Implementing the Early Start Denver Model: Enhancing Skills in Community Settings

The Early Start Denver Model (ESDM) is an evidence-based early intervention approach designed for young children with autism spectrum disorder (ASD). Originally developed in American university settings, its feasibility and effectiveness in diverse cultural contexts have been increasingly explored. A recent study conducted in the Friuli Venezia Giulia Italian region provides valuable insights into implementing ESDM within a public health system.

Understanding the Study

The research aimed to evaluate the feasibility and outcomes of delivering ESDM at low intensity within an Italian community setting. The study involved children aged 19 to 43 months who received ESDM for two hours per week over a year. These children were compared to a control group receiving treatment as usual (TAU). Evaluations were conducted at baseline, six months, and twelve months to assess cognitive and language abilities, social skills, and maladaptive behaviors.

Key Findings

• Feasibility: The study demonstrated that ESDM could be successfully integrated into the Italian public health system. High retention rates and positive feedback from parents and therapists supported its acceptability.
• Outcomes: While both groups showed improvements in cognition and language abilities, the ESDM group exhibited larger gains in communication, social skills, and reduction of maladaptive behaviors.
• Implementation: The integration of ESDM into daily routines and play activities was well-received by families and professionals alike.

Implications for Practitioners

For practitioners looking to enhance their skills in early intervention for ASD, this study underscores the importance of adopting evidence-based models like ESDM. Here are some practical steps:

• Training: Ensure that therapists receive formal training in ESDM to maintain high fidelity during implementation.
• Cultural Adaptation: Consider cultural nuances when integrating ESDM into community settings to enhance acceptance and effectiveness.
• Parent Involvement: Actively engage parents in the intervention process to reinforce learning outside therapy sessions.

Encouraging Further Research

This study highlights the potential of ESDM in community settings but also points to areas needing further exploration. Practitioners are encouraged to conduct additional research on optimal treatment intensity and long-term outcomes. Collaboration with local health systems can facilitate broader implementation and adaptation of ESDM across different regions.

For those interested in delving deeper into the research findings, you can access the original study titled "Feasibility and Outcomes of the Early Start Denver Model Delivered within the Public Health System of the Friuli Venezia Giulia Italian Region".