scholarly journals An exploration of the synergies, parallels, and divergences between ESDM and music therapy with preschool children with autism, in a music therapy student’s practice.

2021 ◽  
Author(s):  
◽  
Holly McPhee

<p>This qualitative research explores the possibility of an interaction between music therapy and the Early Start Denver Model with preschool children with autism spectrum disorder. Both interventions have been shown to be effective at improving social, emotional and communication skills in young autistic children, and share some use of music and some focus on developmental goals. My findings were generated from Secondary Analysis of Data using my qualitative clinical notes and reflective thoughts from a music therapy setting and an Early Start Denver Model setting. I focused on my use of music in sessions at each setting and found three main themes in the data – building a therapeutic relationship; singing to engage, with primary and secondary focus on the music; and moment of discomfort. A large proportion of my data related to using music to build a positive therapeutic relationship with the child, which is necessary to achieve both the wider goals typical of a music therapy setting and the more specific goals of the Early Start Denver Model setting. My data also showed that the humanistic approach of music therapy and the behavioural approach of the Early Start Denver model created tension in my practice in both settings. My research concluded that there are parallels and synergies which could positively inform each intervention but there may be too many divergences to create one cohesive therapy, due to their differences in approach.</p>

2021 ◽  
Author(s):  
◽  
Holly McPhee

<p>This qualitative research explores the possibility of an interaction between music therapy and the Early Start Denver Model with preschool children with autism spectrum disorder. Both interventions have been shown to be effective at improving social, emotional and communication skills in young autistic children, and share some use of music and some focus on developmental goals. My findings were generated from Secondary Analysis of Data using my qualitative clinical notes and reflective thoughts from a music therapy setting and an Early Start Denver Model setting. I focused on my use of music in sessions at each setting and found three main themes in the data – building a therapeutic relationship; singing to engage, with primary and secondary focus on the music; and moment of discomfort. A large proportion of my data related to using music to build a positive therapeutic relationship with the child, which is necessary to achieve both the wider goals typical of a music therapy setting and the more specific goals of the Early Start Denver Model setting. My data also showed that the humanistic approach of music therapy and the behavioural approach of the Early Start Denver model created tension in my practice in both settings. My research concluded that there are parallels and synergies which could positively inform each intervention but there may be too many divergences to create one cohesive therapy, due to their differences in approach.</p>


Autism ◽  
2020 ◽  
Vol 24 (8) ◽  
pp. 2081-2093 ◽  
Author(s):  
Yana Sinai-Gavrilov ◽  
Tali Gev ◽  
Irit Mor-Snir ◽  
Giacomo Vivanti ◽  
Ofer Golan

Early intensive intervention has been shown to significantly affect the development of children with autism spectrum disorder. However, the costly implementation of such interventions limits their wide dissemination in the community. This study examined an integration of the Early Start Denver Model into community preschool programs for children with autism spectrum disorder in Israel. Four community preschools implemented the preschool-based Early Start Denver Model and four implemented a multidisciplinary developmental intervention which is widely applied in Israeli community autism spectrum disorder preschools. Fifty-one children (aged 33–57 months) participated in the study. Twenty-six attended the preschool-based Early Start Denver Model preschools and twenty-five attended the multidisciplinary developmental intervention settings. Groups were comparable on age, developmental functioning, and socio-economic status. Compared to the multidisciplinary developmental intervention group, children in the preschool-based Early Start Denver Model treatment made greater gains on blinded measures of overall cognitive development, receptive and expressive language skills, as well as on parent- and teacher-reported adaptive communication and socialization abilities. In the preschool-based Early Start Denver Model group, children with lower symptom severity, higher adaptive functioning, and receptive language abilities at pre-treatment showed greater improvement. This study documents the successful integration of an Early Start Denver Model intervention into pre-existing community preschools, underlining the importance of disseminating evidence-based early intervention in community settings. Lay Abstract Early intensive intervention has been shown to significantly affect the development of children with Autism. However, the costly implementation of such interventions limits their wide dissemination in the community. This study examined an integration of a research-supported early intensive intervention model called the Early Start Denver Model into community preschool programs for children with Autism in Israel. Four community preschools implemented the preschool-based Early Start Denver Model and four implemented the existing multidisciplinary developmental intervention which is widely applied in Israeli community preschools for children with autism. Fifty-one children (aged 33–57 months) participated in the study. Twenty-six attended the preschool-based Early Start Denver Model preschools and twenty-five attended the multidisciplinary developmental intervention preschools. Before the intervention began, groups were comparable on children’s age and developmental functioning and on families’ socio-economic status. Results showed that, compared to the multidisciplinary developmental intervention group, children in the preschool-based Early Start Denver Model treatment group made greater gains on measures of overall cognitive development, language skills, as well as on parent- and teacher-reported adaptive communication and socialization abilities. Children who had lower autism symptom severity, higher adaptive functioning and better language understanding abilities before taking part in the preschool-based Early Start Denver Model program showed greater improvements following it. This study documents the successful implementation of an intensive early intervention program in pre-existing community preschools, underlining the importance of the integration of research-supported intervention programs into community settings.


Autism ◽  
2020 ◽  
Vol 24 (5) ◽  
pp. 1300-1306
Author(s):  
Tzu-Ling Lin ◽  
Chung-Hsin Chiang ◽  
Suk Yin Ho ◽  
Hsin-Chi Wu ◽  
Ching-Ching Wong

The Early Start Denver Model is an evidence-based, comprehensive naturalistic developmental behavioral intervention. Randomized controlled studies indicate that long-term, high-intensity Early Start Denver Model in home-based settings can positively impact the clinical outcomes of young children with autism spectrum disorder. However, it is difficult to deliver high-intensity early intervention in an under-resourced country such as Taiwan. This study evaluated the effects of implementing the Early Start Denver Model with adaptations (including low intensity, shorter duration, and delivery in general hospitals by multidisciplinary professionals) within the Taiwanese public health system. A pre- and post-intervention study was conducted. Sixteen children with autism spectrum disorder (mean age of 33.5 months) received 6 months of one-on-one Early Start Denver Model intervention (approximately 8 h per week). The children showed significant post-intervention improvements in language and overall cognitive functioning and reduced symptom severity in communication and play. This study suggests that delivering the Early Start Denver Model in community-based hospitals may be an effective intervention, with a wider reach, for young children with autism spectrum disorder in Taiwan. The next steps in Taiwan are to incorporate a control group and assess the long-term effects of the adapted Taiwanese Early Start Denver Model program. Lay Abstract The Early Start Denver Model is a comprehensive naturalistic developmental behavioral intervention for young children with autism spectrum disorder. Rigorous studies indicate that long-term, high-intensity Early Start Denver Model in home-based settings can help young children with autism spectrum disorder have great progress in language, cognitive development, and adaptive skills and reduce overall symptom severity. In accordance with the current limitations in resourcing for early intervention in Taiwan, this study evaluated the effects of implementing the Early Start Denver Model in the Taiwanese public health system with some adaptations, including lower intensity, shorter duration, and delivery in general hospitals. A total of 16 children with autism spectrum disorder, aged between 25 and 46 months, received approximately 8 h per week one-on-one Early Start Denver Model intervention. After 6 months of intervention, the children showed great improvements in language and overall cognitive functioning and reduced symptom severity in communication and play. This study suggests that directly delivering the Early Start Denver Model in community-based hospitals may be an effective intervention, which can make more young children with autism spectrum disorder in Taiwan access the Early Start Denver Model service.


2020 ◽  
Vol 10 (6) ◽  
pp. 368 ◽  
Author(s):  
Elizabeth A. Fuller ◽  
Kelsey Oliver ◽  
Sarah F. Vejnoska ◽  
Sally J. Rogers

This meta-analysis examined the effects of the Early Start Denver Model (ESDM) for young children with autism on developmental outcome measures. The 12 included studies reported results from 640 children with autism across 44 unique effect sizes. The aggregated effect size, calculated using a robust variance estimation meta-analysis, was 0.357 (p = 0.024), which is a moderate effect size with a statistically significant overall weighted averaged that favored participants who received the ESDM compared to children in control groups, with moderate heterogeneity across studies. This result was largely driven by improvements in cognition (g = 0.412) and language (g = 0.408). There were no significant effects observed for measures of autism symptomology, adaptive behavior, social communication, or restrictive and repetitive behaviors.


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