The Early Start Denver Model

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According to the American Speech-Language-Hearing Association (ASHA), Autism spectrum disorder (ASD) is defined as "a neurodevelopmental disorder characterized by deficits in social communication and social interaction and the presence of restricted, repetitive behaviors. Social communication deficits include impairments in aspects of joint attention and social reciprocity, as well as challenges in the use of verbal and nonverbal communicative behaviors for social interaction" (2016). The Early Start Denver Model (ESDM) in a language intervention program recommended for children, usually 12 to 48 months of age, who present with ASD (Vivanti, 2016). According to Autism Speaks Inc., ESDM intervention requires training and certification and can be delivered by a psychologist, behaviorist, occupational therapist, speech and language pathologist, early intervention specialist or developmental pediatrician, and is intended as a naturalistic approach to therapy because it does not require a fixed setting for delivery. Generalization of the intervention requires intense parent involvement and "can be delivered by therapy teams and/or parents in group programs or individual sessions in either a clinic setting or the child 's home" (2016). According to Schreibman et al., ESDM combines naturalistic intervention behavioral intervention (NDBI) with Applied Behavioral Analysis (ABA) principles, which have shown through evidence based practice to induce behavioral changes,
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