Utilizing SRS-2 Scores for Individualized Autism Interventions
To use the SRS-2 scores to guide interventions, follow these steps:
- Review the Total Score and Subscale Scores:
Examine the overall T-score and the individual T-scores for each of the five treatment subscales:
- Social Awareness
- Social Cognition
- Social Communication
- Social Motivation
- Restricted Interests and Repetitive Behavior
- Identify Areas of Concern:
Focus on subscales with higher T-scores, as these indicate areas of greater difficulty. Remember that T-scores of 60-65 indicate mild impairment, 66-75 moderate impairment, and ≥76 severe impairment. - Design Targeted Interventions:
Develop specific interventions that address the areas of greatest need. For example:
- If Social Communication scores are high, improve verbal and non-verbal communication skills.
- If Restricted Interests and Repetitive Behavior scores are elevated, work on expanding interests and reducing repetitive behaviors.
- Prioritize Treatment Goals:
Use the subscale scores to prioritize treatment goals. Address the most impaired areas first while maintaining a balanced approach to overall social functioning. - Inform Parent/Caregiver Training:
Use the subscale information to guide parent/caregiver training, focusing on strategies to support the child in areas of greatest need. - Monitor Progress:
Regularly reassess using the SRS-2 to track changes in scores over time. This helps evaluate the effectiveness of interventions and informs necessary adjustments to the treatment plan. - Consider Environmental Factors:
When interpreting scores and planning interventions, consider the child’s environment and how it may impact their social responsiveness. - Collaborate with Other Professionals:
Share SRS-2 results with other professionals involved in the child’s care to ensure a coordinated approach to intervention. - Adjust Treatment Intensity:
Use the scores to determine if treatment intensity needs to be increased or decreased in specific areas. For example, higher scores may indicate a need for more intensive intervention in that domain. - Plan for Discharge:
As scores improve and approach the normal range (T-scores ≤59), begin to consider and plan for potential discharge from specific interventions or overall treatment.

Remember that while the SRS-2 scores are valuable for guiding interventions, they should be used with clinical judgment and other assessment tools. The goal is to create a comprehensive, individualized treatment plan that addresses the unique needs of each person with autism spectrum disorder or social impairment.
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