Track function, not a label
Children described as autistic or developmentally delayed can have very different combinations of communication, understanding, movement, sensory processing, play, emotional regulation and daily-living skills. Record the specific skill that matters in ordinary life rather than trying to measure “autism severity.”
Useful observations include asking for help, following a familiar direction, joining a routine, tolerating toothbrushing with an accommodation, dressing with less assistance, or communicating a need for a break.
Five details make an observation useful
Separate teaching from independent performance
A child succeeding with a planned prompt shows that teaching may be working. It does not yet show that the skill is independent. Keep supported teaching attempts separate from occasional unprompted probes. Over time, look for less help, more initiation and use with different people or in different places.
Communication includes more than speech
Record effective communication through speech, gesture, sign, pictures or augmentative and alternative communication (AAC). Note whether the child initiated, what purpose the communication served and whether unfamiliar people understood it. AAC should not be withheld to force speech.
Daily living and regulation are developmental progress
Eating, safe drinking, toileting, dressing, sleep, hygiene, asking for help and recovering from overload strongly affect participation and family life. These outcomes deserve the same careful goals as words or academic tasks.
Review trends, not difficult days
Use a light daily record and review it weekly for changes in initiation, prompt level, settings and wellbeing. Revisit goals with the relevant professional every 8–12 weeks. Pause and seek assessment for regression, pain, swallowing concerns, severe self-injury, elopement, seizures or a major unexplained change.
How AbilityMosaic supports this workflow
AbilityMosaic is a private developmental notebook for parents and carers. It keeps prompted teaching separate from independent performance, records context and wellbeing, and organizes observations across eight developmental areas. It is not a diagnosis, medical device or therapist replacement.
Read the full AbilityMosaic overview, follow the daily and review workflow, or explore evidence-aware autism resources.