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Unfortunately, the cost of using these tools for clinical and research purposes has become expensive and complicated [14].The Modified CHAT (M-CHAT) (Robins et al., 2001) [5] is a simple questionnaire for parents that can be completed in 10 minutes.According to the authors, this instrument improves discrimination between autism and other developmental problems.In Latin-American countries most parents seek initial attention through public health services [20], but only 38% receive their diagnosis through this means [19].Furthermore, recent studies show that many children are identified in school [21] so screening instruments need to be oriented to parents, teachers, and primary medical health providers.Many of these instruments are very complex and targeted to specialized professionals with experience in autism, so their use in the primary care setting in Mexico is not feasible.

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