Early Start Denver Model (ESDM)
This program is delivered to parents of children who are 12 to 48 months old with an Autism Spectrum Disorder and is intended to impact parents and children.
The Early Start Denver Model (ESDM), a community- and family-based early intervention, is designed to enhance children's social, emotional, cognitive, and language capabilities and decrease autism symptoms.
Results from a(RCT) found that children in the ESDM intervention showed improvements in IQ, adaptive behavior, and autism diagnosis compared to a . More specifically, the ESDM group maintained its rate of growth in adaptive behavior as compared to a normative sample of typically developing children. In a follow-up that was conducted 2 years after the end of this intervention, the ESDM group showed improved core autism symptoms and adaptive behavior compared to the . A quasi-experimental showed that participants in the ESDM group had greater gains in developmental rate and receptive language, compared to a , after approximately 12 months of treatment. Results from a second quasi-experimental study reporting on school-age outcomes of children who received ESDM, compared to those who received community services, showed that both groups improved cognitive functioning and also experienced increased autism symptom severity with no differences between groups.
ESDM is delivered at home or in a day care/preschool setting during normal play and daily routine activities by trained therapists and parents. The curriculum uses a play-based approach to focus on the development of play skills, relationships, and language. The key features of the program include the following:
- Naturalistic applied behavioral analytic strategies;
- Sensitivity to the course of normal development;
- Heavy parent involvement;
- Emphasis on interpersonal communication and positive affect;
- Shared engagement through joint activities; and
- Language and communication skills taught within a positive, affect-based relationship.
Previous use information was not located; however, ESDM has been used in research in California.
This program is delivered by trained therapists who are certified in ESDM. Therapists may be a psychologist, behaviorist, occupational therapist, speech and language pathologist, early intervention specialist, or developmental pediatrician. Training includes a live or online introductory workshop and an advanced workshop. The online introductory workshop costs $425 per person. It is also possible to host an introductory or advanced workshop. Please visit www.ucdmc.ucdavis.edu/mindinstitute/research/esdm/workshops.html or email email@example.com for more information on training options and costs.
Considerations for implementing this program include recruiting facilitators with a suitable background, ensuring facilitators receive training and become certified in ESDM, and acquiring parent buy-in.
The Clearinghouse can help address these considerations. Please call 1-877-382-9185 or email Clearinghouse@psu.edu
If you are interested in implementing ESDM, the Clearinghouse is interested in helping you!
Please call 1-877-382-9185 or email Clearinghouse@psu.edu
The first phase of ESDM usually lasts 5 weeks.of the second phase will vary by individual.
costs were not located.
To move ESDM to the Effective category on the Clearinghouse Continuum of Evidence at least one external RCT must be conducted that demonstrates positive outcomes. This study must be conducted independently of the program developer.
The Clearinghouse can help you develop an evaluation plan to ensure the program components are meeting your goals. Please call 1-877-382-9185 or email Clearinghouse@psu.edu
Contact the Clearinghouse with any questions regarding this program.
Phone: 1-877-382-9185 Email: Clearinghouse@psu.edu
You may also contact the UCDavis Mind Institute by mail 2825 50th Street, Sacramento CA 95817, phone 1-916-703-0280, or visit http://ucdmc.ucdavis.edu/mindinstitute/contactus/index.html
https://www.autismspeaks.org/what-autism/treatment/early-start-denver-model-esdm, http://ucdmc.ucdavis.edu/mindinstitute/research/esdm/, www.effectivehealthcare.ahrq.gov/ehc/products/106/656/CER26_Autism_Report_04-14-2011.pdf (this website no longer contains program information), Vismara and Rogers (2008).
*Resources and associated costs reflect those identified at the time of fact sheet publication.