About this Workshop

Learning Objectives

• Identify language and communication, social interaction, play, and restricted repetitive behavior characteristics among autistic toddlers.
• Explain both the conceptual definitions and the purpose of key codes for each of the ADOS-2 Toddler Module Language and Communication A codes.
• Explain both the conceptual definitions and the purpose of key codes for each of the ADOS-2 Toddler Module Reciprocal Social Interaction B codes.
• Identify three behavioral examples that apply to the ADOS-2 Toddler Module C codes.
• Explain both the conceptual definitions and the purpose of key codes for each of the ADOS-2 Toddler Module Stereotyped Behaviors and Restricted Interests D codes.
• Identify behavioral examples that apply to all ADOS-2 Toddler Module codes.

Learning Levels

• Advanced

Workshop Instructor(s)

• 

  Dr. Suzi Naguib, Psy.D.

  Founder & Director, Sunfield Center, Sunfield Institute & Sprouted Sage Center

  Dr. Suzi Naguib is a passionate and dedicated psychologist and a strong advocate for those affected by behavioral, emotional, developmental and learning disabilities. Dr. Naguib founded Sunfield Center in August of 2011 with a mission to offer the highest quality, evidence-based clinical care, increase awareness of mental health needs, and provide best-in-class trainings for families and professionals locally and internationally. As a licensed clinical psychologist with over 15 years of experience in the field of autism, ADHD, behavioral and anxiety disorders, Dr. Naguib brings a first-hand understanding of the need for research informed evaluations and evidence based treatment interventions to help families. Dr. Naguib is a certified Parent Child Interaction (PCIT) Therapist and level 1 PCIT trainer. She is also an independent trainer for two of the gold standard autism diagnostic assessment tools (ADOS-2 and ADI-R) and has trained hundreds of providers in Michigan, across the U.S. and internationally on how to accurately evaluate and diagnose autism. Dr. Naguib along with her team at Sunfield Center created a number of trainings for parents and professionals and has expertise in the following areas: adolescent to adult transition planning for individuals diagnosed with autism, family support and empowerment post autism diagnosis and autism and sexuality.

• 

  Dr. LeeAnne Green-Snyder, PhD

  Senior Consulting Psychologist

  Dr. LeeAnne Green-Snyder, a pediatric neuropsychologist with decades of experience in autism research and clinical care, graciously contributes her expertise to Sunfield institute’s professional development initiatives. Her background includes serving as an independent ADOS-2 trainer and holding key roles at institutions such as the University of Michigan, the Simons Foundation, and Boston Children’s Hospital. She has supported us in the development of multiple Autism Assessment offerings and has provided guidance and oversight across a wide range of our training content. Drawing on her experience designing and developing innovative methods of quantitative behavioral data capture, Dr. Green-Snyder, brings a depth of insight that continues to strengthen our training programs. We are deeply grateful for her ongoing partnership and contributions.

• 

  Dr. Nicole Bergamo, PhD

  Licensed Psychologist | Director of Psychology Training

  Dr. Nicole Bergamo is a licensed clinical psychologist and the Director of Psychology Training at Sunfield Center. In this role, Dr. Bergamo supports the training of doctoral psychology interns and postdoctoral fellows as well as practicum students. Dr. Bergamo also leads the development of social group services, and maintains a caseload of weekly clients. She completed her Ph.D. in School Psychology at Michigan State University and her predoctoral clinical internship and postdoctoral fellowship at Sunfield Center. Dr. Bergamo is passionate about her work with children, adolescents, and families in areas of assessment, intervention, and consultation. She enjoys working with individuals diagnosed with autism, attention-deficit/hyperactivity disorder (ADHD), and anxiety, in addition to other behavioral disorders. Dr. Bergamo’s specific emphasis on social and emotional skill-building, through individual and group intervention, can be seen in her work with clients presenting with a variety of needs. In her work, she primarily utilizes evidence-based Behavioral and Cognitive Behavioral Therapy techniques.

Disclosure

References

• 16 gestures by 16 months. FIRST WORDS Project. (2014). https://firstwordsproject.com/wp-content/uploads/2018/02/16-Gestures-x16-Months.pdf
• Adamson, L. B., Bakeman, R., Suma, K., & Robins, D. L. (2017a). An expanded view of joint attention: Skill, engagement, and language in typical development and autism. Child Development, 90(1). https://doi.org/10.1111/cdev.12973
• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
• American Speech-Language-Hearing Association. (2024). Communication Milestones: Birth to 1 Year. American Speech-Language-Hearing Association. https://www.asha.org/public/developmental-milestones/communication-milestones-birth-to-1-year/
• Ann & Robert H. Lurie Children’s Hospital (n.d.) Play Developmental Milestones. https://www.luriechildrens.org/en/specialties-conditions/pediatric-occupational-therapy/developmental-milestones/play-developmental-milestones/
• Broome, K., McCabe, P., Docking, K., Doble, M., & Carrigg, B. (2023). Speech development across subgroups of autistic children: A longitudinal study. Journal of autism and developmental disorders, 53(7), 2570-2586. https://doi.org/10.1007/s10803-022-05561-8
• Buzhardt, J., Wallisch, A., Irvin, D., Boyd, B., Salley, B., & Jia, F. (2022). Exploring growth in expressive communication of infants and toddlers with autism spectrum disorder. Journal of early intervention, 44(1), 3-22. https://doi.org/10.1177/1053815121995578
• California Department of Education (2024, January 10). Foundation: Imitation. https://www.cde.ca.gov/sp/cd/re/itf09cogdevfdimit.asp#:~:text=The%20developing%20ability%20to%20mirror,others%2C%20either%20immediately%20or%20later&text=At%20around%208%20months%20of,expressions%20of%20others%20during%20interactions.&text=For%20example%2C%20the%20child%20may,cake%20and%20peek%2Da%2Dboo
• CDC (2023, June 6). Important Milestones: Your Child by 4 years. https://www.cdc.gov/ncbddd/actearly/milestones/milestones-4yr.html
• Centers for Disease Control and Prevention. (2023, June 6). Important milestones: Your baby by Six Months. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/actearly/milestones/milestones-6mo.html
• Chawarska, K., Macari, S. and Shic, F. (2012), Context modulates attention to social scenes in toddlers with autism. Journal of Child Psychology and Psychiatry, 53: 903-913. https://doi-org.proxy.lib.umich.edu/10.1111/j.1469-7610.2012.025
• Chiang, C.-H., Soong, W.-T., Lin, T.-L., & Rogers, S. J. (2008b). Nonverbal communication skills in young children with autism. Journal of Autism and Developmental Disorders, 38(10), 1898–1906. https://doi.org/10.1007/s10803-008-0586-2
• Day, T. N., Mazefsky, C. A., & Wetherby, A. M. (2022). Characterizing difficulties with emotion regulation in toddlers with autism spectrum disorder. Research in autism spectrum disorders, 96, 101992. https://doi.org/10.1016/j.rasd.2022.101992
• Duvall, S. W., Greene, R. K., Phelps, R., Rutter, T. M., Markwardt, S., Grieser Painter, J., ... & Fair, D. (2025). Factors associated with confirmed and unconfirmed autism spectrum disorder diagnosis in children volunteering for research. Journal of autism and developmental disorders, 55(5), 1660-1672. https://doi.org/10.1007/s10803-024-06329-y
• Gal, E., & Yirmiya, N. (2021). Repetitive and Restricted Behaviors and Interests in Autism Spectrum Disorders. In Autism and child psychopathology series. https://doi.org/10.1007/978-3-030-66445-9
• Galligan, M. L., Heyman, M., Bolourian, Y., Stavropoulos, K., & Blacher, J. (2022). Brief Report: Emotional and Behavioral Problems Among Young Children with ASD: An Exploratory Study of ADOS E-Codes and Child Characteristics. Journal of Autism and Developmental Disorders, 52(10), 4597–4604. https://doi.org/10.1007/s10803-021-05313-0
• Khatab, S., Fadi, H., Othman, A., & Al-Thani, D. (2024). Collaborative play for autistic children: A systematic literature review. Entertainment Computing, 50(100653), 100653–100653. https://doi.org/10.1016/j.entcom.2024.100653
• Lang, S., Bartl-Pokorny, K. D., Pokorny, F. B., Garrido, D., Mani, N., Fox-Boyer, A. V., Zhang, D., & Marschik, P. B. (2019). Canonical babbling: A marker for earlier identification of late detected developmental disorders? Current Developmental Disorders Reports, 6(3), 111–118. https://doi.org/10.1007/s40474-019-00166-w
• Malik, F., & Marwaha, R. (2022). Developmental stages of social emotional development in children. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK534819/
• Maykel, C., & Kaufman, J. C. (2023). The assessment of creativity for people with autism spectrum disorder. Psychology in the Schools, 60(2), 401-407. https://doi.org/10.1002/pits.22729
• Mayo, J., Chlebowski, C., Fein, D. A., & Eigsti, I.-M. (2012). Age of First Words Predicts Cognitive Ability and Adaptive Skills in Children with ASD. Journal of Autism and Developmental Disorders, 43(2), 253–264. https://doi.org/10.1007/s10803-012-1558-0
• Morgan, L., & Wren, Y. E. (2018). A systematic review of the literature on early vocalizations and babbling patterns in young children. Communication Disorders Quarterly, 40(1), 3–14. https://doi.org/10.1177/1525740118760215
• Naber, F. B. A., Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., Swinkels, S. H. N., Buitelaar, J. K., Dietz, C., van Daalen, E., & van Engeland, H. (2007). Play Behavior and Attachment in Toddlers with Autism. Journal of Autism and Developmental Disorders, 38(5), 857–866. https://doi.org/10.1007/s10803-007-0454-5
• Oren, A., Dromi, E., Goldberg, S., & Mimouni-Bloch, A. (2021). Pragmatic profiles of toddlers with autism spectrum disorder at the onset of speech. Frontiers in Neurology, 11. https://doi.org/10.3389/fneur.2020.612314
• Ozonoff, S., & Iosif, A. M. (2019). Changing conceptualizations of regression: What prospective studies reveal about the onset of autism spectrum disorder. Neuroscience and biobehavioral reviews, 100, 296–304. https://doi.org/10.1016/j.neubiorev.2019.03.012
• Pennisi, P., Giallongo, L., Milintenda, G., & Cannarozzo, M. (2020). Autism, autistic traits and creativity: A systematic review and meta-analysis. Cognitive Processing, 22, 1–36. https://doi.org/10.1007/s10339-020-00992-6
• Pierucci, J. M., Barber, A. B., Gilpin, A. T., Crisler, M. E., & Klinger, L. G. (2015). Play assessments and developmental skills in young children with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 30(1), 35-43. https://doi.org/10.1177/1088357614539837
• Plumb, A. M., & Wetherby, A. M. (2013). Vocalization development in toddlers with autism spectrum disorder. Journal of Speech, Language, and Hearing Research, 56(2), 721–734. https://doi.org/10.1044/1092-4388(2012/11-0104)
• Seal & Schenk (2024, August 2). Imaginary Friends. https://sunfieldcenter.com/imaginary-friends/
• Talbott, M. R., Young, G. S., Munson, J., Estes, A., Vismara, L. A., & Rogers, S. J. (2018). The developmental sequence and relations between gesture and spoken language in toddlers with autism spectrum disorder. Child Development, 91(3), 743–753. https://doi.org/10.1111/cdev.13203
• What Are the Earliest Signs of Autism? (n.d.). Child Mind Institute. https://childmind.org/article/what-are-the-earliest-signs-of-autism/
• Whitman, E. (2018). Murray State’s Digital Commons The Impact of Social Play on Young Children. https://digitalcommons.murraystate.edu/cgi/viewcontent.cgi?article=1118&context=bis437