This model is not for every child or every parent
Significant parental involvement is required
The lowest beginning IQ score for any of the children in the model was 35
“Children who received ESDM showed significant improvements in IQ, adaptive behavior, and autism diagnosis. Two years after entering intervention, the ESDM group on average improved 17.6 standard score points (1 SD:15 points.) Compared with 7.0 points in the comparison group relative to baseline scores. The ESDM group maintained its rate of growth in adaptive behavior compared with a normative sample of typically developing children. In contrast, over the 2 year span, the comparison group showed greater delays in adaptive behavior. Children who received ESDM also were more likely to experience a change in diagnosis from autism to pervasive developmental disorder, not otherwise specified, then the comparison group.”
“ESDM intervention hours were systematically recorded. Although 20 therapist-delivered intervention hour per week were made available, the actual mean was 15.2 hours(SD: 1.4) because of illnesses, vacations, and so on. Parents reported spending an average of 16.3 hours/week (SD: 6.2) using the ESDM strategies. The ESDM group reported an average of 5.2 hours/week (SD: 2.1) in other therapies (e.g. speech therapy, developmental preschool) over the study enrollment period. “
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