Assessment takes notice of a lived experience to provide clarity and understanding

Millstream Psychologists provide comprehensive neurodevelopmental psychological assessments for children, adolescents & young adults.

Autism Assessment

Millstream Psychology assessors have specialist autism assessment training and assess children, adolescents, and young adults.

The Millstream Psychology assessment process facilitates an understanding of whether social difficulties and behaviours are consistent with Autism Spectrum Disorder (ASD) or are better explained by another condition and if co-occurring conditions may factor. Young adults can be assessed when linked in with a psychiatrist and are referred by their Psychiatrist.

Book a 15-minute no-fee phone enquiry phone call online from the Online Bookings page or call reception on (08) 9468 4920.

ADHD Assessment

Millstream Psychologists assess children and adolescents for Attention-Deficit/Hyperactivity-Impulsivity Disorder (ADHD).

For more information on ADHD, watch these videos:
ADHD Explained & ADHD in Girls

ADHD screening is initially engaged prior to an assessment occurring. Assessment includes Teacher & Parent Interviews, a cognitive assessment and differential diagnostic considerations. It may include a class observation if required.

Book a 15-minute no-fee phone enquiry phone call online from the Online Bookings page or call reception on (08) 9468 4920.

Educational Assessment

Millstream Psychologists assess for educational differences in children, adolescents & adults.

In Australia, 2-3 children in each class experience learning difficulties. Related difficulties can disrupt how individuals learn, remember, understand & express information. Difficulties with reading & spelling are the most common, although they can occur in written expression, spoken language and mathematics. Specific Learning Disorders (SLDs) are related to Dyslexia, Dysgraphia and Dyscalculia.

Book a 15-minute no-fee phone enquiry phone call online from the Online Bookings page or call reception on (08) 9468 4920.

Frequently Asked Questions

Currently in WA, an experienced Multidisciplinary Team (MDT) with specialist training in ASD assessment & diagnosis is required, dependent on the assessor’s age. Recommended is:

  • Under age 12 years – Paediatrician + Clinical Psychologist + Speech Pathologist
  • 12 to 18 years – Paediatrician + Clinical Psychologist
  • Adult – Psychiatrist

The new draft Australian National Guidelines for ASD Assessment has been released.

Updates include:

  • Practitioner referral requirements (e.g., GP, Paediatrician or Psychiatrist) for Autism assessments.
  • A comprehensive needs assessment be completed to identify if Autism assessment is indicated.
  • A Comprehensive Needs Assessment includes a medical assessment & a functional assessment of capacity (FAC).
  • Autism Assessment can be led by a single diagnostician, either a Clinical Psychologist, Education & Developmental Psychologist, Neuropsychologist, or a specialised medical practitioner.
 

 

Goodall, E., Dargue, N., Hinze, E., Sulek, R., Varcin, K., Waddington, H., Whitehouse, A. J. O., Wicks, R., Allen, G., Best, J., Eapen, V. Evans, K., Hiremath, M, Hinze, W., Lawson, W., Toby, S., & Trembath, D. (2023). A National Guideline for the Assessment and Diagnosis of Autism in Australia: 2023 Update. Autism CRC. Brisbane 

Millstream Clinicians can assess for autism under the new and former guidelines. 
You will require:
  • A referral from a GP, Paediatrician or Psychiatrist for an autism assessment.
  • A medical review to rule out medical conditions, currently from a Paediatrician or Psychiatrist offering ASD Assessment services. In the future, GPs will be able to assist with this.

 

Goodall, E., Dargue, N., Hinze, E., Sulek, R., Varcin, K., Waddington, H., Whitehouse, A. J. O., Wicks, R., Allen, G., Best, J., Eapen, V. Evans, K., Hiremath, M, Hinze, W., Lawson, W., Toby, S., & Trembath, D. (2023). A National Guideline for the Assessment and Diagnosis of Autism in Australia: 2023 Update. Autism CRC. Brisbane 
Medicare Rebates may apply.
Autism is considered to be a neurodevelopmental disorder, but not an eligible disability, and therefore, assessment services for autism can only be referred by a psychiatrist or paediatrician, using any of the following Medicare Item Codes:
  • Consultant Psychiatrist items 296-308, 310, 312, 314, 316, 318, 319 – 352, 91827 – 91831, 91837 – 91839, 92437, 92455 – 92460.
  • Consultant Paediatrician items 110, 116, 119, 122, 128, 131, 91824 – 91826 or 91836.
 
Medicare rebates do not apply for GP referrals. Check with your Private Health Care provider for rebates.

Children under age 16 years:

  • School Observations
  • Teacher & School Psychologist Interview 
  • In-clinic Gold Standard Assessment (ASD and Cognitive Assessment)
  • Differential assessment for mental health & other neurodevelopmental conditions
  • Parent Clinical Interview
  • Report Preparation

Adolescents age 16+ years:

  • No school observation is engaged

Adults:

  • If insufficient early childhood information is available, the assessment cannot occur.

Single assessor assessment occurs for adults only in the absence of complex mental health considerations, otherwise a psychiatric assessment is engaged for a confirmed ASD diagnosis.

  • Comprehensive In-Clinic Assessment (ASD and Cognitive Assessment)
  • Comprehensive In-Clinic Interview with Partner or Other
  • Comprehensive Family Clinical Interview for early childhood information
  • Differential assessment for mental health & other neurodevelopmental conditions
  • Review of School Reports
  • Review of early childhood videos
  • Collaboration with the psychiatrist, GP & other specialists
  • Report Preparation
 

Please Note: Whilst other clinics may not always support a cognitive assessment being completed as part of the ASD assessment process, Millstream Psychology views this as necessary to inform diagnostic criteria relating to intellectual functioning.

Sleep Difficulties

A new study has identified that dietary factors related to fat molecules contribute to sleep disturbances in children living with autism. Watch the video here – https://www.youtube.com/watch?v=PPA7QBC9O34

 

ADHD

When ADHD is indicated in reports, observations and cognitive assessment profiles, ADHD assessment occurs as part of the ASD Assessment, including for adult assessments.

In Australia, it is recognised that up to 2-3 children in each class experience learning difficulties. Learning difficulties can disrupt how individuals learn by how they learn, remember, understand & express information. Difficulties with reading & spelling are the most common, although can also occur in written expression, spoken language and mathematics.

  • SLD-R describes impairment associated with accurate and/or fluent word recognition, poor spelling & decoding abilities, most typically due to phonological language gaps. Dyslexia may be reflected in problems with reading (e.g., inaccurate, slow and effortful word reading) & in reading comprehension (e.g., understanding the meaning of what is read).
  • SLD-W describes impairment with written expression, handwriting and/or spelling that may occur in isolation or with SLD-R. Impairment may be reflected in inaccurate and/or non-fluent written expression, poor spelling and handwriting skills.
  • SLD-M describes impairment in learning and comprehending mathematics. Dyscalculia may be reflected in difficulties understanding numbers, learning how to manipulate numbers, learning & retaining mathematical facts and other related abilities

Assessment Fees

  • Assessment fees are calculated on a breakdown of specific assessments administered by the Psychologist, itemised on the invoice.
  • The Psychologist will inform you if additional assessments are required as the assessment unfolds for diagnostic clarity.
  • Assessment fees include report preparation. Reports are completed within four weeks of assessment completion.