| Foreword | 5 |
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| Acknowledgments | 7 |
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| Contents | 8 |
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| Authors and Contributors | 13 |
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| 1 Early Learning in Autism | 15 |
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| Early Development and Learning | 15 |
| Learning from Peers | 17 |
| Brain and Cognitive Foundations of Early Learning | 18 |
| Summary of Early Learning in Typical Development | 20 |
| Learning in Autism Spectrum Disorder | 20 |
| What Causes Autism? | 21 |
| How Does Autism Disrupt Learning? | 22 |
| Autism and Learning: What Is the Role for Education? | 24 |
| Conclusions | 24 |
| References | 25 |
| 2 The Group-Based Early Start Denver Model: Origins, Principles, and Strategies | 27 |
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| Why Treat Autism? | 28 |
| Why Early and Intensive Treatment? | 29 |
| Why the Early Start Denver Model? | 30 |
| Principles of the ESDM | 30 |
| Developmental Sequences | 31 |
| Joint Activity Routines | 32 |
| Use of Child-Preferred Activities for Meaning, Motivation, and Reward | 33 |
| Embedded Learning Within Joint Activity Routines | 35 |
| From ESDM to G-ESDM | 37 |
| Potential Concerns About Group Interventions for Autism | 38 |
| Individualization Is not Incompatible with Group Implementation | 39 |
| The Group Delivery of the ESDM Is not a Diluted Version of the 1:1 Delivery | 39 |
| Receiving Therapy in a Group Setting Is not Incompatible with Mainstream Inclusion | 40 |
| Children with Autism Do not Copy Each Other’s Maladaptive Behaviors in Group Settings | 40 |
| Delivering Therapy in a Group Setting Does not Mean that the Caregivers Are not Involved | 41 |
| Conclusions | 41 |
| References | 42 |
| 3 Creating Treatment Objectives in the G-ESDM | 45 |
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| Individual Learning Objectives in G-ESDM | 45 |
| Constructing Learning Objectives | 47 |
| Identifying the Criterion that Defines Mastery of the Objective and Steps | 49 |
| Environmental Considerations—Not All Settings Provide the Same Opportunities to Target Individual Goals | 51 |
| What Gets Measured Get Improved: Collecting Data in the G-ESDM | 52 |
| When to Take Data | 52 |
| How to Take Data | 53 |
| Data at the End of the Day | 53 |
| Data Tracking in G-ESDM—Some Practical Considerations | 54 |
| Conclusions | 55 |
| References | 56 |
| 4 Setting up the G-ESDM Team and Learning Environment | 57 |
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| Designing the G-ESDM Team | 57 |
| Transdisciplinary Team Approach | 58 |
| Transdisciplinary Practice in Action—Going Beyond the ‘Specialist Role’ | 59 |
| Designing the G-ESDM Classroom | 60 |
| Organizing Physical Spaces Around Clear Purposes and Motivation | 62 |
| Decreasing the Competition for Attention | 63 |
| The Different Learning Areas in the G-ESDM Playroom | 63 |
| Play-Activity Centers | 64 |
| Small Circle and Large Group Areas | 66 |
| Other Areas | 68 |
| Transitions Between Areas | 69 |
| Questions that Can Help Arranging the Physical Space | 70 |
| Conclusions | 70 |
| References | 71 |
| 5 Development of the G-ESDM Classroom Curriculum | 72 |
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| Curricular Activities in the G-ESDM—Incorporating Individual Child Objectives Within Group Routines | 72 |
| Embedding Direct Teaching for Children with Autism Within Daily Routines | 74 |
| How to Make This Happen: Team Cooperation and Daily ‘Symphony’ | 77 |
| Supporting Transitions | 78 |
| Roles and Responsibilities in the G-ESDM | 79 |
| Lead | 79 |
| Invisible Support | 79 |
| Float | 80 |
| Is the Intervention Being Delivered as Planned? Fidelity Measures Within the G-ESDM | 80 |
| G-ESDM Classroom Implementation Fidelity Tool | 81 |
| G-ESDM Small Group Activity Fidelity Tool | 81 |
| G-ESDM Management and Team Approach Fidelity Tool | 82 |
| Conclusions | 82 |
| References | 83 |
| 6 G-ESDM Treatment Strategies | 84 |
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| The Context for Intervention | 84 |
| Intervention Strategies Used in the G-ESDM | 85 |
| Management of Children’s Attention | 85 |
| Quality of Behavioral Teaching | 86 |
| Instructional Techniques Application | 87 |
| Managing Children’s Affect and Arousal | 89 |
| Management of Challenging Behavior | 90 |
| Peer Interaction | 91 |
| Children’s Motivation Optimized | 91 |
| Adult Use of Positive Affect | 93 |
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