What is Case Assessment Autopsy?

A case assessment autopsy is a structured, retrospective review of a completed clinical, educational, or therapeutic case designed to analyze outcomes, identify missed opportunities, and improve future professional practice. Similar to a clinical audit but more reflective in focus, it examines assessment data, intervention planning, communication patterns, contextual influences, and decision-making processes without assigning blame. When applied to Autism Spectrum Disorder (ASD), the process helps professionals evaluate the accuracy of developmental profiling, appropriateness of tools such as the Autism Diagnostic Observation Schedule Second Edition (ADOS-2), and alignment of intervention goals with sensory, communication, and adaptive functioning needs. It supports deeper understanding of co-occurring conditions, cultural factors, and family engagement, thereby enhancing ethical and individualized service delivery. Although sometimes referred to as a case assessment audit, the autopsy emphasizes reflective learning and root-cause analysis, whereas an audit primarily focuses on procedural compliance and standards adherence.