Early Intensive Behavioral Intervention (EIBI) refers to the implementation of the principles of intensive Applied Behavior Analysis for the purpose of skill acquisition and behavior reduction.  EIBI is a type of ABA focused on young children, typically under the age of 5.

At SBSLG we use the term EIBI in conjunction with the term ‘The Littles’, which we have come to use to refer to our youngest learners who join SBSLG before the age of 4.

We use a combined approach of traditional EIBI, Pivotal Response Training (PRT) and the Early Start Denver Model depending on the individual needs of the child.  EIBI focuses on teaching language, communication, play and other functional skills.  Early goals tend to focus on attention, imitation, direction following and early play skills.   The main goals of treatment are to facilitate development of the children’s communication, play and other functional skills.

Early Intensive Behavioral goals tend to focus on the following:

  • attending skills
  • imitation skills
  • receptive and language skills
  • pre-academic skills
  • Self-help skills

Pivotal Response Training

Pivotal Response Training is a behavioral treatment for autism based on the principles of ABA.  PRT is play-based and child initiated.

The goals of this approach include:

  • Development of communication and language skills
  • Increasing positive social behaviors
  • Relief from disruptive self-stimulatory behaviors

The PRT therapy targets “pivotal” areas of a child’s development instead of working on one specific behavior.

Specific goals of PRT include the following pivotal areas:

  • Motivation
  • Response to multiple cues
  • Self-management
  • Initiation of social interactions

Motivation strategies are an important part of the PRT approach and emphasize the use of natural reinforcement.

Early Start Denver Model

ESDM is an intensive and evidence-based behavior therapy for children with Autism Spectrum Disorder (ASD).  It is based on Applied Behavior Analysis (ABA).  This program uses play to build positive and connected relationships.  Language, social skills and cognitive development are grown through joint activities and fun.  Active parent involvement is essential for the success of ESDM.  Research has shown that children exposed to ESDM show significant improvements in IQ, adaptive behavior and a decrease in autism symptoms.

SBSLG Team Members:

The Clinical Supervisor or Psychologist is responsible for completing the ‘Littles’ assessment package and writing the individual program plan for each child. The Clinical Supervisor/Psychologist observes and gives feedback and suggestions to the Behavior Therapists on an on-going basis.

  • Parent(s)
  • Child
  • Behavior Therapist
  • Clinical Supervisor/BCBA
  • Resource Consultant/RECE,RC
  • Psychologist/Board Certified Behavior Analyst-Doctoral

Who is this program for:

  • Children birth to 4 years of age
  • Children showing signs of a social communication challenge, an Autism Spectrum Disorder or who have a formal diagnosis of ASD
  • In-centre services are offered for families
  • Consultative support is available for a family in Peel, Halton, Muskoka and Simcoe County

Service includes:

  • Individual curriculum assessment
  • Individual Program Plan
  • Individual ESDM sessions in centre
  • In-home or centre-based parent ESDM sessions

Base Package:

All packages include an Individual Program Plan based on a Behavioral Assessemnt

Location Cost per hour
Centre (1-1) 60
At Home 90      (travel cost included)
Clinical Supervisor

Psychologist

150     (add 40 for travel time)

225     (add 40 for travel time)

  • Centre 1-1 child hours (2 hours per week for 6 months – 48 sessions)
  • Parent sessions (1 hour per week for 6 months – 24 sessions)

Individualize your package:

  • add 1-hour blocks of service ($60.00 per hour)

Resources:

The PRT Pocket Guide: Pivotal Response Treatment for Autism Spectrum Disorders, by Koegel & Koegel

An Early Start for Your Child with Autism by Sally Rogers, Geraldine Dawson, Laurie Vismara

Early Start Denver Model for Young Children with Autism, by Sally Rogers, Geraldine Dawson

Research:

Reducing maladaptive behaviors in preschool-aged children with autism spectrum disorder using the Early Start Denver Model

https://www.frontiersin.org/articles/10.3389/fped.2014.00040/full

Autism early intervention found to normalize brain activity in children as young as 18 months

https://www.sciencedaily.com/releases/2012/10/121026125021.htm