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Dissemination of Early Intervention Program for Preschool Children on the Autism Spectrum into Community Settings: An

Anne Masi1, Syeda Ishra Azim1, Feroza Khan1

  • 1School of Psychiatry, Faculty of Medicine, University of New South Wales, Sydney 2052, Australia.

International Journal of Environmental Research and Public Health
|March 10, 2022
PubMed

Insights

Early intervention for Autism Spectrum Disorder (ASD) shows similar outcomes in specialized and mainstream settings. Mainstream settings may reduce externalizing behaviors, while longer intervention duration improves language skills.

Area of Science:

  • Developmental Psychology
  • Pediatric Medicine
  • Special Education

Background:

  • Early intervention is crucial for children with Autism Spectrum Disorder (ASD).
  • Disseminating evidence-based interventions into community settings is a policy priority.
  • The Early Start Denver Model (ESDM) is a recognized early intervention approach.

Purpose of the Study:

  • To compare the effectiveness of ESDM delivered in autism-specific versus mainstream preschool settings.
  • To identify factors influencing intervention outcomes, such as setting and duration.
  • To inform policy on early intervention service delivery for ASD.

Main Methods:

  • A cohort of 47 children diagnosed with ASD receiving ESDM intervention was studied.
  • Children were divided into two groups: those in an Autism Specific Early Learning and Care Centre (ASELCC) and those in a mainstream preschool.
  • Group comparisons were conducted to assess intervention response and behavioral changes.

Main Results:

  • Overall intervention response was largely similar between autism-specific and mainstream settings.
  • Children in mainstream settings demonstrated a significant reduction in externalizing behaviors.
  • Increased intervention duration correlated with improved expressive language skills.

Conclusions:

  • Early intervention for ASD can be effectively implemented in both specialized and mainstream environments.
  • Mainstream settings may offer specific advantages for behavioral outcomes.
  • Families requiring substantial parent support might benefit more from specialized services.

Keywords:
Early Start Denver Modelautism spectrum disorderchangeearly childhoodearly learning centreintervention

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