Key Points:

• The autism assessment process in New Hampshire typically includes a referral, evaluation, diagnosis, and treatment planning phase.
  
  
• Families can expect a mix of developmental screenings, caregiver interviews, standardized testing, and observations.
  
  
• Getting a diagnosis opens the door to important services like ABA therapy in New Hampshire, often offered by providers such as Aluma Care.
  

When you first start noticing signs that your child may be on the autism spectrum, one of the biggest hurdles is figuring out what comes next. For many families in New Hampshire, that next step is an autism assessment—a detailed process that confirms or rules out autism spectrum disorder (ASD).

It can be overwhelming, but understanding each step of the autism assessment process helps reduce that anxiety. Whether you’re just starting to ask questions or you’ve already been referred by a pediatrician, ABA therapy providers in New Hampshire like Aluma Care often meet families right at this critical point.

Here’s what to expect and how to prepare.

What Is an Autism Assessment and Why Is It Important?

An autism assessment is a thorough process used to determine whether an individual meets the criteria for autism spectrum disorder. It’s not a single test but rather a combination of tools, interviews, and observations conducted by specialists—usually psychologists, developmental pediatricians, or neurologists.

A diagnosis is more than a label. It’s the key that unlocks access to intervention services like speech therapy, occupational therapy, and ABA therapy in New Hampshire. For many families, it also brings clarity, validation, and a sense of direction.

Step 1: Noticing Early Signs and Seeking a Referral

Before an assessment ever happens, most parents first notice behaviors that raise questions. These can show up as early as 12 to 18 months and may include:

• Delayed speech or language
  
  
• Limited eye contact
  
  
• Repetitive behaviors like hand-flapping
  
  
• Lack of interest in peer interaction
  
  
• Trouble with transitions or sensory sensitivity
  
  

At this stage, your child’s pediatrician is often your first point of contact. They might recommend developmental screenings, such as the M-CHAT-R (Modified Checklist for Autism in Toddlers), especially if your child is under 3.

If concerns persist, your doctor may write a referral for a formal autism evaluation by a specialist.

Step 2: Choosing the Right Diagnostic Provider in New Hampshire

In New Hampshire, assessments can be performed in a few settings:

• Developmental pediatric clinics
  
  
• Private psychology practices
  
  
• Hospital-based neurodevelopmental centers
  
  
• Early intervention programs (for children under 3)
  
  

Be prepared for wait times—some clinics have waitlists of several months. It’s helpful to get on multiple waitlists while also pursuing early intervention if your child is under 3.

Tip: If your child is school-aged, you can also request an evaluation through your local school district under the Individuals with Disabilities Education Act (IDEA).

Step 3: The Comprehensive Autism Evaluation

Once you’ve scheduled your appointment, the assessment itself typically unfolds across several parts. A quality diagnostic process in New Hampshire will usually include:

1. Parent and Caregiver Interviews

You’ll answer detailed questions about your child’s developmental history, behavior patterns, communication, and social interactions. Providers might ask:

• When did your child meet major milestones like walking or talking?
  
  
• How does your child respond to changes in routine?
  
  
• Does your child seek or avoid social attention?
  
  

Your insights are essential—they paint a fuller picture than a test alone.

2. Standardized Testing and Rating Scales

Common diagnostic tools include:

• ADOS-2 (Autism Diagnostic Observation Schedule): A semi-structured play-based session where a clinician observes how your child communicates, engages, and responds.
  
  
• CARS-2 (Childhood Autism Rating Scale): Used to rate the severity of symptoms based on direct observation and parental feedback.
  
  
• Vineland Adaptive Behavior Scales: Measures everyday life skills such as communication, self-care, and socialization.
  
  

These tools help differentiate autism from other developmental or behavioral conditions.

3. Direct Observation and Interaction

The evaluating professional will spend time engaging with your child directly—either through play or conversation, depending on their age and verbal abilities. They’ll be looking for:

• Social reciprocity (like turn-taking or joint attention)
  
  
• Communication skills
  
  
• Imaginative play
  
  
• Repetitive behaviors
  
  

This portion may take place over one or more sessions.

4. Cognitive and Developmental Testing (If Needed)

Depending on concerns and age, providers may assess your child’s IQ, language comprehension, or motor skills using tools like the WPPSI or Bayley Scales of Infant Development.

Step 4: Getting the Diagnosis and What It Means

Once testing is complete, you’ll have a feedback session—usually within a few weeks. If your child is diagnosed with ASD, the evaluator will explain:

• What level of support your child needs
  
  
• Any co-occurring conditions (like ADHD or speech delays)
  
  
• Recommendations for services
  
  

You’ll also receive a comprehensive written report, which you’ll need to access many services including ABA therapy in New Hampshire.

It’s important to know: a diagnosis is not a dead end. It’s a starting point.

Step 5: Starting Early Intervention or School-Based Support

Based on your child’s age and needs, there are two main paths after diagnosis:

For Children Under 3:

You’ll work with New Hampshire’s Family-Centered Early Supports and Services (FCESS). A service coordinator will help create an Individualized Family Service Plan (IFSP), which may include:

• Speech or language therapy
  
  
• Occupational therapy
  
  
• ABA services (through private providers like Aluma Care)
  
  
• Parent coaching and support
  
  

For Children Age 3+:

You can request an evaluation from your local school district. This leads to an Individualized Education Plan (IEP) if your child qualifies for special education. Services may include:

• Specialized instruction
  
  
• Social skills groups
  
  
• Behavior support
  
  

Outside of school, families often pursue private therapies to supplement what’s provided in the educational setting.

Step 6: What to Do While You Wait for Services

Many families find themselves in a gap between diagnosis and treatment. Here are some ways to stay proactive during that time:

1. Start ABA intake with a provider like Aluma Care. Waitlists can vary, so the earlier you begin the intake process, the better.
   
   
2. Educate yourself. Read evidence-based resources about autism and behavioral therapy. Familiarize yourself with terminology used in ABA and early intervention.
   
   
3. Practice daily routines and social interactions at home. Skills like requesting help, transitioning between tasks, and following simple directions are all foundational.
   
   
4. Seek community support. Connecting with local or online autism parent groups can be a valuable lifeline during this period.
   
   

FAQs About Autism Assessment in New Hampshire

Q: How long does the entire assessment process take?
A: It varies by provider, but from referral to final report, it can take 1 to 4 months. Waitlists for some clinics may be longer.

Q: Does insurance cover autism testing?
A: Most private insurance plans and Medicaid in New Hampshire cover diagnostic assessments, but check with your plan for pre-authorization requirements.

Q: Can I get a second opinion?
A: Yes. If you’re unsure about the results or want confirmation before starting services, seeking another evaluation is completely reasonable.

A Diagnosis Is Just the Beginning—Support Starts with ABA Therapy

The autism assessment process in New Hampshire may feel like a mountain to climb—but it’s a critical step toward understanding your child and accessing the right kind of support.

Once your child receives a diagnosis, the focus shifts to building skills, reducing barriers, and improving day-to-day functioning. That’s where ABA therapy comes in. At Aluma Care, we offer compassionate, personalized ABA therapy in New Hampshire—focused on helping your child grow and thrive in the real world.

Get in touch today to learn more about how our ABA programs can support your child and your family. We’re here to help you take the next step with clarity and confidence.