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Sreepriya Radhakrishnan
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CAT score and autism

PreviousHighly recommended parenting booksNextPreschool vs. Daycare: Are We Getting It Wrong?

Last updated 3 months ago

As someone in the early childhood education field, I frequently observe parental concerns regarding terminologies such as CAT score when dealing with the issue of autism. Often, the very phrase is not clear, and hence, interpretation misalignment occurs; just the thought of it can elicit some degree of fear, uncertainty, and even rage. Lack of information or misinformation amplifies the anxiety. So, I thought I’d share what I’ve learned from reading, talking to experts, and observing children in my work.

The score which is termed as CAT, in its full from as Childhood Autism Rating Scale, is a measurement tool for assessing the degree or severity of autism in a child. It is not a specific measure; rather it is an evaluative scale for a few aspects of children’s behaviour: communication, social skills, emotions, and performance of involuntary repetitive acts.

After these behaviours are evaluated, a score is given that fits in one of these classifications:

  • 15–29.5: No likelihood of autism spectrum disorder.

  • 30–36.5: Mild to moderate autism which may present challenges but is manageable with proper assistance.

  • 37 and above: Severe autism which poses significant problems that demand high-level assistance.

This score should be viewed not in terms of labelling or limiting a child, but in terms of truly understanding their individual needs to afford them proper assistance and support. I have talked with endless parents who are mainly focused on numbers, not knowing too much of what they mean. Anxiety is normal, but the CAT score is simply one piece in the mosaic of the diagnosis. More than just a number, autism is looked at in terms of the child's medical history and developmental milestones, as well as feedback from their caregivers and educators.

The bottom line is that every child is an individual; a score does not define her. It is a guide for us, not a basis for disparaging judgement or assigning value to a child. What counts is how we engage in supporting the child in order that she may flourish in her own special way.

So, to any parents, educators and caregivers overwhelmed by this information, I hope you gain clarity here. The CAT score is the first step, not the last. You are not alone; there are various resources and communities out there to help you and your child pass through this road with love and confidence.

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