Practitioner Development

Can the Early Start Denver Model Be Considered ABA Practice?

Vivanti et al. (2021) · Behavior Analysis in Practice 2021
★ The Verdict

ESDM clears the seven-dimensional ABA bar, so you can bill it, defend it, and teach it without ethical sweat.

✓ Read this if BCBAs who run early-intervention clinics or consult to multidisciplinary autism teams.
✗ Skip if Practitioners who only do adult services or pure DTT programs.

01Research in Context

01

What this study did

Vivanti and colleagues asked a simple question. Does the Early Start Denver Model count as real ABA?

They lined up ESDM against Baer, Wolf & Risley's seven classic dimensions. Applied, behavioral, analytic, technological, conceptually systematic, effective, and generality.

The paper is pure theory. No kids, no trials, just a checklist argument.

02

What they found

Every box was ticked. ESDM targets socially important skills, measures behavior, uses single-case designs, writes clear protocols, ties to behavioral principles, shows meaningful change, and promotes generalization.

The authors conclude BCBAs can call ESDM 'ABA' when talking to funders or licensure boards.

03

How this fits with other research

Powell et al. (2020) did the same mapping trick. They showed quality-improvement tools like PDSA cycles also satisfy the seven dimensions. Together the two papers give BCBAs a menu of non-traditional practices that still count as ABA.

Sherman et al. (2021) took the opposite road. They ran an experiment proving BST can make Direct Instruction work for autistic students. Vivanti offers theory, Sherman offers data; both legitimize autism interventions that sit outside the usual DTT playbook.

Johnson et al. (1994) started the trend decades earlier. They mapped Deming's Plan-Do-Check-Act cycle onto behavioral consultation, showing this 'is-it-ABA?' debate is old wine in a new bottle.

04

Why it matters

If you supervise an ESDM classroom, you can now sign the treatment plan without apology. When the insurance reviewer asks 'Is this ABA?' you have a peer-reviewed paper that says yes. Keep a copy of Vivanti et al. (2021) in your files next time you submit authorizations.

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Print the seven-dimension table from the paper and stick it on your office wall. Use it to show parents and payers why your ESDM program is real ABA.

02At a glance

Intervention
not applicable
Design
theoretical
Population
autism spectrum disorder
Finding
not reported

03Original abstract

The Early Start Denver Model (ESDM) is an evidence-based early intervention approach for young children with autism spectrum disorder. Although the ESDM is described by its authors as being rooted in applied behavior analysis (ABA), some states, agencies, and scholars consider the ESDM to qualify as ABA practice, whereas others do not. The purpose of this article is to examine the status of the ESDM in relation to the 7 dimensions established by Baer, Wolf, and Risley (“Some Current Dimensions of Applied Behavior Analysis,” Journal of Applied Behavior Analysis, 1(1): 91–97, 1968) to define applied behavior-analytic research and intervention, as well as to discuss implications for the field.

Behavior Analysis in Practice, 2021 · doi:10.1007/s40617-020-00474-3