Current Environment:

Integrating the RITA-T in Practice | Overview

 

Setting up the RITA-T in Clinic - Pediatric Practices:

  • Specific clinicians (pediatrician, and/or NP) are trained on the RITA-T in a practice:
  • When other pediatricians in the practice have a child they are concerned about, they refer to the clinician trained. They also start conversation with family and make sure family already connected with EI services.
  • Clinician trained on RITA-T then schedules as a preventative visit/Screening visit: completes the RITA-T and write up.
  • Referral for evaluation using the fast track intake form.
  • Trained Residents in their continuity clinics and if seeing someone with concerns, then complete MCHAT and RITA-T in a separate visit.
  • Residents start conversation with family, make sure child is receiving EI services.
  • If results are in risk range, and if resident concerned, then complete referral to diagnostician using the Fast-Track intake form.

Setting up the RITA-T in Early Intervention 

  • A group of providers trained specifically on the RITA-T. Usually providers in an Autism subgroup within EI program.
  • When providers are working with a child and they have concerns for ASD, if they are not trained for the RITA-T, they refer to providers trained with it for administration.
  • Providers start conversation with the family while referring to diagnostic clinic through RITA-T Fast-track clinic.
  • Example of a particular EI program - THOM in Worcester

Level 1 Screening:

If the toddler is younger than 18 months, you can use the CSBSDP-IT 

If toddler older than 18 months, you can use the MCHAT-R/F

https://brookespublishing.com/product/csbs-dp-itc/

https://mchatscreen.com/ 

History and Observation Tool to Facilitate Evaluation of Children with Suspected ASD:

We have put together this form to facilitate the evaluation of children with suspected ASD. We use this in addition to a level-1 screen and the RITA-T to develop a clinical impression.

Early Autism Screening Inventory (EASI)