Best practice for young children with autism

By September 6, 2018 July 2nd, 2024 Early Start Denver Model (ESDM)
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What is Autism?

Autism spectrum disorder (ASD) is a developmental disorder that affects a child’s social learning from the very early stages of life. Children with autism are less likely to observe and imitate others, seek out and play with peers, and initiate social and communicative interactions. As a result, they may have difficulty responding to social initiations directed at them. Unusual and repetitive behaviours often emerge in the second year of life. This can be seen in difficulties with changes, sticking to the same routines, and using unusual repetitive actions with their body or objects. Autism impacts many lives; it is estimated that 1 in 100 people in Australia have autism. Choosing an intervention that improves the features of autism is crucial. Understanding what makes an intervention good practice for autism helps parents make the right choice.

Understanding Autism

Throughout history, people with ASD were often misdiagnosed and subjected to inappropriate treatments. Autism is not a general learning problem or a learning disability; it is a neurodevelopmental disability. Children with autism can learn, and some have exceptional learning skills. However, social learning is challenging for every child with autism. Understanding the core features of autism allows for the selection of best practice interventions for young children with autism.

Best Practice Principles for Autism Interventions

At a recent Speech Pathology Australia event, Dr. David Trembath from Griffith University presented “Autism Update: A Clinically Focused Research Review.” He indicated that current research suggests the best intervention for young children with autism should:

  1. Begin Early in Life: Early intervention is critical for effective treatment.
  2. Use Evidence-Based Strategies: Strategies proven through research should be employed.
  3. Address Individual Strengths and Weaknesses: Each child’s unique profile should be considered.
  4. Target Core Features of Autism: This includes reduced imitation, joint attention, and social learning.
  5. Follow the Three Steps in Teaching: ‘Antecedent-response-consequence’ is a key approach.
  6. Include Detailed Treatment Procedures: An intervention manual should guide therapists in their training.
  7. Ensure Fidelity of Implementation: Therapists must demonstrate their ability to deliver the intervention according to the manual.
  8. Set Individualised Goals: There should be no ‘one size fits all’ approach.
  9. Monitor Progress Systematically: Regular assessments of progress are essential.
  10. Encourage Child-Initiated Activities: Sessions should be driven by the child’s interests rather than being therapist-directed.

When evaluating a program, it’s important to determine if it includes enough best practice principles for children with autism. Autism Awareness Australia also provides more information about best practice.

The Early Start Denver Model (ESDM)

Dr. Trembath reviewed all the intervention approaches in Australia and found that the only early intervention approach for young children with autism that meets all the criteria is the Early Start Denver Model (ESDM). The ESDM is unique in its incorporation of knowledge from different disciplines, including developmental science, applied behavioral analysis, and social affective neuroscience. It facilitates learning and development in young children with autism.

OneOnOne Children’s Therapy and the ESDM

OneOnOne Children’s Therapy has been using the ESDM as our best practice intervention for young children with autism since 2013. Located in Bondi Junction, Sydney, our team of therapists is trained at the highest levels of fidelity to improve children’s lives. If you want to find out more about the ESDM, call our clinic at (02) 8065 7837 or email us.

We’re Here to Support You

At OneOnOne Children’s Therapy, we believe that every child deserves the opportunity to grow and thrive. Our clinics are not just spaces for therapy—they are places where children can discover their strengths, overcome challenges, and reach their full potential. By combining innovative therapy techniques with a stimulating and supportive environment, we offer a holistic approach to paediatric therapy and early intervention that addresses the unique needs of each child we support.

Reach Out for Support

If you’re concerned about your child’s development or want to learn more about how the ESDM can help your child, OneOnOne Children’s Therapy is here to help. Call our Bondi Junction and Mascot clinics at (02) 8065 7837 or email us. You can book a free 30-minute phone call with us to discuss how we can support your child’s unique journey.

We are a dedicated team of Speech Pathologists, Occupational Therapists, Certified ESDM Therapists, and Psychologists, serving families in Bondi Junction and Mascot, Sydney’s Eastern suburbs. Our clinics are tailored to provide exceptional intervention for children with autism, developmental delays, disabilities, and learning difficulties, ensuring they receive the best possible care and support.