Autism Assessment
for Children.
Multi-disciplinary,
structured, conclusive.
MDT-structured.
A full MDT assessment delivered by a coordinated team of specialists — not a single clinician. Every clinical perspective is represented. The result is a documented conclusion you can act on.
- Structured observation (BOSA online protocol)
- MDT team: 4 specialists
- Parent interview (ADI-R protocol, 90 min)
- Speech & language evaluation (60 min)
- Psychiatric consultation (60 min)
- MDT Conference + Feedback session (60 min)
- Full written MDT report
Why a multi-disciplinary team — not a single clinician
Autism diagnosis in children requires input from multiple clinical perspectives. One specialist sees the child in one setting. An MDT sees the complete picture.
One clinician cannot hold every clinical perspective simultaneously
A psychologist can observe social communication. A speech-language therapist identifies what is happening in language and pragmatics. An educational specialist sees how behaviour presents in a learning environment. These are distinct clinical lenses — autism diagnosis in children requires all of them working together.
MDT is the clinical standard — not a premium option
NICE Guideline CG128 and ICD-11 require a multi-disciplinary approach for autism diagnosis in children. An MDT assessment is not an upgrade over single-clinician assessment. It is the diagnostic standard that "a 60-minute chat with one psychologist" does not meet.
The diagnosis is a team consensus, not an individual opinion
After all specialists complete their evaluations, the team convenes an internal MDT Conference to discuss and agree the diagnostic formulation. The conclusion you receive reflects the integrated judgment of four clinicians — not one person's assessment after a single session.
- One clinical perspective
- One setting, one interaction
- No language and pragmatics specialist
- No educational or adaptive behaviour input
- No internal team consensus process
- May not meet formal support application requirements
- Four specialist perspectives integrated
- Structured observation, interview, questionnaires
- Speech-language therapist included
- Educational and adaptive behaviour specialist
- Internal MDT Conference before formulation
- Report structured for educational authorities
Is this assessment right for your child?
We want you to book when it is the right fit — and direct you elsewhere when it is not.
- Your child is between 2 and 17 years old, and you have persistent concerns about social communication, repetitive behaviours, or sensory processing
- A school, GP, or paediatrician has raised concerns and you want a formal structured evaluation
- Your child has not had a formal autism assessment before, or a previous assessment was inconclusive
- You need formal documentation for an educational support application, specialist referral, or equivalent process in your country
- Your child can participate in a structured online video session, with parental support for younger children
- You, as the parent or primary caregiver, are available to participate — including a 90-minute structured interview
- Your child is 18 or older — see our ASD Adults assessment
- Your child is currently in acute mental health crisis — contact your GP or CAMHS as the first step
- Your child already has an autism diagnosis and you need only a letter of confirmation, not a full re-assessment
- You are seeking therapy or ongoing support rather than a diagnostic assessment
- Your child has significant communication needs that make online video participation non-viable
Assessment is play-based and parent-facilitated. You guide your child through structured activities while the clinical psychologist observes and codes behaviour. Parental involvement is especially central at this age group.
Observation tasks are more interactive and structured. School-related information is particularly relevant — the educational specialist component is most directly applicable to this group, and adaptive behaviour in school is a primary focus.
Adolescents participate more directly in their own assessment. The clinical interview includes the young person where age-appropriate. Social masking can begin to appear at this age — the team accounts for this in the evaluation methodology.
Four specialists. One integrated conclusion.
Each MDT member brings a clinically distinct perspective. The final diagnosis is reached through internal team discussion — not the judgment of any single clinician.
Clinical Psychologist
Leads the assessment, administers the structured observation protocol online, integrates all clinical data from the team into the diagnostic formulation, writes the MDT report, and delivers the Feedback Session to parents.
Child Psychiatrist
Conducts a psychiatric interview with parents to identify or exclude co-occurring and differential conditions — anxiety disorders, ADHD, intellectual disability, and other presentations that can resemble or accompany autism.
Speech & Language Therapist
Evaluates pragmatic language use, receptive and expressive communication, non-verbal communication, and joint attention in a structured online session. Social communication differences are one of the core diagnostic markers for ASD.
Educational / Behavioural Specialist
Assesses adaptive behaviour, sensory responses, and how autistic characteristics present in educational or structured environments. Provides the functional profile that informs recommendations — especially for school-based support.
You, the parent or primary caregiver
Your structured interview is one of the most clinically important parts of the entire assessment. No specialist has access to what you have observed over years: the early developmental patterns, the way your child responds to change, the behaviours that only appear at home. This history is irreplaceable — and it is why the parent interview runs for 90 minutes, not a brief intake form.
The MDT Conference — the internal step you don't see
After every specialist completes their evaluation, the full team meets to present findings and reach a consensus diagnostic formulation. This is an internal session — you are not present, and you don't need to be. It is what distinguishes an MDT conclusion from a single clinician's opinion. The formulation you receive reflects the judgment of four specialists, integrated and agreed upon.
Tier 1 or Tier 2 — what fits your situation?
Not sure which tier? Answer these questions:
Standard MDT Package
- Validated pre-assessment questionnaires sent in advance
- Structured developmental history form
- Structured observation session — BOSA online protocol (60 min)
- Parent interview — developmental history protocol (90 min)
- Speech & language evaluation (60 min)
- Psychiatric consultation with parents (60 min)
- MDT Conference (internal) + Feedback Session (60 min)
- Full written MDT report — diagnostic formulation + recommendations
- Letters for GP and school (available on request)
- Delivered within 5 working days
Extended MDT Package
- Educational specialist extended session — adaptive behaviour and school functioning profile (60 min)
- School liaison report — formal documentation for your child's school or educational support team
- Extended recommendations — specific strategies for home, school, and therapeutic support
- Parent support session — 30-minute follow-up call to discuss implementation of recommendations
- You need formal documentation for an educational support application
- School involvement or liaison is part of the next steps
- A previous assessment was inconclusive
- The presentation is complex or involves possible co-occurring conditions
Documents delivered from this assessment
Every assessment produces a core set of clinical documents. Where you use them — and what processes they support — depends on your child's situation and your country's systems.
Full MDT Report
A comprehensive written report covering developmental history, each specialist's findings, the diagnostic formulation under DSM-5 / ICD-11, and structured clinical recommendations. Authored by the team and signed by the lead psychologist.
Clinical Recommendations
Specific, actionable recommendations based on the team's findings — covering therapeutic support, adjustments to learning environment, communication strategies, and guidance for parents and caregivers.
Feedback Session (60 min)
A structured session with the lead psychologist to present findings, explain the clinical reasoning, and answer your questions — before the written report is delivered.
Letter for GP or Paediatrician
A clinical summary formatted for medical colleagues — covering the diagnosis, methodology, and recommended next steps. How this letter is used depends on your healthcare system and country.
Available on requestLetter for School
A structured letter addressed to your child's school or educational setting, summarising the diagnosis and the team's specific recommendations for classroom support and adjustments.
Available on requestSchool Liaison Report
A detailed document specifically formatted for coordination with your child's school, educational support team, or equivalent authority in your country. Includes specific recommended adjustments.
Tier 2 onlyUsing the report for educational support
Our MDT report is structured to provide the clinical detail that educational support processes typically require. Whether the report is sufficient for a specific application process — such as EHCP in England and Wales, PDP in the Netherlands, or equivalent systems in other countries — depends on the requirements of your local authority. If you have questions about what is needed in your specific situation, raise this during the Feedback Session or contact us before booking.
Our assessment uses a validated online observation protocol (BOSA). The conclusions are clinically sound. However, some educational authorities or government bodies in specific countries require an in-person observation component, or may not accept assessments conducted entirely online. We will clarify this with you during the intake process — before your booking is confirmed. This is not a common situation, but it is worth checking if you have a specific formal application in mind.
You are a clinical source — not a passive observer
No specialist in the MDT has access to what you have seen over years of daily life with your child. That history is clinically irreplaceable.
You complete pre-assessment questionnaires
Before any live sessions, you fill in validated questionnaires about your child's current behaviours, sensory responses, and social functioning. You also complete a structured developmental history form — covering pregnancy, early development, first words, motor milestones, and early social patterns. This is sent to you electronically, completed at your pace, 3–5 days before sessions begin.
You participate in a 90-minute structured interview
The lead psychologist conducts a detailed interview following the ADI-R protocol. This covers your child's developmental trajectory, the nature and history of your concerns, how your child functions in different settings, and specific behavioural patterns the team needs to understand. This is not a conversation — it follows a standardised clinical structure, which is what makes the data comparable and clinically meaningful.
You facilitate the observation session
During the structured observation session, you are present — and for younger children, you are the person guiding your child through the assessment activities. The psychologist observes and codes behaviour via video. You do not need to do anything outside your normal interaction with your child; you simply follow the psychologist's step-by-step instructions during the session.
How we assess — validated tools, adapted for online
Every instrument used in this assessment is clinically validated. The specific tools selected depend on your child's age, language level, and presentation — the team will confirm the exact protocol during intake.
The MDT process — what happens and when
Pre-assessment questionnaires and developmental history
You receive validated questionnaires and a structured developmental history form by email. Completed at your own pace before any live sessions begin. The team reviews this data before meeting you — they arrive to the interview prepared, not starting from zero.
You receive forms by email. Set aside approximately 45–60 minutes to complete them carefully. The more detail you provide here, the more focused the clinical interview will be.
Parent interview — structured developmental history
The lead clinical psychologist conducts a structured interview with you, following the ADI-R protocol. This covers your child's full developmental trajectory, the nature and evolution of your concerns, and how your child functions across different settings. The child does not need to be present for this session.
This is your session — the child is not required to be present. You may find it helpful to have your child's records to hand. The questions follow a structured format; there are no right or wrong answers.
Speech and language evaluation
The speech and language therapist conducts a structured session with your child via video. Assessment focuses on pragmatic language use, social communication, and joint attention. The age-appropriate protocol is confirmed in advance. Younger children may need parental support during this session.
You may need to be present to support your child. The therapist will guide what is needed from you. Ensure your child is in a quiet space with a stable internet connection and a working camera.
Structured observation session — BOSA protocol
The clinical psychologist observes your child via video as you guide them through a structured set of activities. For younger children, this is play-based. For older children and adolescents, tasks become more interactive. The psychologist codes the behaviour they observe in real time using a validated protocol.
You receive a step-by-step instruction sheet in advance. During the session, the psychologist guides you through each activity. You simply interact with your child as you normally would — there is nothing to perform.
Psychiatric consultation with parents
The child psychiatrist conducts a structured interview with you to assess for co-occurring conditions and rule out differential diagnoses. This may involve brief interaction with your child depending on age and the psychiatrist's assessment needs. The focus is on achieving clinical completeness — not finding additional diagnoses, but ensuring the formulation accounts for the full picture.
This session is primarily with you, as parents. Your child may or may not be involved depending on age. The psychiatrist follows a structured protocol — your role is to answer questions as accurately as you can.
MDT Conference — team consensus
The full MDT team meets internally to present findings from each specialist and reach a consensus diagnostic formulation. Each team member presents their data. The final formulation is agreed collectively. You are not present — this is a professional peer discussion that precedes the written report.
Nothing is required from you at this stage. The team is working on the formulation. You will hear the outcome in the Feedback Session.
Feedback Session with parents
The lead psychologist presents the diagnostic formulation, explains the clinical reasoning behind the conclusion, reviews the team's recommendations, and answers your questions. This happens before the written report is delivered — so you are not reading a diagnosis cold for the first time.
This is the session where you hear the outcome. Come with your questions written down. The psychologist will walk through the findings systematically. The written report follows this session.
Written MDT report delivered
The full written report is delivered securely by email within 5 working days of your Feedback Session. The report covers: background and referral reason, developmental history, observational findings from each specialist, assessment results, psychiatric differential diagnosis, diagnostic formulation (DSM-5 / ICD-11), and clinical recommendations.
You receive the report by secure email. Read it carefully — it is a formal clinical document. If you have questions after reading, the team is available for a follow-up query by email.
The standard report turnaround is 5 working days from your Feedback Session. If you need the written report sooner, express delivery is available for an additional €70 — report delivered within 2 working days. The assessment process itself does not change. Select this option when booking.
What happens after the assessment
Three possible clinical outcomes — each with a clear set of concrete next steps.
The MDT report confirms an autism diagnosis under DSM-5 or ICD-11. The report documents the clinical basis for this conclusion and specifies the team's recommendations.
The MDT assessment did not find sufficient evidence to confirm an autism diagnosis at this time. This does not mean your concerns were unfounded — the report explains what was and was not observed, and points to alternative explanations.
The MDT identified a complex presentation — autism features are present alongside other significant clinical findings, or the picture is not yet fully clear. The report details exactly what further evaluation is recommended and why.
After receiving the report, you will likely have a follow-up appointment with your child's GP or paediatrician. These questions are worth raising directly:
What clinicians observe in MDT assessments
Clinical observations from specialists who work in multi-disciplinary autism assessments — not testimonials, not stories. Professional perspective.
Before you book — what to know
- All sessions are online — no travel, no clinic visit
- You need a device with a camera, microphone, and stable internet
- All platforms are encrypted and GDPR-compliant
- A quiet, private space is strongly recommended — particularly for the observation session, where the environment affects assessment quality
- Session instructions are sent in advance for each appointment
- Full payment is required at time of booking
- Cancellation 72+ hours before first session: full refund minus €40 administration fee
- Cancellation within 72 hours: 50% refund
- Rescheduling individual sessions: possible up to 48 hours before, at no extra cost
- Payment processed securely via Stripe
- EU GDPR-compliant at every stage
- All clinical data stored on EU-based servers
- Report delivered via encrypted email
- No data shared with third parties without written consent
- Right to access and deletion available on request
- We do not prescribe medication
- We do not guarantee a specific diagnosis
- This assessment does not include ongoing therapy
- We do not replace CAMHS or state paediatric services
- We do not carry out Educational Psychology assessments — these are a distinct type of evaluation
What parents ask most
Can an online assessment really be as conclusive as an in-person one?
The observation protocol we use (BOSA) was developed and validated for online delivery. It is not a reduced version of in-person assessment — it is a different, purpose-built tool. For most children and most purposes, it produces equally reliable clinical conclusions. The one exception is where a specific authority in your country requires in-person observation for a formal application — we clarify this with you before booking is confirmed.
How long does the whole process take, from first session to report?
The full process typically runs over 2–3 weeks. Pre-assessment questionnaires take 3–5 days. Live sessions (approximately 4.5 hours total) are usually scheduled across 1–2 weeks depending on availability. The written report is delivered within 5 working days of the Feedback Session — or within 2 working days with express delivery.
Will the report be accepted by my child's school or educational authority?
The report is structured to include the clinical detail that educational support processes typically require. Whether it is sufficient for a specific formal application — EHCP, PDP, or equivalent — depends on the requirements of your local authority. We discuss this with you during intake and will advise honestly if an in-person component would be needed for your specific situation.
Why does an MDT assessment cost more than seeing a single psychologist?
Because four clinicians are involved. The cost reflects the clinical psychologist, child psychiatrist, speech and language therapist, and educational specialist — each completing their own structured evaluation, contributing to the MDT Conference, and signing off on the report. A single-clinician assessment is a fundamentally different — and less comprehensive — clinical product.
Early assessment is clinically valuable — not premature. Signs of autism can be observed reliably from around 18 months, and a formal assessment from age 2 is appropriate when there are clear clinical indicators. The assessment protocol for young children is adapted accordingly — the observation session is play-based, parental involvement is central, and the expectations placed on the child are age-appropriate. Contact us to discuss whether your child's specific situation and developmental stage would be well-served by this assessment.
Yes. A previous inconclusive or negative assessment is not a barrier to this assessment — in fact, it is one of the scenarios where MDT evaluation is most clearly indicated. A single-clinician assessment in a single setting, particularly one conducted without an MDT structure, may not capture the full clinical picture. If the previous assessment documentation is available, sharing it with the team during intake is helpful — they will note what was evaluated and what was not.
For younger children, no specific explanation is needed — they simply participate in structured activities with you. For older children and adolescents, an age-appropriate explanation is both appropriate and recommended. The team can advise on how to frame this for your child's specific age and level of understanding. We do not recommend withholding the purpose of the assessment from adolescents — being informed and involved in their own assessment is clinically and ethically appropriate for this age group.
ADHD and autism frequently co-occur, and the differential diagnosis between the two — as well as identifying concurrent diagnoses — is part of the psychiatric component of this MDT assessment. If the team identifies ADHD features during the process, this will be noted in the diagnostic formulation. If a separate, comprehensive ADHD assessment is indicated, the team will specify this in the recommendations. This MDT assessment is specifically structured for ASD — a separate ADHD-focused assessment pathway exists for cases requiring that.
Experienced clinicians working in paediatric assessment are trained to manage this. If a session needs to pause or be shortened due to your child's state, this can be accommodated. In some cases, a brief additional session may be arranged — the team will advise. Some level of reluctance or dysregulation during assessment is not unusual and is itself clinically informative. Sessions are not repeated simply because the child was not cooperative; the team works with what they observe, including how a child responds to demands and transitions.
Sessions are currently available in English and Russian. If your child's primary language is different, please contact us before booking — the assessment protocol for speech and language evaluation specifically requires administration in the child's dominant language. We will advise on what is available and appropriate for your child's language profile.
We do not have direct billing arrangements with insurance providers. Payment is made directly at time of booking. If your insurance policy covers private clinical assessments, an invoice can be provided for reimbursement — you will need to check directly with your insurer whether MDT autism assessments conducted by a private provider are within your policy's scope. The clinical report itself is a formal document that many insurers require for reimbursement claims.
Report delivered within 5 working days. No waiting lists.
Choose your tier, book your session dates, and complete the pre-assessment questionnaires. The process is structured and transparent from the first step.
Secure payment via Stripe · GDPR-compliant · All sessions online