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Global ADHD Network · Training Series

ADI-R Specialist
Training Booklet

A digital companion for delegates of the Global ADHD Clinicians Network ADI-R Specialist Certification Course. Use this booklet to record codes, notes, and reflections across all 93 protocol items. Your work auto-saves to this device.

Training day use only. This booklet is provided during the training day for theoretical and conceptual use only. It is an adaptation of the ADI-R protocol and is not a substitute for the licensed instrument. It must not be redistributed or used for clinical assessment.

Contents

ADI-R Comprehensive Algorithm Form

Training adaptation for conceptual use only — official scoring requires licensed WPS materials

Name of Subject/ID:
Date of Birth: / / Chronological Age: Gender:
Name:
Relation to Subject:
Name:
School/Clinic:
Date of Interview: / /

Mark the algorithm used.

Current Behavior Algorithm
Diagnostic Algorithm
Item Code to
Algorithm Score Conversion
Code 0123789
Score 0122000
A: Qualitative Abnormalities in Reciprocal Social Interaction

Copy each code into the box for algorithm type and subject age level.

Current Behavior Algorithm
2.0
to
3.11
4.0
to
9.11
10.0
or
older*
Diagnostic Algorithm
Current
2.0
to 3.11
Most Abn.
4.0
or older
Convert
to Scores
A1: Failure to use nonverbal behaviors to regulate social interaction
50 Direct Gaze
51 Social Smiling
57 Range of Facial Expressions Used to Communicate
Total A1
A2: Failure to develop peer relationships
49 Imaginative Play With Peers
62 Interest in Children
63 Response to Approaches of Other Children
64 Group Play With Peers (score if 4.0 to 9.11 years)
OR (score either 64 or 65, depending on age of subject)
65 Friendships (score if 10.0 years or older)
Total A2
A3: Lack of shared enjoyment
52 Showing and Directing Attention
53 Offering to Share
54 Seeking to Share Enjoyment With Others
Total A3
A4: Lack of socioemotional reciprocity
31 Use of Other's Body to Communicate
55 Offering Comfort
56 Quality of Social Overtures
58 Inappropriate Facial Expressions
59 Appropriateness of Social Responses
Total A4
Total A = A1 + A2 + A3 + A4 (cutoff = 10, diagnostic only)
B: Qualitative Abnormalities in Communication

• Score B1, B4, B2(V), and B3(V) for verbal subjects (Item 30 = 0).
• Score only B1 and B4 for nonverbal subjects (Item 30 = 1 or 2).

Copy each code into the box for algorithm type and subject age level.

Current Behavior Algorithm
2.0
to
3.11
4.0
to
9.11
10.0
or
older*
Diagnostic Algorithm
Current
2.0
to 3.11
Most Abn.
4.0
or older
Convert
to Scores
B1: Lack of, or delay in, spoken language and failure to compensate through gesture
42 Pointing to Express Interest
43 Nodding
44 Head Shaking
45 Conventional/Instrumental Gestures
Total B1
B4: Lack of varied spontaneous make-believe or social imitative play (B4 not scored on Current Behavior Algorithm for 10.0 or older)
47 Spontaneous Imitation of Actions
48 Imaginative Play
61 Imitative Social Play
Total B4
B2(V): Relative failure to initiate or sustain conversational interchange Verbal Subjects Only
34 Social Verbalization/Chat
35 Reciprocal Conversation
Total B2(V)
B3(V): Stereotyped, repetitive, or idiosyncratic speech Verbal Subjects Only
33 Stereotyped Utterances and Delayed Echolalia
36 Inappropriate Questions or Statements
37 Pronominal Reversal
38 Neologisms/Idiosyncratic Language
Total B3(V)
Verbal Subjects
Total B(V) = B1 + B4 + B2(V) + B3(V) (cutoff = 8, diagnostic only)
Nonverbal Subjects
Total B(NV) = B1 + B4 (cutoff = 7, diagnostic only)
C: Restricted, Repetitive, and Stereotyped Patterns of Behavior

Copy each code into the box for algorithm type and subject age level.

Current Behavior Algorithm
2.0
to
3.11
4.0
to
9.11
10.0
or
older*
Diagnostic Algorithm
Current
2.0
to 3.11
Ever
4.0
or older
Convert
to Scores
C1: Encompassing preoccupation or circumscribed pattern of interest
67 Unusual Preoccupations
68 Circumscribed Interests (score if 3 years or older)
Total C1
C2: Apparently compulsive adherence to nonfunctional routines or rituals
39 Verbal Rituals (score only if Item 30 = 0)
70 Compulsions/Rituals
Total C2
C3: Stereotyped and repetitive motor mannerisms
77 Hand and Finger Mannerisms
78 Other Complex Mannerisms or Stereotyped Body Movements
Record the higher of the two scores for C3
Total C3
C4: Preoccupation with parts of objects or nonfunctional elements of material
69 Repetitive Use of Objects or Interest in Parts of Objects
71 Unusual Sensory Interests
Record the higher of the two scores for C4
Total C4
Total C = C1 + C2 + C3 + C4 (cutoff = 3, diagnostic only)
D: Abnormality of Development Evident at or Before 36 Months

Diagnostic Algorithms only.

Code
Score
2 — Age Parents First Noticed (if <36 months, score 1)
9 — Age of First Single Words (if >24 months, score 1)
10 — Age of First Phrases (if >33 months, score 1)
86 — Age When Abnormality First Evident (if coded 3 or 4, score 1)
87 — Interviewer's Judgment on Age When Abnormalities First Manifest (if <36 months, score 1)
Total D (cutoff = 1, diagnostic only)
Score Summary
A1 + A2 + A3 + A4 = Total A cutoff = 10
B1 + B4 + B2(V) + B3(V) = Verbal
Total B
cutoff = 8
B1 + B4 = Nonverbal
Total B
cutoff = 7
C1 + C2 + C3 + C4 = Total C cutoff = 3
Total D cutoff = 1

* Cutoffs are for Diagnostic Algorithms only. The Current Behavior Algorithms do not have cutoffs.

globaladhdnetwork.com

Training purposes only. This digital booklet is an adaptation of the Autism Diagnostic Interview–Revised (ADI-R) protocol for use solely as a conceptual training aid during Global ADHD Clinicians Network ADI-R Specialist Certification Course training days. The content contained herein is intended to support learning and familiarisation with the ADI-R interview structure and is not a substitute for the licensed instrument.

This is an adaptation, not the official instrument. This booklet represents an adapted, training-day version of the ADI-R. It does not replicate the full licensed protocol and must not be used for clinical assessment, diagnostic decision-making, or research purposes of any kind.

Official materials must be purchased. The ADI-R is authored by Ann Le Couteur, Catherine Lord, and Michael Rutter, and is published by Western Psychological Services (WPS). The official ADI-R protocol booklets, interview schedules, and manual are required for clinical and research use and must be purchased directly from WPS at wpspublish.com. The ADI-R and all associated materials are © Western Psychological Services. All rights reserved.

No clinical or research use. Use of this adaptation outside of its intended training context — including but not limited to clinical assessments, research data collection, or professional reports — is strictly prohibited.

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