Essential Questions to Consider When Selecting Your ESDM Provider

Selecting the right Early Start Denver Model (ESDM) provider is essential for your child’s development. ESDM is an evidence-based, naturalistic early intervention approach for autistic children. Engaging a provider whose values and methods align with your family’s needs can lead to meaningful progress. To support your decision-making, we’ve compiled key questions to ask prospective ESDM providers, helping ensure you’re fully informed.

Understanding Qualifications and Experience

Start by reviewing the provider’s qualifications and professional experience. A well-trained and experienced practitioner is key to effective ESDM delivery.

What qualifications and certifications do you hold?

Ensure the provider has appropriate ESDM certification. This typically includes a bachelor's degree in fields such as psychology, special education, speech pathology or related fields. Certified ESDM practitioners must complete formal training to effectively implement autism-specific interventions.

How many years’ experience do you have delivering ESDM?

Seek out a provider with substantial hands-on experience using ESDM. For example, a practitioner with over five years’ experience may offer deeper insights into challenges and tailored strategies. This background provides reassurance that they can effectively support your child’s development.

Program Structure and Individual Approach

Understanding the format of the ESDM program is important in assessing whether it suits your child’s needs and routine.

What does your ESDM program look like?

Ask about the length and frequency of sessions, and whether therapy is offered at home or in a clinic setting. For example, some providers may offer one-hour sessions three times a week, while others may prefer shorter, more frequent sessions. This will help you gauge the level of commitment required.

How do you personalise the ESDM approach for each child?

Effective ESDM providers adapt therapy to suit individual needs. They should describe how they assess a child’s strengths and areas of difficulty—potentially using tools like the Autism Diagnostic Observation Schedule (ADOS)—to tailor goals and strategies. Research shows that individualised interventions can boost developmental outcomes by up to 30%.

Monitoring Progress and Communication

Clear and consistent communication between families and providers is critical to ensure steady progress.

How do you monitor a child’s progress with ESDM?

Ask about the tools and systems used to track development. Some services may conduct formal assessments every three months to evaluate growth and adjust goals accordingly. This keeps you actively involved in the therapeutic journey.

How often will you update us on our child’s progress?

Frequent updates empower parents. Aim for providers that you feel comfortable with their communication frequency.

Parent Involvement and Support

Your involvement as a parent plays a central role in the success of ESDM.

How do you include parents in the therapy process?

Seek services that actively involve families—whether through regular coaching sessions, home strategies, or practical handouts. For instance, you may be encouraged to practise daily routines that promote communication or social skills between formal therapy sessions.

Do you offer parent training or support groups?

Peer support can be incredibly valuable. Ask if the provider hosts parent groups or training workshops. Monthly gatherings can offer a space to share strategies and foster connection with families on a similar journey.

Costs and Funding

Understanding financial commitments helps you plan ahead and explore available funding options.

What are the fees for your ESDM services?

Request a detailed cost breakdown, including fees for assessments, resources, and session delivery. Some providers charge per session, while others include package pricing. Transparency helps avoid surprises.

Can you support us with NDIS claims or private health rebates?

If you’re using NDIS funding or private health cover, confirm if the provider can assist with the claim process. A knowledgeable provider will offer invoices and supporting documents to simplify reimbursement. Around 60% of families experience challenges with funding, so support in this area can make a significant difference.

Location and Accessibility

Convenience and access are key factors in maintaining consistency in therapy.

Where are your ESDM sessions delivered?

Consider the travel involved—many families find that choosing a provider within 15 kilometres improves attendance and reduces stress.

Do you offer telehealth services?

Ask whether the provider delivers remote or hybrid sessions. This flexibility can be beneficial if you live regionally or face travel constraints. Around 30% of families report that teletherapy supports better access and consistency.

Feedback and Outcomes

Understanding others' experiences can help guide your decision.

Can you share feedback or testimonials from other families?

Hearing from others can provide a clearer picture of what to expect. Look for stories that reflect improvements in communication, daily living skills or social engagement.

What outcomes have other families seen?

Ask for general information about children’s progress under their care. For example, a provider may share that families often observe a 40% increase in social interaction within six months of consistent ESDM therapy.

Making a Confident Decision

Choosing an ESDM provider is a significant step in your child’s journey. Asking these questions helps you gain a well-rounded understanding of the provider’s qualifications, program approach, and support for families.

As you explore your options, trust your instincts. Prioritise what aligns with your child’s needs and your family’s values. While the journey can have its ups and downs, the right provider can be a powerful ally in supporting your child’s growth and potential.