my horror said no, there is no need, there is no cure for autism, no medical treatment etc. I was very new to the team and sat there biting my lip (this was also the psychiatric that insisted one of my artic. kids did not have Aspergers and a week later he had the diagnosis from the medical community because I told the mom in private to go get it evaluated...so she was not a fan of mine). This chick had a lot of power so I stayed quiet but later talked to our director and asked about how we as a team could take that kind of risk? Autism Spectrum Disorders (ASD) symptoms can be caused by other things...for my son we dont know how much genetics versus the brain mass caused the injuries. If the school program had not helped the foster mom get a new neuro and get further medical testing, Q woudl be dead. Yes, he had the Pervasive Developmental Disorder (PDD)/Autism Spectrum Disorders (ASD) diagnosis but there was a medical condition going on. There are genetic diseases that cause Autism Spectrum Disorders (ASD) symptoms. There are metabolic issues that cause Autism Spectrum Disorders (ASD) symptoms, many many other things...always good to get checked. Having worked in a school setting for most of my career, I think it is important to follow the guidelines of the area you are working in, regardless if you would have different ability in another setting and no matter the issue with a child it is always important to have them physically checked out! Some parents are so vulnerable and desperately want nothing more to be wrong. So here you are looking like an expert and you say something like, no way they have X or Y or Z and years later the person finds out that indeed there was that problem, I just think it is too big of a risk to take. Anyway, just my opinion that the problem here is not that this child likely does have Autism Spectrum Disorders (ASD), just that we always have to be open to continued evaluating and monitoring and options. Given that the picture changes across settings, time, mood states, social states, no one period of time can give the full picture. So, not saying that the Speech Language Pathologist (SLP) is wrong, we just dont know that for sure and it was not her place to say that for adhd OR Autism Spectrum Disorders (ASD). OR anything that falls under an umbrella diagnosis.</p></blockquote><p></p>
[QUOTE="buddy, post: 529604, member: 12886"] In the schools no one is allowed to diagnose from that setting (if the same person works both a school and medical setting they can in the medical setting). In a medical clinic the Occupational Therapist (OT), PT and Speech Language Pathologist (SLP) are absolutely able to diagnose the types of disorders that fall under their specialties, based on legal assessment protocol, you have to put your diagnosis code in a little box for insurance to pay....If you are licensed in that area you can diagnose in that area. But if working in a school setting no one, not even the psychologist is allowed to give a medical diagnosis. However, they are all allowed to give an educational label. In the end they decide as a team (and if it is a team of just Speech Language Pathologist (SLP), gen ed teacher and admin/school dist. rep then it is just that one person giving the label...like in the case of articulation disorder or a voice or fluency disorder....then it is just those people with the parents). The problem here is an Speech Language Pathologist (SLP) only has a piece of the puzzle, a full assessment has to be done to say yes or no to Autism Spectrum Disorders (ASD)., adhd, bipolar, or any of the other umbrella types of diagnoses. She could absolutely have diagnosed a receptive or expressive language delay/disorder, a speech disorder of some kind, or a pragmatic language disorder of some kind (which people do have without having Autism Spectrum Disorders (ASD) by the way-either alone or with a different diagnosis like fragile X or many other neuro. or genetic issues). The Speech Language Pathologist (SLP) may be perfectly right but she simply should have worded it differently, for example, in my experience and in this setting she does not show many symptoms of autism, adhd, whatever the question at hand is...., and she should have encouraged continued monitoring of any symptoms and to get a comprehensive evaluation.....being happy to share her evaluation, data and impressions. I worked in a school one time (I think I have said this before so sorry) where after delivering the findings by our team that a child qualified under Autism Spectrum Disorders (ASD) in an early childhood program, the parent asked if they should go see the doctor. The psychologist to my horror said no, there is no need, there is no cure for autism, no medical treatment etc. I was very new to the team and sat there biting my lip (this was also the psychiatric that insisted one of my artic. kids did not have Aspergers and a week later he had the diagnosis from the medical community because I told the mom in private to go get it evaluated...so she was not a fan of mine). This chick had a lot of power so I stayed quiet but later talked to our director and asked about how we as a team could take that kind of risk? Autism Spectrum Disorders (ASD) symptoms can be caused by other things...for my son we dont know how much genetics versus the brain mass caused the injuries. If the school program had not helped the foster mom get a new neuro and get further medical testing, Q woudl be dead. Yes, he had the Pervasive Developmental Disorder (PDD)/Autism Spectrum Disorders (ASD) diagnosis but there was a medical condition going on. There are genetic diseases that cause Autism Spectrum Disorders (ASD) symptoms. There are metabolic issues that cause Autism Spectrum Disorders (ASD) symptoms, many many other things...always good to get checked. Having worked in a school setting for most of my career, I think it is important to follow the guidelines of the area you are working in, regardless if you would have different ability in another setting and no matter the issue with a child it is always important to have them physically checked out! Some parents are so vulnerable and desperately want nothing more to be wrong. So here you are looking like an expert and you say something like, no way they have X or Y or Z and years later the person finds out that indeed there was that problem, I just think it is too big of a risk to take. Anyway, just my opinion that the problem here is not that this child likely does have Autism Spectrum Disorders (ASD), just that we always have to be open to continued evaluating and monitoring and options. Given that the picture changes across settings, time, mood states, social states, no one period of time can give the full picture. So, not saying that the Speech Language Pathologist (SLP) is wrong, we just dont know that for sure and it was not her place to say that for adhd OR Autism Spectrum Disorders (ASD). OR anything that falls under an umbrella diagnosis. [/QUOTE]
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