Research library/Developmental & Relationship-Based

Category 2 of 12:

Developmental & Relationship-Based

Play-led approaches that build connection and communication before — or alongside — formal skill-teaching.

6 therapies · 2 groups · 1 review published

How we grade the evidence:

Strongmultiple trials or reviews, consistent resultsModerategood evidence, generally acceptedEmergingpromising, still earlyLimitedwell-studied and not shown to help, or too little study to knowControversialsignificant debate among researchers, use cautionHarmfuldocumented risk of harm — not recommended

Play-Based Approaches

Following your child's lead in play to build emotional and social foundations.

Moderate evidence

DIR / Floortime

Child-led play interactions designed to build emotional and relational foundations.

Toddlers – school ageComing soon
Strong evidence

JASPER (Joint Attention, Symbolic Play, Engagement & Regulation)

Naturalistic intervention targeting joint attention and symbolic play.

Toddlers – school ageComing soon
Moderate evidence

Integrated Play Groups (IPG)

Supported play groups pairing autistic and neurotypical peers with guided facilitation.

School ageComing soon

Social-Developmental Models

Combining behavioral science with relationship-building for the earliest years.

Moderate evidence

Early Start Denver Model (ESDM)

A landmark early trial found large gains; a bigger, more rigorous trial found more modest ones — real but attenuated benefit for early cognition and language, less so for core autism traits.

12–48 monthsRead review →
Emerging evidence

Relationship Development Intervention (RDI)

Parent-guided program targeting dynamic intelligence and social referencing.

All agesComing soon
Moderate evidence

Social ABCs

Coaching parents to use responsive strategies to build social communication.

ToddlersComing soon