EARLY CHILDHOOD / EARLY INTERVENTION
Effective Early Intervention
The Developmental Systems Approach 
By Michael J. Guralnick, Ph.D.
fter decades of rapid evolution and groundbreaking research, the field of early intervention 
can be understood within a common framework: the Developmental Systems Approach (DSA). 
ACreated by a highly influential leader in the field, Dr. Michael Guralnick, this evidence-based, 
relationship-oriented, family-centered framework focuses on strengthening the quality of key family 
patterns of interaction that influence a child’s development. 
In this important text, Dr. Guralnick organizes and analyzes the most current research in early 
intervention through the lens of the DSA. Starting with a clear explanation of the foundations of early 
intervention, the book then applies the DSA to four vulnerable populations: Children at risk due to 
biological factors, specifically preterm birth; children at environmental risk; children with developmental 
delays; and children with autism spectrum disorder. Readers will
• Understand the developmental science that applies to all children 
• Learn how child development is influenced by three family patterns of interaction—parent-child 
transactions, family-orchestrated child experiences, and parent support for child health and safety
• Explore the influence of family resources as well as child-specific risk and protective factors on a 
child’s development in the context of early intervention
• Discover what early interventions are effective, as supported by intervention science 
• Learn the fundamentals of applying the DSA framework to designing inclusive community-based

Michael J. Guralnick

---

Job Name:**--/416263t**

### FOR MORE, go to [http://bit.ly/EffectiveEI](http://bit.ly/EffectiveEI)

# Effective Early Intervention

## The Developmental Systems Approach

by **Michael J. Guralnick, Ph.D.** University of Washington Seattle, Washington

Baltimore • London • Sydney

Excerpted from Effective Early Intervention: The Developmental Systems Approach By Michael J. Guralnick, Ph.D.

In order to view this proof accurately, the Overprint Preview Option must be set to Always in Acrobat Professional or Adobe Reader. Please contact your Customer Service Representative if you have questions about finding this option.

---

Job Name:**--/416263t**

# FOR MORE, go to [http://bit.ly/EffectiveEI](http://bit.ly/EffectiveEI)

**Paul H. Brookes Publishing Co.** Post Office Box 10624 Baltimore, Maryland 21285-0624 USA www.brookespublishing.com

Copyright © 2019 by Paul H. Brookes Publishing Co., Inc. All rights reserved.

“Paul H. Brookes Publishing Co.” is a registered trademark of Paul H. Brookes Publishing Co., Inc.

Typeset by BMWW, Windsor Mill, Maryland. Manufactured in the United States of America by Sheridan Books, Inc., Chelsea, Michigan.

DISCLAIMER All examples in this book are composites. Any similarity to actual individuals or circumstances is coincidental, and no implications should be inferred.

**Library of Congress Cataloging-in-Publication Data**

Names: Guralnick, Michael J., author. Title: Effective early intervention: the developmental systems approach / by Michael J. Guralnick, Ph.D., University of Washington, Seattle, Washington. Description: Baltimore : Paul H. Brookes Publishing, Co., [2019] | Includes bibliographical references and index. Identifiers: LCCN 2018023332 (print) | LCCN 2018040659 (ebook) | ISBN 9781681252896 (epub) | ISBN 9781681252902 (pdf) | ISBN 9781681252889 (pbk.) Subjects: LCSH: Child development. | Families. Classification: LCC HQ772 (ebook) | LCC HQ772 .G865 2019 (print) | DDC 305.231--dc23 LC record available at [https://lccn.loc.gov/2018023332](https://lccn.loc.gov/2018023332)

British Library Cataloguing in Publication data are available from the British Library.

2020 2021 2020 2019 2018

10 9 8 7 6 5 4 3 2 1

Excerpted from Effective Early Intervention: The Developmental Systems Approach By Michael J. Guralnick, Ph.D.

---

Job Name:**--/416263t**

## FOR MORE, go to [http://bit.ly/EffectiveEI](http://bit.ly/EffectiveEI)

# Contents

About the Author ... vii
Preface ... ix
Acknowledgments ... xi

### Section I Introduction and Overview

Chapter 1 Foundations of Early Intervention ... 3
Chapter 2 Environmental Influences on Development:
Family Patterns of Interaction and Family Resources ... 23
Chapter 3 Early Intervention in the Context of the Developmental
Systems Approach ... 49

### Section II Children at Biological Risk: Preterm Birth

Chapter 4 Preterm Birth: Developmental Science ... 65
Chapter 5 Preterm Birth: Intervention Science and Community
Systems ... 85

### Section III Children at Environmental Risk

Chapter 6 Environmental Risk: Developmental Science ... 125
Chapter 7 Environmental Risk: Intervention Science and
Community Systems ... 147

### Section IV Children With Developmental Delays

Chapter 8 Developmental Delay: Developmental Science ... 197
Chapter 9 Developmental Delay: Intervention Science and
Community Systems ... 225

### Section V Children With Autism Spectrum Disorder

Chapter 10 Autism Spectrum Disorder: Developmental Science ... 247
Chapter 11 Autism Spectrum Disorder: Intervention Science and
Community Systems ... 293

v

Excerpted from Effective Early Intervention: The Developmental Systems Approach By Michael J. Guralnick, Ph.D.

---

Job Name:**--/416263t**

# FOR MORE, go to [http://bit.ly/EffectiveEI](http://bit.ly/EffectiveEI)

vi Contents

## Section VI Applying the Developmental Systems Approach to

## Community Programs

Chapter 12 Advancing the System of Early Intervention ... 337

Author Index ... 349
Subject Index ... 361

Excerpted from Effective Early Intervention: The Developmental Systems Approach By Michael J. Guralnick, Ph.D.

---

About the Author

Michael J. Guralnick, Ph.D., University of Washington, Seattle

Michael J. Guralnick, Ph.D., University 
of Washington, Seattle 
Michael J. Guralnick, Ph.D., is Director of 
the Center on Human Development and 
Disability (CHDD) and Professor of Psychology and Pediatrics at the University of 
Washington. Comprised of both a University Center for Excellence in Developmental 
Disabilities and a Eunice Kennedy Shriver 
Intellectual and Developmental Disabilities 
Research Center, the CHDD is one of the 
largest interdisciplinary research and training centers in the United States addressing 
issues directly related to developmental disabilities. More than 600 faculty, staff, and 
doctoral and postdoctoral students operate within the four CHDD buildings on the 
campus of the University of Washington and 
in other university and community sites to 
conduct basic and translational research, 
to provide clinical services to individuals 
and their families, to provide interdisciplinary clinical and research training, and to 
provide technical assistance and outreach

Michael J. Guralnick, Ph.D., University childhood inclusion. He has published more 
than 150 articles and book chapters (including eight edited volumes), and his publica-
Michael J. Guralnick, Ph.D., is Director of tions have appeared in a diverse group of 
the Center on Human Development and well-respected journals spanning a range 
Disability (CHDD) and Professor of Psy-of disciplines. Major research has included 
chology and Pediatrics at the University of a randomized clinical trial to determine 
Washington. Comprised of both a Univer-the effectiveness of a comprehensive early 
sity Center for Excellence in Developmental intervention program in promoting the 
Disabilities and a Eunice Kennedy Shriver peer-related social competence of young 
Intellectual and Developmental Disabilities children with developmental delays and a 
Research Center, the CHDD is one of the multi-context investigation of the factors 
largest interdisciplinary research and train-influencing the peer interactions and peer 
ing centers in the United States addressing social networks of children with Down synissues directly related to developmental dis-drome. Current projects focus on the peer 
abilities. More than 600 faculty, staff, and relationships of children with autism, the 
doctoral and postdoctoral students oper-further development and application of the 
ate within the four CHDD buildings on the Developmental Systems Approach to early 
campus of the University of Washington and intervention, and international activities

---

Job Name:**--/416263t**

# FOR MORE, go to [http://bit.ly/EffectiveEI](http://bit.ly/EffectiveEI)

viii About	the	Author

Childhood, and the Academy on Intellec-Directors. He served as editor of the jour- tual and Developmental Disabilities, and nal Infants and Young Children from 2003 a former Chair of the Intellectual and De -to 2009 and is the founder and Chair of the velopmental Disabilities Research Center International Society on Early Intervention.

Excerpted from Effective Early Intervention: The Developmental Systems Approach By Michael J. Guralnick, Ph.D.

---

Job Name:**--/416263t**

## FOR MORE, go to [http://bit.ly/EffectiveEI](http://bit.ly/EffectiveEI)

# Preface

Systems of services and supports for young has also created challenges for communi- vulnerable children and their families are ties to design and implement conceptually now fundamental features of numerous sound and highly effective intervention and diverse communities throughout the programs. world. Indeed, decades of research, pro-A central thesis of this book is that the gram development, professional training, field has now reached a stage in its develop- legislation, and policy initiatives have con-ment in which systems of early intervention tributed to establishing community-based can be understood within a common frame- systems of early intervention with the work. As described throughout this volume, expectation that both children and families the common framework proposed is the will benefit sub stantially. While there are Developmental Systems Approach (DSA) limits with respect to what can be accom-and is based on an integration of develop- plished today, our field of early intervention mental science, our knowledge of risk and continues to explore new approaches and disability, intervention science, and com- strategies that, if effective, can be incorpo-munity practices. With a focus on the for- rated into current systems of services and mation of relationships, the DSA is a family- supports. centered framework designed to enhance Any observer of the rapid evolution of the quality of the key family patterns of the field of early intervention over the past interaction that influence children’s devel- few decades can only be impressed by both opment. This volume suggests that such a the passionate commitment to young chil-framework can guide the establishment, dren and their families and the correspond-refinement, and future directions of com- ing evidence-based development of creative prehensive and inclusive community-based approaches to promote the well-being of early intervention systems. those children and families. The extraor-The context of this overarching frame- dinary diversity of children who are vul-work ensures a respect for children’s dif- nerable to developmental problems has led ferent learning styles and consideration to an equally extraordinary array of con-of both their strengths and constraints. ceptual models, curricula, instructional Through the early intervention problem- approaches, and intervention strategies solving process, the intent of the DSA is that communities can draw upon to orga-to provide children with tools to exercise nize early intervention systems. However, their rights to pursue their own goals and this very level of diversity and complexity to do so with necessary supports. A similar

ix

Excerpted from Effective Early Intervention: The Developmental Systems Approach By Michael J. Guralnick, Ph.D.

---

Job Name:**--/416263t**

# FOR MORE, go to [http://bit.ly/EffectiveEI](http://bit.ly/EffectiveEI)

x Preface

respect for family diversity, including their and children with an autism spectrum disor- goals and their priorities, is integral to the der diagnosis. For each of these groups, sug- many components of the DSA’s level of fam-gestions are presented with respect to how ily resources. those communities that find the approach The introductory chapters in the first and evidence sufficiently compelling can section of this volume provide an overview adopt the DSA framework and put it into of the DSA, emphasizing both its systems practice. nature and relevance to all children. High-The potential of our field to advance lighted is the complexity of the known and further within the context of the DSA potential interactions occurring among framework is considered in the final chap- the various components of the DSA at the ter. A long-term vision is presented, recog- level of the child, the level of family pat-nizing the potential to do far better when terns of interaction, and the level of family problem solving and innovation are car- resources. In the next four sections, evi-ried out within a well-established develop- dence is examined with respect to both the mental framework. This is especially the developmental mechanisms governing child case when connected with supportive and development suggested within the DSA and creative policy initiatives. From a practice the corresponding intervention science for perspective, this volume presents a con- four highly prevalent vulnerable groups. temporary developmental approach and a The groups included are children at risk due corresponding organizational framework to biological factors, specifically preterm capable of enhancing comprehensive and birth; children at risk due to environmental inclusive community-based systems of early factors; children with developmental delays; intervention.

Excerpted from Effective Early Intervention: The Developmental Systems Approach By Michael J. Guralnick, Ph.D.

---

Job Name:**--/416263t**

#### FOR MORE, go to [http://bit.ly/EffectiveEI](http://bit.ly/EffectiveEI)

### Foundations of Early Intervention

hildren become members of a family involving immediate and extended family and a community long before they members, but also those involving individ-

# Care born. Visions of new dimensions uals in the neighborhood and workplace.

of family life, enhanced personal relation-To be sure, instances of children’s illness, ships, and expanded community connec-unpredictable behavior, or unevenness in tions merge with visions of the child as a development create palpable tension for developing individual. As time goes by, these caregivers. Fortunately, these very real visions are somehow transformed into real-concerns about their child often dissipate ity, not quite like the ones that were antici-with an increased understanding of their pated, but often similar enough nevertheless. child’s behavior, the truly transient nature Especially during the first few years of life, of many problems, and the continuing evidence for a child’s rapid growth and de -achievement of expected developmental velopment is abundant, as is the emergence milestones. Even when parents themselves of the child’s unique style of engaging the face very difficult personal circumstances, world. These developments take seemingly the vast majority find ways to adapt and to self-directed paths and are driven by forces create an optimal developmental environ- not entirely clear to even the most vigilant ment for their child, in the hope of realizing and perceptive of parents. Also emerging their original visions. during this early period is a special sense Yet, the situation is dramatically differ- of enjoyment and satisfaction as the child ent when concerns regarding a child’s devel- bonds with family members and becomes opment persist or when unusual vulnera- integrated into more stable family routines. bility is apparent. In some instances, the Of course, even in the best of situations, increased likelihood that children will be numerous problems arise. Disruptions to facing developmental difficulties is evident family routines created by unexpected child immediately after birth—as occurs in the needs easily occur, and new resources, case of genetic syndromes that are easily often drawing heavily on a family’s social recognizable, when a child is born extremely network, are required to assist with parent-preterm, or when other biological factors ing tasks that are ever increasing in mag-exist that substantially increase a child’s nitude and complexity. Relationships at all vulnerability. For others, at various points levels are affected, including not only those in time, trauma, infectious disease, or other 3

Excerpted from Effective Early Intervention: The Developmental Systems Approach By Michael J. Guralnick, Ph.D.

---

FOR MORE, go to http://bit.ly/EffectiveEI

Guralnick

FOR MORE, go to http://bit.ly/EffectiveEI
4 
health-related problems, such as seizures, 
may signal potential long-term developmental difficulties. In most instances, however, 
problems gradually emerge over the early 
childhood period as parents and others

problems gradually emerge over the early 
childhood period as parents and others 
become aware of the child’s unusual developmental and behavioral patterns. 
In all of these circumstances, when 
some threshold level of concern about 
a child’s development is reached, a process is initiated whereby professionals 
become involved and conduct assessments 
of the child’s cognitive, language, motor, 
social-emotional, and sensory-perceptual 
development. Such professionals also gather 
related information from health records and 
family histories and conduct additional follow-up, including medical and more in-depth 
developmental testing to complete this initial process. As a result of this diagnostic/
assessment process, categorical diagnoses 
(e.g., developmental delay, autism spectrum 
disorder [ASD], deafness, specific language 
impairment) may be assigned to the child. 
Etiologic information, especially following genetic testing that indicates the likely 
underlying cause of the developmental problems, may also become available. Given the 
often-changing nature and course of initial concerns, other diagnostic categories 
may be considered over time with varying 
degrees of certainty. Some children may not 
receive a specific diagnosis at all but are fol-

degrees of certainty. Some children may not 
receive a specific diagnosis at all but are followed closely by professionals who consider 
them to be at high risk for future difficulties. 
Of course, even when a specific diagnostic category and etiology are established with confidence, they do not capture 
the remarkable diversity and complexity of 
an individual child’s behavior, nor do they 
define a rigid developmental trajectory. Yet 
whether a diagnostic category is applied 
with confidence at a particular point in time 
or whether the specific etiology of the child’s 
apparent developmental problems can be 
identified, the fact remains that this process 
has a profound impact on all family members and those in the family’s social net-

FOR MORE, go to http://bit.ly/EffectiveEI
Guralnick
health-related problems, such as seizures, and the constraints that follow may well call 
may signal potential long-term developmen-for a substantial restructuring of the family’s 
tal difficulties. In most instances, however, original vision for their child. Without quesproblems gradually emerge over the early tion, working through complex psychologichildhood period as parents and others cal processes requiring extensive revisions 
become aware of the child’s unusual devel-and adjustments of life cycle expectations 
is a highly stressful experience. During the 
In all of these circumstances, when early childhood period, a major challenge 
some threshold level of concern about for families with a child who is so vulneraa child’s development is reached, a pro-ble as a consequence of biological factors is 
cess is initiated whereby professionals how to provide patterns of interaction that 
become involved and conduct assessments create an optimally supportive developmenof the child’s cognitive, language, motor, tal environment. Supporting this goal con-

become involved and conduct assessments create an optimally supportive developmenof the child’s cognitive, language, motor, tal environment. Supporting this goal consocial-emotional, and sensory-perceptual stitutes the primary task for early intervendevelopment. Such professionals also gather tion systems. 
related information from health records and Child vulnerability takes many forms, 
family histories and conduct additional fol-and the family environment contains many 
low-up, including medical and more in-depth potential sources of risk as well. Although 
developmental testing to complete this ini-most families have the resources to cope and 
tial process. As a result of this diagnostic/ adjust to changing circumstances and everyassessment process, categorical diagnoses day challenges to effectively support their 
(e.g., developmental delay, autism spectrum child’s development, the demands placed on 
disorder [ASD], deafness, specific language many families who are themselves vulnerimpairment) may be assigned to the child. able can quickly deplete those resources. 
Etiologic information, especially follow-When a lack of material resources is coming genetic testing that indicates the likely pounded by personal issues that can preunderlying cause of the developmental prob-vent parents from providing optimal care 
lems, may also become available. Given the and support for their child, the risk for child 
often-changing nature and course of ini-developmental problems, even in the absence 
tial concerns, other diagnostic categories of other major child vulnerabilities, is submay be considered over time with varying stantial. For example, as discussed later in 
degrees of certainty. Some children may not this volume, the severe and chronic absence 
receive a specific diagnosis at all but are fol-of parental financial resources makes it diflowed closely by professionals who consider ficult to support a child’s basic needs for 
them to be at high risk for future difficulties. safety, nutrition, and general health and 
Of course, even when a specific diag-interferes with supportive parent-child patnostic category and etiology are estab-terns of interaction as well. Similarly, prolished with confidence, they do not capture found parental difficulties involving illegal 
the remarkable diversity and complexity of drug use, abuse of alcohol, mental health 
an individual child’s behavior, nor do they concerns, and limited or inappropriate abildefine a rigid developmental trajectory. Yet ities and skills as caretakers also contribute 
whether a diagnostic category is applied to substantially increasing a child’s vulnerwith confidence at a particular point in time ability to developmental problems. In many 
or whether the specific etiology of the child’s of these situations, a child’s risk for expeapparent developmental problems can be riencing a general developmental delay, a 
identified, the fact remains that this process learning difficulty, or a behavior problem, 
has a profound impact on all family mem-and even physical harm, is considerably 
bers and those in the family’s social net-elevated. These and other environmentally

work. Over time, the nature of a child’s vul-based difficulties often co-occur with bionerability with respect to biological factors logical risk factors or specific biologically

---

FOR MORE, go to http://bit.ly/EffectiveEI

Foundations of Early Intervention

opmental environment as possible for their 
child.

child.
SYSTEMS OF SUPPORT
Throughout history, all societies have developed at least informal systems of supports 
to nurture children within their communities, often involving extended families and 
community networks. This is especially 
the case during the early childhood period, 
primarily the time between birth through 
5 years of age, which is the focus of this 
volume. Given the complexities and challenges of daily life in contemporary societies, many of these informal systems remain 
intact today but have been supplemented by 
more formal structures such as child care, 
preschool programs, and organized parent 
groups. The availability of these formal supports and their quality varies considerably 
from community to community, but nevertheless, such structures provide important

from community to community, but nevertheless, such structures provide important 
resources for families during the early childhood years. 
For clearly vulnerable children, a different and more comprehensive array of formal 
systems of support for families has emerged 
in modern societies. Instead of relying solely 
on grass roots community programs or market forces, formal support systems have 
been established in many countries around 
the world through a series of important legislative efforts (see Bruder & Guralnick, 2012). 
The legislative history of early intervention 
in the United States provides an interesting and instructive example of how these 
systems evolved (for reviews, see Hauser-Cram & Warfield, 2009; Trohanis, 2008). 
In brief, programs to support maternal and 
child health and development began with the

FOR MORE, go to http://bit.ly/EffectiveEI
Foundations	of Early	Intervention		
based conditions affecting the child, creat-in the context of the Social Security Act of 
ing extraordinary barriers to optimal child 1935 (PL 74-271; mainly Title V and Title XIX) 
development. Therefore, another critical and related legislation (see Hutchins, 1994; 
component of early childhood intervention Ireys & Nelson, 1992). Similarly, the Head 
systems is to address risk and protective fac-Start program, and more recently the Early 
tors associated with a family’s resources, to Head Start program, was developed and 
enable parents to provide as optimal a devel-established across the nation, focused on 
opmental environment as possible for their providing early childhood supports to children living in poverty. Emphasizing the link 
between health and child development, these 
programs also continued efforts to establish 
a comprehensive array of community-based 
Throughout history, all societies have devel-integrated services, designed to promote

a comprehensive array of community-based 
Throughout history, all societies have devel-integrated services, designed to promote 
oped at least informal systems of supports children’s cognitive and social competence 
to nurture children within their communi-(Gilliam, 2008; Zigler & Valentine, 1979). 
ties, often involving extended families and Although many of these early federally 
community networks. This is especially initiated programs involved children with 
the case during the early childhood period, established disabilities, widespread supprimarily the time between birth through port for young children with disabilities did 
5 years of age, which is the focus of this not occur until the United States Departvolume. Given the complexities and chal-ment of Education began to take responlenges of daily life in contemporary societ-sibility (Long, 2013; Meisels & Shonkoff, 
ies, many of these informal systems remain 2000; Smith & McKenna, 1994; Wise & Richintact today but have been supplemented by mond, 2008). Beginning with the Handimore formal structures such as child care, capped Children’s Early Education Act of 
preschool programs, and organized parent 1968 (PL 90-538), followed by the Education 
groups. The availability of these formal sup-for All Handicapped Children Act of 1975 
ports and their quality varies considerably (PL 94-142), and culminating with the Edufrom community to community, but never-cation of the Handicapped Act Amendments 
theless, such structures provide important of 1986 (PL 99-457), a formal support sysresources for families during the early child-tem for infants, toddlers, and preschoolers with established disabilities was put in 
For clearly vulnerable children, a differ-place. Children with certain risk factors 
ent and more comprehensive array of formal could also be served within this framesystems of support for families has emerged work. Continuing legislation has refined and 
in modern societies. Instead of relying solely extended this early intervention system for 
on grass roots community programs or mar-vulnerable children and their families and 
ket forces, formal support systems have encouraged adherence to program rules and 
been established in many countries around regulations (Individuals with Disabilities

been established in many countries around regulations (Individuals with Disabilities 
the world through a series of important legis-Education Improvement Act [IDEA] of 2004, 
lative efforts (see Bruder & Guralnick, 2012). PL 108-446). 
The legislative history of early intervention As a result of these and related initiain the United States provides an interest-tives, numerous model programs focusing 
ing and instructive example of how these on supports and interventions for vulnerasystems evolved (for reviews, see Haus-ble children and their families were develer-Cram & Warfield, 2009; Trohanis, 2008). oped, implemented, and evaluated. Many 
In brief, programs to support maternal and were adopted and modified by community 
child health and development began with the programs for more widespread implementa-

---

FOR MORE, go to http://bit.ly/EffectiveEI

Guralnick

FOR MORE, go to http://bit.ly/EffectiveEI
6 
programs were devised, new professional 
training programs were established, and 
creative connections among disciplines and 
agencies in the context of services and supports were forged. Indeed, despite the many 
flaws that are apparent today, a true early 
intervention system exists in the United 
States with the expectation that this system of services and supports represents the

ideal combination of well-documented practices and sound clinical judgment.

CHARACTERISTICS OF THE 
EARLY INTERVENTION PROGRAMS
The characteristics of early intervention 
programs that emerged as part of the system that paralleled the comprehensive legislation in the United States outlined in 
the previous section developed unusually 
diverse characteristics. This is likewise 
the case for programs developed around 
the world during this period. In part, these 
wide-ranging differences were due to efforts 
to address the specific concerns of subgroups of vulnerable children with unique 
risks or disabilities, identified at different 
developmental periods. However, even considering this diversity, nearly overwhelming 
differences in philosophy, goals, approach, 
content, and emphases were apparent in the 
available early intervention programs (see 
Bailey, 1997; Bruder, 1997). Compounding 
this complexity was the fact that reasonably rigorous evaluations of effectiveness 
were spotty at best, with support for one 
or another model, curriculum, or program 
often being based on limited or inconsistent 
evidence. Replication, especially following 
sound methodologies meeting established 
standards suggesting that the models were 
evidence-based, was rare. Nevertheless, a 
comprehensive review of the state of the 
evidence for early intervention practices, 
conducted 10 years following the enactment 
of the Education of the Handicapped Act 
Amendments of 1986 (PL 99-457), captured 
the extraordinary creativity of the diverse

FOR MORE, go to http://bit.ly/EffectiveEI
Guralnick
programs were devised, new professional age and identified those interventions and 
training programs were established, and approaches that appeared to be most effeccreative connections among disciplines and tive (Guralnick, 1997b). Additional efforts 
agencies in the context of services and sup-along these lines have continued as numerports were forged. Indeed, despite the many ous new forms of intervention and models 
flaws that are apparent today, a true early have become available and been evaluated. 
intervention system exists in the United Many of these interventions have focused on 
States with the expectation that this sys-specific subgroups of children (Guralnick, 
tem of services and supports represents the 2005b, 2012, 2013, 2017; Hill, Brooks-Gunn, 
ideal combination of well-documented prac-& Waldfogel, 2003; Rogers & Talbott, 2016; 
Votruba-Drzal & Dearing, 2017). Moreover, 
some general systems guidelines, including 
essential structural features for early intervention programs supported by a research 
base as well as generally agreed upon val-
The characteristics of early intervention ues and principles, can now be found in legprograms that emerged as part of the sys-islation (Bruder, 2010; Guralnick & Conlon, 
tem that paralleled the comprehensive leg-2007; Long, 2013). In fact, many of these

programs that emerged as part of the sys-islation (Bruder, 2010; Guralnick & Conlon, 
tem that paralleled the comprehensive leg-2007; Long, 2013). In fact, many of these 
islation in the United States outlined in principles and values have now achieved 
the previous section developed unusually international consensus (Guralnick, 2008). 
diverse characteristics. This is likewise To be sure, the complexity and diverthe case for programs developed around sity of child risk and disability conditions 
the world during this period. In part, these and the circumstances of the families themwide-ranging differences were due to efforts selves have brought attention to specific 
to address the specific concerns of sub-groups and subgroups, as researchers and 
groups of vulnerable children with unique other professionals seek an understanding 
risks or disabilities, identified at different of the generality and limitations of interdevelopmental periods. However, even con-vention program accomplishments. Espesidering this diversity, nearly overwhelming cially when examining the effectiveness of 
differences in philosophy, goals, approach, early intervention program practices, carecontent, and emphases were apparent in the ful consideration must be given not only to 
available early intervention programs (see what works, but also for whom and under 
Bailey, 1997; Bruder, 1997). Compounding what conditions. Considering outcomes 
this complexity was the fact that reason-within this framework of “second generaably rigorous evaluations of effectiveness tion” research (Guralnick, 1997a, 2001) is 
were spotty at best, with support for one clearly important, with the expected benefit 
or another model, curriculum, or program of bringing research and practice into betoften being based on limited or inconsistent ter alignment. However, in view of the comevidence. Replication, especially following plexity and diversity of programs that have 
sound methodologies meeting established evolved to meet individual child and family 
standards suggesting that the models were needs, an overarching vision is necessary 
evidence-based, was rare. Nevertheless, a to avoid becoming mired in myriad, often 
comprehensive review of the state of the inconsistent, details of early intervention 
evidence for early intervention practices, program philosophy, design, content, impleconducted 10 years following the enactment mentation, and outcome. Fortunately, this 
of the Education of the Handicapped Act field may have reached the point in which it 
Amendments of 1986 (PL 99-457), captured is now possible to attempt to organize and 
the extraordinary creativity of the diverse analyze these diverse accomplishments

---

FOR MORE, go to http://bit.ly/EffectiveEI

Foundations of Early Intervention

FOR MORE, go to http://bit.ly/EffectiveEI
Foundations	of Early	Intervention		
intervention decision making at all levels of 
research, practice, and community-based 
systems development. Although admittedly 
ambitious, the primary goal of this volume 
is to provide such a comprehensive understanding and to organize and examine the 
many recent accomplishments in the early 
intervention field within that framework. In 
so doing, the analyses of specific research 
findings themselves will be more meaningful, links between seemingly disparate 
areas will be established, the developmental mechanisms at work will become more 
apparent, and new directions for research 
will emerge. In addition, the ability to 
address future developmental, educational, 
clinical, and organizational issues within

community programs in more creative and 
consistent ways may well be enhanced.

of normative development, a developmental 
focus on risk and disability, and intervention 
science in the context of early intervention 
practice (Guralnick, 2001, 2006, 2011, 2017).

THE DEVELOPMENTAL 
SYSTEMS APPROACH
The overarching framework adopted to 
carry out these analyses is referred to as 
the Developmental Systems Approach (DSA;
Guralnick, 2005a). Presented in the first 
three introductory chapters in this volume, 
the DSA emphasizes family patterns of 
interaction that are affected by the presence 
of a child at biological risk or one with an 
established disability, how those alterations 
in family patterns affect the provision of 
an optimal developmental environment for 
the child, and the role of early intervention 
in bringing about or restoring as optimal 
an environment as possible. The DSA also 
considers environmental risk factors in the 
form of limited family resources, which 
can increase child vulnerability operating 
through nonoptimal family patterns of interaction. As will be discussed, an essential 
feature of this framework is the ability of the 
DSA to integrate the developmental science 
of normative development, a developmental 
focus on risk and disability, and intervention 
science in the context of early intervention

FOR MORE, go to http://bit.ly/EffectiveEI
Foundations	of Early	Intervention		
intervention decision making at all levels of orientation as a core concept (Lerner, 
research, practice, and community-based Theokas, & Bobek, 2005; Sameroff, 2010). 
systems development. Although admittedly This includes the transactional model 
ambitious, the primary goal of this volume (Sameroff, 2009), the developmental psyis to provide such a comprehensive under-chobiological systems view (Gottlieb, Wahlstanding and to organize and examine the stein, & Lickliter, 1998), the organizational 
many recent accomplishments in the early perspective (Cicchetti & Tucker, 1994; Rutintervention field within that framework. In ter & Sroufe, 2000), developmental systems 
so doing, the analyses of specific research theory (Ford & Lerner, 1992), bioecological 
findings themselves will be more mean-theory (Bronfenbrenner, 2001; Bronfenbreningful, links between seemingly disparate ner & Morris, 1998), the parenting process 
areas will be established, the developmen-model (Belsky, 1984), and dynamic systal mechanisms at work will become more tems theory (Thelen & Smith, 1998), among 
apparent, and new directions for research others. These systems approaches provide 
will emerge. In addition, the ability to important insights into the interactions 
address future developmental, educational, occurring among biological mechanisms, 
clinical, and organizational issues within particularly those with a genetic basis,

feature of this framework is the ability of the the emerging model of neuroconstructivism 
DSA to integrate the developmental science (Karmiloff-Smith, 2009).
of normative development, a developmental

address future developmental, educational, occurring among biological mechanisms, 
clinical, and organizational issues within particularly those with a genetic basis, 
community programs in more creative and emerging developmental and behavioral 
consistent ways may well be enhanced. patterns, and environmental influences. 
At the heart of these systems models 
is an emphasis on the hierarchical organization of development. In this organization, 
the various components in the developmen-
The overarching framework adopted to tal system have the potential to interact with 
carry out these analyses is referred to as one another, to combine and recombine to 
the Developmental Systems Approach (DSA; form more complex subsystems, and to 
Guralnick, 2005a). Presented in the first function in a manner that creates integrated 
three introductory chapters in this volume, developmental processes over time. This 
the DSA emphasizes family patterns of cascade of events as development proceeds 
interaction that are affected by the presence is critical to understanding developmental 
of a child at biological risk or one with an systems (Bornstein, Hahn, & Wolke, 2013; 
established disability, how those alterations Cox, Mills-Koonce, Propper, & Gariépy, 
in family patterns affect the provision of 2010). The result is a coherent developmenan optimal developmental environment for tal trajectory in which children increasthe child, and the role of early intervention ingly become socially and cognitively comin bringing about or restoring as optimal petent as they pursue goals of interest. Of 
an environment as possible. The DSA also importance, these systems developmental 
considers environmental risk factors in the approaches also provide a framework for 
form of limited family resources, which models focused on developmental risk and 
can increase child vulnerability operating disabilities, including the highly influential 
through nonoptimal family patterns of inter-developmental psychopathology approach 
action. As will be discussed, an essential (Cicchetti, 2006; Rutter & Sroufe, 2000) and

focus on risk and disability, and intervention 
LEVEL OF CHILD DEVELOPMENT IN THE 
science in the context of early intervention 
DEVELOPMENTAL SYSTEMS APPROACH
practice (Guralnick, 2001, 2006, 2011, 2017).

---

FOR MORE, go to http://bit.ly/EffectiveEI

Guralnick

FOR MORE, go to http://bit.ly/EffectiveEI
8 
are central to the DSA with respect to establishing children’s competencies in carrying out social and cognitive tasks. The first 
emphasizes “developmental resources”: 
fundamental contributions by each of the 
conventionally identified and defined major 
domains of development (cognition, language, motor, social-emotional, and sensoryperceptual) that underlie children’s developing competence. These domain-specific abilities, skills, and knowledge become more 
differentiated over time as developmental 
resources become more numerous and complex. Moreover, when additional resources 
do become available to a child within a 
domain (e.g., increased vocabulary), more 
possibilities for combining resources within 
and across domains are created. In these 
instances, development is characterized 
by increasing degrees of integration. At the 
same time as these domain-specific patterns 
are emerging, the second construct, a series 
of organizational processes, develops. Organizational processes are higher-order processes that coordinate, integrate, and organize existing developmental resources, and 
do so in an integrated fashion when needed 
to achieve some child-specific goal. Five 
such organizational processes are central

FOR MORE, go to http://bit.ly/EffectiveEI
Guralnick
are central to the DSA with respect to estab-emotion regulation. When one or more of 
lishing children’s competencies in carry-these organizational processes are engaged 
ing out social and cognitive tasks. The first in a harmonious and synchronous manner to 
emphasizes “developmental resources”: successfully address child-specific tasks or 
fundamental contributions by each of the goals, children are said to display social and 
conventionally identified and defined major cognitive competence. Successful demondomains of development (cognition, lan-strations of competence are generally conguage, motor, social-emotional, and sensory-sistent with normative and cultural expectaperceptual) that underlie children’s develop-tions. Figure 1.1 illustrates the relationships

guage, motor, social-emotional, and sensory-sistent with normative and cultural expectaperceptual) that underlie children’s develop-tions. Figure 1.1 illustrates the relationships 
ing competence. These domain-specific abil-among these major components of the DSA 
ities, skills, and knowledge become more at the level of child development. 
differentiated over time as developmental Notably, there exist well-identified and
resources become more numerous and com-specific family patterns of interaction, 
plex. Moreover, when additional resources described in detail in Chapter 2, that are 
do become available to a child within a essential to support both the growth, difdomain (e.g., increased vocabulary), more ferentiation, and integration of children’s 
possibilities for combining resources within developmental resources and the increased 
and across domains are created. In these sophistication and functioning of organizainstances, development is characterized tional processes. This is the case even when 
by increasing degrees of integration. At the children’s developmental resources and 
same time as these domain-specific patterns organizational processes are constrained as 
are emerging, the second construct, a series a result of biologically based factors. Howof organizational processes, develops. Orga-ever, the DSA further suggests that when 
nizational processes are higher-order pro-children have established delays or disabilcesses that coordinate, integrate, and orga-ities or are at risk for developmental probnize existing developmental resources, and lems due primarily to biological factors, 
do so in an integrated fashion when needed family patterns of interaction may become 
to achieve some child-specific goal. Five less than optimal (i.e., experience stresssuch organizational processes are central ors), thereby compromising the develop-

Goal Structure

Figure 1.1. Model illustrating	how organizational	processes and developmental resources,	framed	by a goal structure,	
constitute the	basis	for	a	child’s social and cognitive	competence.

---

FOR MORE, go to http://bit.ly/EffectiveEI

Foundations of Early Intervention

FOR MORE, go to http://bit.ly/EffectiveEI
Foundations	of Early	Intervention		
Moreover, various levels of child vulnerability can be created by nonoptimal family patterns of interaction that are already 
present as a consequence of limited family 
resources, such as the existence of environmental risk factors. Accordingly, within the 
DSA framework, early intervention must 
collaborate with families to devise strategies to establish, support, and enhance 
those family patterns of interaction that will 
have a positive impact on children’s developmental resources and organizational processes. The net effect of these interventions 
will be seen in the enhanced development 
of children’s social and cognitive competence, which becomes evident as they pur-

sue important goals across developmental 
periods.

periods.
Developmental Goals 
In many respects, the rapid developmental growth that occurs during the first few 
years of life can be viewed through the lens 
of children’s increasing attempts to carry 
out an everchanging and more demanding series of goals or tasks. Indeed, such 
goal-directed behavior is evident in early 
infancy (Meltzoff, 1995; Woodward, 2009). 
As can be imagined, these goals span an 
enormous range of sophistication during the 
early childhood years, and the nature and 
complexity of those goals are governed by 
many factors, including accommodating to 
culturally specific demands (see Feldman & 
Masalha, 2010). At early stages, many goals 
are prompted by specific, often immediate, 
stress-reducing needs, such as maintaining 
one’s physiological state within a certain 
range or coping with the experience of discomfort due to the temporary absence of a 
primary caregiver. However, other discrete 
goals such as exploring interesting objects 
are apparent as well. Over time, more 
sophisticated, longer-term, and complex 
goals that reflect ongoing efforts toward 
initiating, maintaining, and understanding 
relationships, as well as developing one’s

FOR MORE, go to http://bit.ly/EffectiveEI
Foundations	of Early	Intervention		
Moreover, various levels of child vulnera-point is that the specific goals children seek 
bility can be created by nonoptimal fam-to achieve are both constrained by and rely

ily patterns of interaction that are already upon emerging developmental resources 
present as a consequence of limited family and organizational processes.

present as a consequence of limited family and organizational processes. 
resources, such as the existence of environmental risk factors. Accordingly, within the 
Developmental Resources 
DSA framework, early intervention must 
collaborate with families to devise strat-Children’s developmental resources can be 
egies to establish, support, and enhance used effectively to achieve diverse goals 
those family patterns of interaction that will and, of equal importance, to enable new and 
have a positive impact on children’s devel-more sophisticated, often longer-term, goals 
opmental resources and organizational pro-to emerge. Consider the remarkable develcesses. The net effect of these interventions opmental changes in language ability that 
will be seen in the enhanced development occur during early childhood as children 
of children’s social and cognitive compe-become capable of both understanding and 
tence, which becomes evident as they pur-expressing complex linguistic forms. The 
sue important goals across developmental ability to question, comment, and otherwise 
engage in meaningful discourse about the 
world constitutes a critical developmental 
resource. These changes in developmental resources are made possible through 
In many respects, the rapid developmen-advances in phonology, dramatic increases 
tal growth that occurs during the first few in vocabulary, the emergence of morphosynyears of life can be viewed through the lens tactical systems, and a grasp of the rules of 
of children’s increasing attempts to carry discourse (for reviews, see Wagner & Hoff, 
out an everchanging and more demand-2012; Waxman & Lidz, 2006). The “units” or 
ing series of goals or tasks. Indeed, such components of these language-based develgoal-directed behavior is evident in early opmental resources continue to become 
infancy (Meltzoff, 1995; Woodward, 2009). differentiated within this developmental 
As can be imagined, these goals span an domain (e.g., larger vocabulary) and become 
enormous range of sophistication during the more sophisticated (e.g., more complex 
early childhood years, and the nature and syntax). Increasing as well is the ability to 
complexity of those goals are governed by organize and recombine these resources 
many factors, including accommodating to in a hierarchical way. Access to all compoculturally specific demands (see Feldman & nents of developmental resources associ-
Masalha, 2010). At early stages, many goals ated with this domain contributes to chilare prompted by specific, often immediate, dren’s continuing achievements in language

self-regulation, knowledge and skills, and tive abilities that enable children to begin 
self-efficacy, become more prominent. A key to mentally represent their experiences

---

FOR MORE, go to http://bit.ly/EffectiveEI

Guralnick

FOR MORE, go to http://bit.ly/EffectiveEI
10	
and expand their working memory (Garon, 
Bryson, & Smith, 2008; Schneider & Ornstein, 2015). Mental representation includes 
the social realm, as children begin to understand and reason about the mental states 
of others who interact with them (e.g., their 
intentions or emotions). As development 
proceeds, this ability, often referred to as 
“theory of mind” (Baron-Cohen, Tager-
Flusberg, & Lombardo, 2013), becomes an 
essential developmental resource to help 
children achieve their interpersonal or 
social goals. Clearly, advances in cognition generate developmental resources in

social goals. Clearly, advances in cognition generate developmental resources in 
various forms that can be applied to childspecific goals (Halford & Andrews, 2006).
The processes underlying this remarkable growth are becoming increasingly well 
understood. Of most significance, it is evident that children’s own actions with and 
observations of the physical and social 
world provide the “data” with which they 
generate hypotheses about the causal structure of the events they experience. Children 
appear to function as “rational constructivists,” extracting principles from their experiences to generate higher-order and specific principles of understanding and action 
(Gopnik & Wellman, 2012; Walker & Gopnik, 
2014; Xu & Kushnir, 2013). Statistical and 
inferential mechanisms drive these learning 
processes. Ideally, by being provided with 
as high-quality an array of family patterns 
of interaction as possible, children will have 
sufficient information to construct accurate 
representations of the world and generate 
principles to help them engage that world

FOR MORE, go to http://bit.ly/EffectiveEI
Guralnick
and expand their working memory (Garon, instruments that focus on developmental 
Bryson, & Smith, 2008; Schneider & Orn-milestones and developmental levels are 
stein, 2015). Mental representation includes available, and equally valuable laboratorythe social realm, as children begin to under-type measures exist. These measurements 
stand and reason about the mental states can provide information regarding the curof others who interact with them (e.g., their rent status of a child’s developmental progintentions or emotions). As development ress for discrete components (e.g., vocabu-

of others who interact with them (e.g., their rent status of a child’s developmental progintentions or emotions). As development ress for discrete components (e.g., vocabuproceeds, this ability, often referred to as lary count) or more organized subsystems 
“theory of mind” (Baron-Cohen, Tager-(e.g., pragmatic language use).
Flusberg, & Lombardo, 2013), becomes an Even though assessments of a child’s 
essential developmental resource to help current developmental status can be 
children achieve their interpersonal or obtained in a domain-specific way, all 
social goals. Clearly, advances in cogni-domains are interdependent, especially 
tion generate developmental resources in throughout the early childhood period. That 
various forms that can be applied to child-is, advances in one developmental resource 
specific goals (Halford & Andrews, 2006). domain typically depend on a correspond-
The processes underlying this remark-ing level of development in other domains, 
able growth are becoming increasingly well thereby providing an illustration of the 
understood. Of most significance, it is evi-interactions occurring within a systems 
dent that children’s own actions with and framework. For example, the mental state 
observations of the physical and social ability with respect to understanding the 
world provide the “data” with which they emotions, intentions, and desires of others 
generate hypotheses about the causal struc-depends upon corresponding advances in 
ture of the events they experience. Children the domain of social-emotional development 
appear to function as “rational constructiv-(for reviews, see Lewis, 2000; Thompson & 
ists,” extracting principles from their expe-Lagattuta, 2006). More specifically, for the 
riences to generate higher-order and spe-domain of social-emotional development, 
cific principles of understanding and action the ability to recognize complex emotions 
(Gopnik & Wellman, 2012; Walker & Gopnik, is required for an accurate understanding of 
2014; Xu & Kushnir, 2013). Statistical and other’s mental states, a cognitive domain. All 
inferential mechanisms drive these learning of this relies upon developmental resources 
processes. Ideally, by being provided with provided by intact sensory-perceptual abilas high-quality an array of family patterns ities, such as visual acuity and spatial oriof interaction as possible, children will have entation of faces, which themselves become 
sufficient information to construct accurate more differentiated and sophisticated over 
representations of the world and generate time (for reviews, see Kellman & Arterberry, 
principles to help them engage that world 2006; Saffran, Werker, & Werner, 2006). Simin a competent manner (see Meltzoff, Wais-ilarly, the deployment of attentional and 
motor skills in the context of parent-child 
Conceptually distinct developmental exchanges, for example, are associated 
resources can be measured and tracked. with later mental state language abilities. 
This is the case not only for cognition This suggests developmental continuity for 
and language, but also for motor, social-this emerging developmental resource as 
emotional, and sensory-perceptual domains well as linkages with experiential factors 
as well. Even for less easily defined social-(Kristen, Sodian, Thoermer, & Perst, 2011). 
emotional developmental resources, numer-Fundamental cognitive abilities, such as 
ous useful instruments are available that information processing skills, also have 
utilize a variety of approaches (Brownell, the potential to influence so many domains

---

FOR MORE, go to http://bit.ly/EffectiveEI

Foundations of Early Intervention

FOR MORE, go to http://bit.ly/EffectiveEI
Foundations	of Early	Intervention		
influences (Bornstein, Hahn, & Wolke, 
2013). Language, in particular, is dependent 
on cognitive skills related to memory, attention, processing speed, and representational 
competence (Rose, Feldman, & Jankowski, 
2009). These cognitive skills facilitate language development in many ways, including 
helping to segment the auditory stream, processing rapidly changing speech, and assisting the child to shift attention and engage in 
different aspects of the social exchange in 
social communicative contexts. As another 
example, advances in most domains are 
expressed as motor behaviors. Developed 
at rapid race in the first 2 years of life, 
motor behaviors such as reaching, grasping, and manipulating are observable skills 
that allow children to communicate about 
their internal states and help them to generate new developmental resources to maximize their ability to accomplish their goals 
(Adolph & Berger, 2005). Indeed, motorically mature children set into motion what 
is best considered a developmental cascade 
of developmentally supportive (e.g., eliciting 
more learning opportunities and fostering 
exploration) events, leading to many devel-

opmental advances over time (Bornstein, 
Hahn, & Suwalsky, 2013).

Hahn, & Suwalsky, 2013).
Organizational Processes
Developmental resources are tapped when 
children are faced with accomplishing a 
particular goal; growth in social and cognitive competence corresponds to growth 
in these resources. However, in order for 
growth to occur, these resources must be 
coordinated, integrated, and organized in a 
systematic manner in the service of a task 
or goal. This requires a different and far 
more integrated array of higher-order or 
overarching processes, referred to here as 
organizational processes (see Figure 1.1). 
As conceptualized within the DSA, the five 
organizational processes noted earlier are 
as follows: 1) EF, 2) metacognition, 3) social 
cognition, 4) motivation, and 5) emotion reg-

FOR MORE, go to http://bit.ly/EffectiveEI
Foundations	of Early	Intervention		
influences (Bornstein, Hahn, & Wolke, these processes are involved in specific 
2013). Language, in particular, is dependent efforts that enhance children’s developmenon cognitive skills related to memory, atten-tal resources (e.g., engage in tasks that gain 
tion, processing speed, and representational specific information). In many instances, 
competence (Rose, Feldman, & Jankowski, most or all five organizational processes are

tion, processing speed, and representational specific information). In many instances, 
competence (Rose, Feldman, & Jankowski, most or all five organizational processes are 
2009). These cognitive skills facilitate lan-engaged to some extent, whether the goal is 
guage development in many ways, including primarily social or cognitive. 
helping to segment the auditory stream, pro-Although difficult to define and meacessing rapidly changing speech, and assist-sure, these five organizational processes are 
ing the child to shift attention and engage in nevertheless central constructs in the field 
different aspects of the social exchange in of child development. Each has been extensocial communicative contexts. As another sively analyzed, evaluated, and tracked over 
example, advances in most domains are time and been linked to children’s developexpressed as motor behaviors. Developed ing social and cognitive competence (e.g., for 
at rapid race in the first 2 years of life, EF correspondence to social and cognitive 
motor behaviors such as reaching, grasp-competence, see Blair & Razza, 2007; as well 
ing, and manipulating are observable skills as Riggs, Jahromi, Razza, Dilworth-Bart, & 
that allow children to communicate about Mueller, 2006). In many respects, each of 
their internal states and help them to gen-these organizational processes can be conerate new developmental resources to max-ceptualized as being composed of an orgaimize their ability to accomplish their goals nized system of higher-order components, 
(Adolph & Berger, 2005). Indeed, motori-which work together to constitute the orgacally mature children set into motion what nizational process itself; many of these 
is best considered a developmental cascade organizational processes share some of the 
of developmentally supportive (e.g., eliciting same components. Moreover, most of the 
more learning opportunities and fostering organizational processes in the DSA have 
exploration) events, leading to many devel-an identifiable neurobiological basis, charopmental advances over time (Bornstein, acterized by interconnected neural systems 
(e.g., Blair, 2002; Grossman, 2015; Johnson, 
2001; Yeates et al., 2007), with the availability and recombination of specific neural cir-

2001; Yeates et al., 2007), with the availability and recombination of specific neural circuits underlying plasticity and competence 
Developmental resources are tapped when (Johnson, 2000; Mercado, 2008). 
children are faced with accomplishing a EF is a higher-order cognitive proparticular goal; growth in social and cog-cess that frames all of the developmental 
nitive competence corresponds to growth resources and the other organizational proin these resources. However, in order for cesses in a manner that is consistent with a 
growth to occur, these resources must be projected task outcome or goal; the focus is 
coordinated, integrated, and organized in a on long-term planning (see Anderson, 2002; 
systematic manner in the service of a task Banich, 2009; Espy, 2016; as well as Welsh, 
or goal. This requires a different and far Friedman, & Spieker, 2006). Although this 
more integrated array of higher-order or construct, like the other organizational prooverarching processes, referred to here as cesses, has a unifying function (see Garon 
organizational processes (see Figure 1.1). et al., 2008), EF relies on specific component 
As conceptualized within the DSA, the five abilities consisting, in this case, of working 
organizational processes noted earlier are memory, attentional shifting, and the ability 
as follows: 1) EF, 2) metacognition, 3) social to inhibit a prepotent response or strategy 
cognition, 4) motivation, and 5) emotion reg-in order to maintain a coherent goal orienta-

ulation. These processes are the organiza-tion (Best & Miller, 2010; Blair, 2006; Blakey, 
tional forces for goal attainment. Moreover, Visser, & Carroll, 2016; Diamond, Barnett,

---

FOR MORE, go to http://bit.ly/EffectiveEI

Guralnick

FOR MORE, go to http://bit.ly/EffectiveEI
12	
Thomas, & Munro, 2007). Although assessment of EF and its component processes is 
complex, major advances in the measurement of this organizational process during 
early childhood have been achieved with 
tasks appropriate to children in this age 
range (Carlson, 2005; Garon et al., 2008;

tasks appropriate to children in this age 
range (Carlson, 2005; Garon et al., 2008; 
Garon, Smith, & Bryson, 2014; McClelland & 
Cameron, 2012; Miller & Marcovitch, 2015).
The organizational process of metacognition overlaps conceptually with and, in 
some respects, can be thought of as being 
embedded within EF (Borkowski & Burke, 
1996; Sternberg, 1998). However, a distinctive aspect of metacognitive processes is an 
emphasis on children’s developing awareness of and knowledge about the strategies 
they can utilize when faced with a particular 
task (Kuhn, 2000), including those involving memory (Geurten & Willems, 2016). As 
Pintrich (2000) noted, metacognitive knowledge involves the what, how, when, and 
why to use the various cognitive strategies 
available, as well as the monitoring of those 
strategies. Complex strategies involved in 
knowledge acquisition, for example, provide information that can further refine and 
understand the goal being pursued (Kuhn, 
2001). These knowledge acquisition activities are central to this organizational process and rely upon numerous strategies 
related to gaining access to information, formulating questions, and generating possible 
outcomes relevant to a given goal. Effective 
use of metacognitive strategies is the key to

FOR MORE, go to http://bit.ly/EffectiveEI
Guralnick
Thomas, & Munro, 2007). Although assess-most appropriately select and execute a parment of EF and its component processes is ticular response during a goal sequence. A 
complex, major advances in the measure-number of such social-cognitive or social-inment of this organizational process during formation processing models have been put 
early childhood have been achieved with forward, each containing many similar comtasks appropriate to children in this age ponents and mechanisms (Beauchamp & 
range (Carlson, 2005; Garon et al., 2008; Anderson, 2010; Crick & Dodge, 1994; Dodge, 
Garon, Smith, & Bryson, 2014; McClelland & Pettit, McClaskey, Brown, & Gottman, 1986; 
Cameron, 2012; Miller & Marcovitch, 2015). Guralnick, 1999; Lemerise & Arsenio, 2000; 
The organizational process of metacog-Rose-Krasnor, 1997). As is the case for all of 
nition overlaps conceptually with and, in the organizational processes, developmental 
some respects, can be thought of as being resources are drawn upon to support each 
embedded within EF (Borkowski & Burke, of the processes’ components. Examples of 
1996; Sternberg, 1998). However, a distinc-relevant developmental resources required 
tive aspect of metacognitive processes is an for the various components of the social cogemphasis on children’s developing aware-nition organizational process are the ability 
ness of and knowledge about the strategies to accurately recognize facial expressions 
they can utilize when faced with a particular (for the encoding component), the ability to 
task (Kuhn, 2000), including those involv-infer others’ social intentions (for the intering memory (Geurten & Willems, 2016). As preting component), having a repertoire of 
Pintrich (2000) noted, metacognitive knowl-prosocial responses or strategies available 
edge involves the what, how, when, and (for the generating alternative responses 
why to use the various cognitive strategies component), and having sufficient language 
available, as well as the monitoring of those or motor skills (for the executing the desired 
strategies. Complex strategies involved in response component). The selection of alterknowledge acquisition, for example, pro-native responses in any interpersonal probvide information that can further refine and lem-solving sequence is a complex process 
understand the goal being pursued (Kuhn, in which many factors need to be consid-
2001). These knowledge acquisition activ-ered (e.g., context, past history, friend/nonities are central to this organizational pro-friend). Accordingly, many aspects of meta-

2001). These knowledge acquisition activ-ered (e.g., context, past history, friend/nonities are central to this organizational pro-friend). Accordingly, many aspects of metacess and rely upon numerous strategies cognitive and EF organizational processes 
related to gaining access to information, for-also are involved in socially focused tasks. 
mulating questions, and generating possible The vigor and persistence with which 
outcomes relevant to a given goal. Effective goals are addressed, and even the frequency 
use of metacognitive strategies is the key to and choice of the goals themselves, are 
transferring knowledge from one situation closely linked to the fourth organizational 
process involving motivation and reward 
For goals that primarily require an systems (Morgan, MacTurk, & Hrncir, 
understanding of social circumstances, a 1995). The sometimes astounding level of 
related organizational process, social cog-focused and sustained attention that may be 
nition, can be identified. More specifically, seen even in young children as they strive 
when confronted by tasks or goals involving to master a particular toy or understand 
interpersonal problem solving, a number of how objects in the world work suggests 
social-cognitive components are relevant the power of this process (Piaget, 1952). 
that, together, form a coherent organiza-The seemingly constant effort to acquire 
tional process. Components of that process information through questioning provides 
include encoding social information, inter-another example of this motivational propreting that social information, generating cess (Frazier, Gelman, & Wellman, 2009)

alternative responses, and considering con-and serves as an important mechanism for 
textual information that will help a child transmitting cultural values. For children so

---

FOR MORE, go to http://bit.ly/EffectiveEI

Foundations of Early Intervention

FOR MORE, go to http://bit.ly/EffectiveEI
Foundations	of Early	Intervention		
involved, these activities are clearly highly 
rewarding and appear to be intrinsically 
motivated. There also exists a tendency to 
engage in or master goals that are primarily 
social in nature and can be thought of as a 
form of social mastery motivation (Wachs & 
Combs, 1995), with a corresponding degree 
of socially rewarding features. Over time, 
successes and failures in social and nonsocial tasks influence motivational processes 
and contribute to the creation of a child’s 
sense of self-efficacy. Ultimately, a set of 
beliefs, values, and goal structures emerge 
regarding a child’s expectations for his or 
her own success and failure with respect 
to specific goals; in other words, the child’s 
expectations for achievement (Pintrich, 
2000; Ryan & Deci, 2000; Wigfield, Eccles, 
Schiefele, Roeser, & Davis-Kean, 2006). 
Accordingly, the organizational process of 
motivation has widespread implications for 
children’s social and cognitive competence

motivation has widespread implications for 
children’s social and cognitive competence 
and, ultimately, the selection of goals to be 
attempted.
The fifth and final organizational process, emotion regulation, is conceptualized 
primarily as a process that can influence 
the outcomes of social or cognitive goals 
through its interactions with other organizational processes (see Cole, Martin, & 
Dennis, 2004; Eisenberg & Spinrad, 2004). 
Among other effects, the experience of an 
emotion influences attention and makes 
certain responses or strategies within a 
goal structure more probable. This involves 
appraisals of the emotion-generating situation that regulate tendencies to approach 
or avoid aspects of a task. Of importance, 
regulating these emotions is an effortful 
process (Rothbart & Rueda, 2005) that consists of strategies that alter the often highly 
charged and rapidly changing emotional 
experiences that can arise at any point 
during goal attainment activities (see Izard 
& Stark, 2008). If these emotion regulation 
strategies are successful, the result is an 
adaptive process that either facilitates or at 
least does not interfere with other organiza-

FOR MORE, go to http://bit.ly/EffectiveEI
Foundations	of Early	Intervention		
involved, these activities are clearly highly 2007). Of note, influences by developmenrewarding and appear to be intrinsically tal resources related to social-emotional 
motivated. There also exists a tendency to development, particularly basic tendencies 
engage in or master goals that are primarily toward reactive control (e.g., impulsivity/

motivated. There also exists a tendency to development, particularly basic tendencies 
engage in or master goals that are primarily toward reactive control (e.g., impulsivity/
social in nature and can be thought of as a low inhibition), are to be expected (Eisenform of social mastery motivation (Wachs & berg et al., 2013).
Combs, 1995), with a corresponding degree Although organizational processes can 
of socially rewarding features. Over time, be parsed into the constructs described 
successes and failures in social and nonso-herein and measured accordingly, one of 
cial tasks influence motivational processes the most striking characteristics of these 
and contribute to the creation of a child’s organizational processes is their interdesense of self-efficacy. Ultimately, a set of pendence. In one sense, processes can be 
beliefs, values, and goal structures emerge thought of as “borrowing” and utilizing 
regarding a child’s expectations for his or well-developed components or series of 
her own success and failure with respect components from one another and applyto specific goals; in other words, the child’s ing those components, when required to 
expectations for achievement (Pintrich, do so, by a given task, social or nonsocial 
2000; Ryan & Deci, 2000; Wigfield, Eccles, (Beer & Ochsner, 2006; Kaplan & Berman, 
Schiefele, Roeser, & Davis-Kean, 2006). 2010). Inhibition and attention are compo-
Accordingly, the organizational process of nents that are commonly utilized by varimotivation has widespread implications for ous processes within specific goal strucchildren’s social and cognitive competence tures. Moreover, reciprocal influences 
and, ultimately, the selection of goals to be among these organizational processes are 
apparent, and many of the mechanisms of 
The fifth and final organizational pro-influence have been identified (Liew, 2012). 
cess, emotion regulation, is conceptualized The linkages among metacognition, social 
primarily as a process that can influence cognition, and EF are perhaps most apparthe outcomes of social or cognitive goals ent in tasks related to social competence 
through its interactions with other orga-goals (Guralnick, 1999; Yeates et al., 2007). 
nizational processes (see Cole, Martin, & Related linkages from these three processes 
Dennis, 2004; Eisenberg & Spinrad, 2004). to motivation and emotion regulation orga-
Among other effects, the experience of an nizational processes exist as well, with peremotion influences attention and makes haps the best example found in so-called 
certain responses or strategies within a “hot” EF that is engaged in tasks requiring 
goal structure more probable. This involves emotion regulation (Blair, 2002; Zelazo & 
appraisals of the emotion-generating situ-Carlson, 2012; Zelazo & Cunningham, 2007). 
ation that regulate tendencies to approach Linkages between social cognition and emoor avoid aspects of a task. Of importance, tion regulation (Bell & Wolfe, 2004; Dodge, 
regulating these emotions is an effortful 1991; Guralnick, 1999; Leerkes, Paradise, 
process (Rothbart & Rueda, 2005) that con-O’Brien, Calkins, & Lange, 2008; Yeates et 
sists of strategies that alter the often highly al., 2007) and between EF and motivation

process (Rothbart & Rueda, 2005) that con-O’Brien, Calkins, & Lange, 2008; Yeates et 
sists of strategies that alter the often highly al., 2007) and between EF and motivation 
charged and rapidly changing emotional (Borkowski & Burke, 1996) are particularly 
experiences that can arise at any point well established.
during goal attainment activities (see Izard Similarly, as reflected in Figure 1.1 and 
& Stark, 2008). If these emotion regulation noted previously, developmental resources 
strategies are successful, the result is an and organizational processes depend on 
adaptive process that either facilitates or at one another as goals are pursued. In addileast does not interfere with other organiza-tion, they mutually influence one another’s

---

FOR MORE, go to http://bit.ly/EffectiveEI

Guralnick

FOR MORE, go to http://bit.ly/EffectiveEI
14	
(Benson, Sabbagh, Carlson, & Zelazo, 2013), 
as does the association between attentional 
or information processing mechanisms 
and EF (Cuevas & Bell, 2014). Associations 
among early gesture, language, and EF have 
also been established (Kuhn et al., 2014). 
Clearly, an understanding of these interac-

also been established (Kuhn et al., 2014). 
Clearly, an understanding of these interactions and relationships requires a systems 
framework. 
As indicated earlier, substantial neurobiological evidence supports the integrated 
features and connectivity of neural systems 
along with regional specialization. This is 
most apparent with respect to the operation 
of organizational processes when engaged 
in a goal structure (Blair, 2006; Garon et al., 
2008; Johnson, 2001; Karmiloff-Smith, 2009; 
Yeates et al., 2007). Accordingly, evidence 
at this level is compatible with the ways 
in which the five organizational processes 
identified within the DSA are presumed to

function to support children’s social and 
cognitive competence.

ORGANIZATION AND 
PURPOSE OF THIS BOOK
The DSA was introduced in this chapter as 
an overarching framework that will serve 
to guide understanding of existing accomplishments in the field of early intervention 
for vulnerable children and their families 
and to plan future directions. Details of this 
approach to early intervention as applied to 
different groups of vulnerable children will 
be presented in subsequent chapters of this 
volume. Of importance, central to the DSA 
is its consistency with and integration of the 
developmental science of normative development, a developmental focus on risk and 
disability, and intervention science. This 
first chapter provided background information on normative child development as 
conceptualized within the DSA, particularly 
the role of developmental resources and 
organizational processes as the foundation 
for children’s emerging social and cognitive

FOR MORE, go to http://bit.ly/EffectiveEI
Guralnick
(Benson, Sabbagh, Carlson, & Zelazo, 2013), and integrative nature of child developas does the association between attentional ment and the way it is organized to achieve

(Benson, Sabbagh, Carlson, & Zelazo, 2013), and integrative nature of child developas does the association between attentional ment and the way it is organized to achieve 
or information processing mechanisms increasingly complex goals selected by the 
and EF (Cuevas & Bell, 2014). Associations child.
among early gesture, language, and EF have In the next chapter, specific environalso been established (Kuhn et al., 2014). mental factors are discussed in the form 
Clearly, an understanding of these interac-of family patterns of interaction that are 
tions and relationships requires a systems responsible for supporting and promoting 
children’s developmental resources and 
As indicated earlier, substantial neuro-organizational processes, and hence chilbiological evidence supports the integrated dren’s social and cognitive competence. 
features and connectivity of neural systems Three family patterns of interaction are 
along with regional specialization. This is identified (parent-child transactions; fammost apparent with respect to the operation ily orchestrated child experiences; health 
of organizational processes when engaged and safety provided by the family) and are 
in a goal structure (Blair, 2006; Garon et al., directly linked to numerous aspects of a 
2008; Johnson, 2001; Karmiloff-Smith, 2009; child’s development discussed in this chap-
Yeates et al., 2007). Accordingly, evidence ter. Indeed, it is suggested that these family 
at this level is compatible with the ways patterns of interaction apply to all children, 
in which the five organizational processes irrespective of vulnerability. In anticipation 
identified within the DSA are presumed to of future discussions regarding early interfunction to support children’s social and vention for developmentally vulnerable children, it is these family patterns of interaction that can be stressed or perturbed by a 
child at risk for developmental problems or 
one with an established delay or disability, 
thereby further increasing children’s vul-
The DSA was introduced in this chapter as nerability. The relationship between a faman overarching framework that will serve ily’s resources and their influence on family 
to guide understanding of existing accom-patterns of interaction is also considered in 
plishments in the field of early intervention the next chapter and serves as a framework 
for vulnerable children and their families for understanding the influences of enviand to plan future directions. Details of this ronmental risk as well as protective factors 
approach to early intervention as applied to from a systems perspective. Accordingly, as 
different groups of vulnerable children will discussed in the second chapter, within the 
be presented in subsequent chapters of this DSA framework, effective early intervenvolume. Of importance, central to the DSA tions are those that develop comprehensive 
is its consistency with and integration of the programs to establish, support, or enhance 
developmental science of normative devel-all three family patterns of interaction as 
opment, a developmental focus on risk and means of fostering children’s developmendisability, and intervention science. This tal resources and organizational processes

opment, a developmental focus on risk and means of fostering children’s developmendisability, and intervention science. This tal resources and organizational processes 
first chapter provided background infor-as well as their integration to promote chilmation on normative child development as dren’s social and cognitive competence.
conceptualized within the DSA, particularly Early intervention in the context of the 
the role of developmental resources and DSA is then considered more extensively in 
organizational processes as the foundation Chapter 3, the final introductory chapter. 
for children’s emerging social and cognitive Emphasized in this chapter is the array of

---

FOR MORE, go to http://bit.ly/EffectiveEI

Foundations of Early Intervention

FOR MORE, go to http://bit.ly/EffectiveEI
Foundations	of Early	Intervention		
family patterns of interaction and to family 
resources. This interactive pattern of complex developmental pathways among and 
within the three levels of the DSA (level of 
the child, level of family patterns of interaction, level of family resources) provides 
a framework for the design, implementa-

action, level of family resources) provides 
a framework for the design, implementation, and evaluation of early intervention 
programs.
This is followed by four sections with 
chapters applying the DSA framework to 
examine the developmental science and the 
effectiveness of early intervention for specific vulnerable groups: children at risk due 
to biological factors (preterm birth); children 
at risk due to environmental factors; children with established developmental (cognitive) delays; and children with or at risk for 
an ASD diagnosis. The first chapter in each 
section addresses developmental science. 
In particular, expected child developmental 
outcomes in terms of their social and cognitive competence that occurs in the absence 
of early intervention will be summarized. 
When possible, information will be related 
to children’s developmental resources and 
organizational processes. Accordingly, a 
profile of children’s characteristics will be 
established along with child-specific factors 
that should be considered in the provision of 
early intervention. Information will also be 
summarized with respect to children’s influences (adjustments required and stressors) 
on each of the family patterns of interaction 
as well as on a family’s resources that can 
inform early intervention program design. 
Possible developmental mechanisms as 
revealed by association studies connecting

FOR MORE, go to http://bit.ly/EffectiveEI
Foundations	of Early	Intervention		
family patterns of interaction and to family and how effective these strategies are will be 
resources. This interactive pattern of com-the key issues considered in those chapters. 
plex developmental pathways among and Consistency with the developmental path-

resources. This interactive pattern of com-the key issues considered in those chapters. 
plex developmental pathways among and Consistency with the developmental pathwithin the three levels of the DSA (level of ways and reciprocal influences described in 
the child, level of family patterns of inter-the DSA will also be discussed. 
action, level of family resources) provides Findings from intervention science that 
a framework for the design, implementa-have been published since 1997 will be the 
tion, and evaluation of early intervention primary focus, moving forward from the 
research summarized since my last com-
This is followed by four sections with prehensive review of the field in an edited 
chapters applying the DSA framework to volume (Guralnick, 1997b). Earlier invesexamine the developmental science and the tigations that are considered foundational 
effectiveness of early intervention for spe-studies or those that continue to follow chilcific vulnerable groups: children at risk due dren and examine longer-term outcomes will 
to biological factors (preterm birth); children also be included. No attempt will be made to 
at risk due to environmental factors; chil-include every major study that bears on early 
dren with established developmental (cogni-intervention effectiveness for each group 
tive) delays; and children with or at risk for examined. Rather, studies will be selected 
an ASD diagnosis. The first chapter in each because they provide new and useful inforsection addresses developmental science. mation about effectiveness, are representa-
In particular, expected child developmental tive of a group of similar studies with similar 
outcomes in terms of their social and cogni-findings, and provide sufficient information 
tive competence that occurs in the absence that can be understood within the DSA. Bias 
of early intervention will be summarized. in the selection of studies is admittedly a 
When possible, information will be related concern. However, every effort was made to 
to children’s developmental resources and select studies that represent the knowledge 
organizational processes. Accordingly, a base current at the time of this volume’s pubprofile of children’s characteristics will be lication, despite inconsistencies in findings 
established along with child-specific factors common to all fields. Readers will have to 
that should be considered in the provision of judge for themselves the various weight to

that should be considered in the provision of judge for themselves the various weight to 
early intervention. Information will also be give to the studies selected and those that 
summarized with respect to children’s influ-may have been omitted.
ences (adjustments required and stressors) An important question revolves around 
on each of the family patterns of interaction whether sufficient consistency exists among 
as well as on a family’s resources that can the developmental framework, pathways of 
inform early intervention program design. influence, and outcomes. If a reasonable 
Possible developmental mechanisms as level of consistency can be identified, there 
revealed by association studies connecting exists the potential for generating a unifythe various levels and components of the ing approach to early intervention. Studies 
DSA will also be examined in this context. that have been conducted did not, of course, 
Following this background and intro-attempt to conform to the DSA. However, 
ductory information, the following chapter every effort will be made to interpret and 
in each section consists of an analysis of the understand these studies within that frameeffectiveness of existing early intervention work, especially with respect to developstrategies and programs within the frame-mental mechanisms. In so doing, these analwork of the DSA based on the available lit-yses can be informative in evaluating the 
erature. More specifically, how intervention overall validity of the causal patterns dis-

---

FOR MORE, go to http://bit.ly/EffectiveEI

Guralnick

FOR MORE, go to http://bit.ly/EffectiveEI
16	
of vulnerable children, as well as determine

of vulnerable children, as well as determine 
the extent to which children benefit from 
these approaches to early intervention. 
Detailed critiques of each investigation 
included in the analysis, both conceptual or 
methodological, as is common in analyses 
of this type, will not be the focus of each of 
the chapters. Certainly, these issues are relevant and will be discussed as appropriate, 
as that information is essential in order to 
identify those early intervention practices 
in which early intervention professionals 
can have the most confidence. In the end, it 
is hoped that this type of integrative analysis, one framed within a specific conceptual 
approach, will result in the identification of 
practices likely to produce the most effective early intervention outcomes. Moreover, 
this analysis and corresponding overall 
framework should be capable of identifying 
tasks that remain to be accomplished in the 
early intervention field and perhaps even

tasks that remain to be accomplished in the 
early intervention field and perhaps even 
suggest principles that have broad systems 
and practice relevance. 
It is important to point out that this 
volume does not seek to address children 
with all risk and disability conditions. This 
reflects both limits to the author’s expertise as well as limitations in the existing 
research literature to contribute to an 
understanding within the DSA. In particular, children with primary sensory or motor 
disorders will not be considered. Similarly, 
no separate chapter addresses children who 
exhibit language and communication disorders that are not associated with the vulnerable groups specifically considered in this 
volume. However, language and communication issues are obviously critical and are 
discussed and integrated within the other 
chapters. Nevertheless, the four vulnerable 
groups selected for consideration in this 
volume are highly prevalent, each with a 
well-defined and well-organized literature. 
Moreover, although many children in each 
of the four groups discussed display an 
increased incidence of behavior problems, 
that important issue is not directly consid-

Guralnick
of vulnerable children, as well as determine problems, recent approaches suggest that 
the extent to which children benefit from the DSA can contribute to understanding 
these approaches to early intervention. of relevant developmental mechanisms in

these approaches to early intervention. of relevant developmental mechanisms in 
Detailed critiques of each investigation this complex area (Crnic, Neece, McIntyre, 
included in the analysis, both conceptual or Blacher, & Baker, 2017). 
methodological, as is common in analyses Despite these limitations, in the final 
of this type, will not be the focus of each of chapter I will attempt to identify general 
the chapters. Certainly, these issues are rel-principles and practices that apply across 
evant and will be discussed as appropriate, all groups examined within a systems peras that information is essential in order to spective. These principles and practices will 
identify those early intervention practices then provide the foundation and vision for a 
in which early intervention professionals proposal that applies the DSA to the design 
can have the most confidence. In the end, it and implementation of comprehensive and

sis, one framed within a specific conceptual intervention.
approach, will result in the identification of 
practices likely to produce the most effec-
REFERENCES
tive early intervention outcomes. Moreover, 
this analysis and corresponding overall Adolph, K. E., & Berger, S. E. (2005). Physical and 
framework should be capable of identifying motor development. In M. H. Bornstein & M. E. 
tasks that remain to be accomplished in the Lamb (Eds.), Developmental science: An advanced textbook (5th ed., pp. 223–281). Hillsearly intervention field and perhaps even 
dale, NJ: Erlbaum. 
suggest principles that have broad systems 
Anderson, P. (2002). Assessment and development of executive function (EF) during 
It is important to point out that this childhood. Child Neuropsychology, 8, 
volume does not seek to address children 71–82. Retrieved from http://offcampus.lib
.washington.edu/login?url=http://search
with all risk and disability conditions. This 
.ebscohost.com/login.aspx?direct=true&
reflects both limits to the author’s experdb=a9h&AN=9382714&site=ehost-live
tise as well as limitations in the existing Bailey, D. B., Jr. (1997). Evaluating the effectiveresearch literature to contribute to an ness of curriculum alternatives for infants and 
understanding within the DSA. In particu-preschoolers at high risk. In M. J. Guralnick 
(Ed.), The effectiveness of early intervention
lar, children with primary sensory or motor 
(pp. 227–247). Baltimore, MD: Paul H. Brookes 
disorders will not be considered. Similarly, 
Publishing Co. 
no separate chapter addresses children who Banich, M. T. (2009). Executive function: The 
exhibit language and communication disor-search for an integrated account. Current Diders that are not associated with the vulner-rections in Psychological Science, 18, 89–94. 
http://dx.doi.org/10.1111/j.1467-8721.2009.
able groups specifically considered in this 
01615.x 
volume. However, language and communi-
Baron-Cohen, S., Tager-Flusberg, H., & Lomcation issues are obviously critical and are bardo, M. V. (Eds.). (2013). Understanding 
discussed and integrated within the other other minds: Perspectives from autism and 
chapters. Nevertheless, the four vulnerable developmental cognitive neuroscience (3rd 
ed.). Oxford, United Kingdom: University 
groups selected for consideration in this 
Press.
volume are highly prevalent, each with a 
Barr, R. (2006). Developing social understanding 
well-defined and well-organized literature. in a social context. In K. McCartney & D. Phil-
Moreover, although many children in each lips (Eds.), Blackwell handbook of early childof the four groups discussed display an hood development (pp. 188–207). Malden, MA: 
Blackwell. 
increased incidence of behavior problems, 
Beauchamp, M. H., & Anderson, V. (2010). SOCIAL:
that important issue is not directly consid-
An integrative framework for the development

is hoped that this type of integrative analy-inclusive community-based systems of early 
sis, one framed within a specific conceptual intervention.

---

FOR MORE, go to http://bit.ly/EffectiveEI

Foundations of Early Intervention

FOR MORE, go to http://bit.ly/EffectiveEI
Foundations	of Early	Intervention		
Beer, J. S., & Ochsner, K. N. (2006). Social cognition: A multi level analysis. Brain Research, 
1079, 98–105. http://dx.doi.org/10.1016/j
.brainres.2006.01.002
Bell, M. A., & Wolfe, C. D. (2004). Emotion and cognition: An intricately bound developmental process. Child Development, 75, 366–370. http://
dx.doi.org/10.1111/j.1467-8624.2004.00679.x
Belsky, J. (1984). The determinants of parenting: A process model. Child Development, 55,
83–96. http://dx.doi.org/10.2307/1129836 
Benson, J. E., Sabbagh, M. A., Carlson, S. M., & 
Zelazo, P. D. (2013). Individual differences in 
executive functioning predict preschoolers’ 
improvement from theory-of-mind training. 
Developmental Psychology, 49, 1615–1627. 
http://dx.doi.org/10.1037/a0031056
Best, J. R., & Miller, P. H. (2010). A developmental perspective on executive function. Child 
Development, 81, 1641–1660. http://dx.doi
.org/10.1111/j.1467-8624.2010.01499.x
Birney, D. P., Citron-Pousty, J. H., Lutz, D. J., & 
Sternberg, R. J. (2005). The development of 
cognitive and intellectual abilities. In M. E. 
Lamb & M. H. Bornstein (Eds.), Developmental science: An advanced textbook (5th ed., 
pp. 327–358). Mahwah, NJ: Lawrence Erlbaum 
Associates. 
Blair, C. (2002). School readiness: Integrating cognition and emotion in a neurobiological conceptualization of children’s functioning at school 
entry.  American Psychologist, 57, 111–127. 
http://dx.doi.org/10.1037//0003-066X.57.2.111
Blair, C. (2006). How similar are fluid cognition 
and general intelligence? A developmental 
neuroscience perspective on fluid cognition as 
an aspect of human cognitive ability. Behavioral and Brain Sciences, 29, 109–160. http://
dx.doi.org/10.1017/S0140525X06009034
Blair, C., & Razza, R. P. (2007). Relating effortful control, executive function, and false 
belief understanding to emerging math and 
literacy ability in kindergarten. Child Development, 78, 647–663. http://dx.doi.org/
10.1111/j.1467-8624.2007.01019.x
Blakey, E., Visser, I., & Carroll, D. J. (2016). Different executive functions support different 
kinds of cognitive flexibility: Evidence from 
2-, 3-, and 4-year olds. Child Development, 87,
513–526. http://dx.doi.org/10.1111/cdev.12468
Borkowski, J. G., & Burke, J. E. (1996). Theories, 
models, and measurements of executive functioning. In G. R. Lyon & N. A. Krasnegor (Eds.), 
Attention, memory, and executive function
(pp. 235–261). Baltimore, MD: Paul H. Brookes 
Publishing Co. 
Bornstein, M. H., Hahn, C.-S., & Suwalsky, J. T. D. 
(2013). Physically developed and exploratory 
young infants contribute to their own longterm academic achievement. Psychological 
Excerpted from

FOR MORE, go to http://bit.ly/EffectiveEI
Foundations	of Early	Intervention		
Beer, J. S., & Ochsner, K. N. (2006). Social cogni-Science, 24, 1906–1917. http://dx.doi.org/
tion: A multi level analysis. Brain Research, 10.1177/0956797613479974 
1079, 98–105. http://dx.doi.org/10.1016/j Bornstein, M. H., Hahn, C.-S., & Wolke, D. (2013). 
Systems and cascades in cognitive develop-
Bell, M. A., & Wolfe, C. D. (2004). Emotion and cog-ment and academic achievement. Child Denition: An intricately bound developmental pro-velopment, 84, 154–162. http://dx.doi.org/
cess. Child Development, 75, 366–370. http:// 10.1111/j.1467-8624.2012.01849.x
dx.doi.org/10.1111/j.1467-8624.2004.00679.x Bronfenbrenner, U. (2001). Bioecological theory 
Belsky, J. (1984). The determinants of parent-of human development. In N. J. Smelser & B. 
ing: A process model. Child Development, 55, P. Baltes (Eds.), International encyclopedia 
83–96. http://dx.doi.org/10.2307/1129836 of the social and behavioral sciences (Vol. 10, 
Benson, J. E., Sabbagh, M. A., Carlson, S. M., & pp. 6963–6970). New York, NY: Elsevier. 
Zelazo, P. D. (2013). Individual differences in Bronfenbrenner, U., & Morris, P. (1998). The 
executive functioning predict preschoolers’ ecology of developmental processes. In W. C. 
improvement from theory-of-mind training. Damon & R. M. Lerner (Eds.), Handbook of 
Developmental Psychology, 49, 1615–1627. child psychology: Vol 1. Theoretical models of 
human development (5th ed., pp. 993–1028). 
Best, J. R., & Miller, P. H. (2010). A developmen-New York, NY: John Wiley & Sons. 
tal perspective on executive function. Child Brownell, C. A., Lemerise, E. A., Pelphrey, K. 
Development, 81, 1641–1660. http://dx.doi A., & Roisman, G. I. (2015). Measuring socioemotional development. In R. M. Lerner & 
Birney, D. P., Citron-Pousty, J. H., Lutz, D. J., & M. E. Lamb (Eds.), Handbook of child psy-
Sternberg, R. J. (2005). The development of chology and developmental science (7th ed., 
cognitive and intellectual abilities. In M. E. Vol. 3, pp. 11–56). Hoboken, NJ: John Wiley & 
Lamb & M. H. Bornstein (Eds.), Developmen-Sons. 
tal science: An advanced textbook (5th ed., Bruder, M. B. (1997). The effectiveness of spepp. 327–358). Mahwah, NJ: Lawrence Erlbaum cific educational/developmental curricula for 
children with established disabilities. In M. J.
Blair, C. (2002). School readiness: Integrating cog-Guralnick (Ed.), The effectiveness of early
nition and emotion in a neurobiological concep-intervention (pp. 523–548). Baltimore, MD: 
tualization of children’s functioning at school Paul H. Brookes Publishing Co. 
entry.  American Psychologist, 57, 111–127. Bruder, M. B. (2010). Early childhood intervention: 
http://dx.doi.org/10.1037//0003-066X.57.2.111 A promise to children and families for their 
Blair, C. (2006). How similar are fluid cognition future.  Exceptional Children, 76, 339–355. 
and general intelligence? A developmental http://dx.doi.org/10.1177/001440291007600306
neuroscience perspective on fluid cognition as Bruder, M. B., & Guralnick, M. J. (2012). 
an aspect of human cognitive ability. Behav-From the editor. Infants and Young Chilioral and Brain Sciences, 29, 109–160. http:// dren, 25, 267–269. http://dx.doi.org/10.1097/
IYC.0b013e31826d8242
Blair, C., & Razza, R. P. (2007). Relating effort-Carlson, S. M. (2005). Developmentally sensitive 
ful control, executive function, and false measures of executive function in preschool 
belief understanding to emerging math and children. Developmental Neuropsycholliteracy ability in kindergarten. Child De-ogy, 28, 595–616. http://dx.doi.org/10.1207/
velopment, 78, 647–663. http://dx.doi.org/ s15326942dn2802_3
Cicchetti, D. (2006). Development and psycho-
Blakey, E., Visser, I., & Carroll, D. J. (2016). Dif-pathology. In D. Cicchetti & D. Cohen (Eds.), 
ferent executive functions support different Developmental psychopathology (2nd ed., Vol. 
kinds of cognitive flexibility: Evidence from 1, pp. 1–23). Hoboken, NJ: John Wiley & Sons. 
2-, 3-, and 4-year olds. Child Development, 87, Cicchetti, D., & Tucker, D. (1994). Development 
513–526. http://dx.doi.org/10.1111/cdev.12468 and self-regulatory structures of the mind. De-
Borkowski, J. G., & Burke, J. E. (1996). Theories, velopment and Psychopathology, 6, 533–549. 
models, and measurements of executive func-http://dx.doi.org/10.1017/S0954579400004673
tioning. In G. R. Lyon & N. A. Krasnegor (Eds.), Cole, P. M., Martin, S. E., & Dennis, T. A. (2004). 
Attention, memory, and executive function Emotion regulation as a scientific construct: 
(pp. 235–261). Baltimore, MD: Paul H. Brookes Methodological challenges and directions for 
child development research. Child Develop-
Bornstein, M. H., Hahn, C.-S., & Suwalsky, J. T. D. ment, 75, 317–333. Retrieved from http://www
(2013). Physically developed and exploratory .ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=

---

FOR MORE, go to http://bit.ly/EffectiveEI

Guralnick

FOR MORE, go to http://bit.ly/EffectiveEI
18	
Cox, M. J., Mills-Koonce, R., Propper, C., & 
Gariépy, J.-L. (2010). Systems theory and cas-

reformulation of social information-processing 
mechanisms in children’s social adjustment. 
Psychological Bulletin, 115, 74–101. http://dx
.doi.org/10.1037/0033-2909.115.1.74
Crnic, K. A., Neece, C. L., McIntyre, L. L., Blacher, 
J., & Baker, B. L. (2017). Intellectual disability 
and developmental risk: Promoting interven-

Gariépy, J.-L. (2010). Systems theory and cascades in developmental psychopathology. Development and Psychopathology, 22, 497–506. 
http://dx.doi.org/10.1017/S0954579410000234 
Crick, N. R., & Dodge, K. A. (1994). A review and 
reformulation of social information-processing

and developmental risk: Promoting intervention to improve child and family well-being. 
Child Development, 88, 436–445. http://dx
.doi.org/10.1111/cdev.12740
Cuevas, K., & Bell, M. A. (2014). Infant attention

Cuevas, K., & Bell, M. A. (2014). Infant attention 
and early childhood executive function. Child 
Development, 85, 397–404. http://dx.doi.org/
10.1111/cdev.12126
Diamond, A., Barnett, W. S., Thomas, J., &

FOR MORE, go to http://bit.ly/EffectiveEI
Guralnick
Cox, M. J., Mills-Koonce, R., Propper, C., & 
Gariépy, J.-L. (2010). Systems theory and cascades in developmental psychopathology. Development and Psychopathology, 22, 497–506. Ford, D. H., & Lerner, R. M. (1992). Developmenhttp://dx.doi.org/10.1017/S0954579410000234 
Crick, N. R., & Dodge, K. A. (1994). A review and 
reformulation of social information-processing Frazier, B. N., Gelman, S. A., & Wellman, H. M. 
mechanisms in children’s social adjustment. 
Psychological Bulletin, 115, 74–101. http://dx
Crnic, K. A., Neece, C. L., McIntyre, L. L., Blacher, 
J., & Baker, B. L. (2017). Intellectual disability Garon, N., Bryson, S. E., & Smith, I. M. (2008). 
and developmental risk: Promoting intervention to improve child and family well-being. 
Child Development, 88, 436–445. http://dx
Cuevas, K., & Bell, M. A. (2014). Infant attention Garon, N., Smith, I. M., & Bryson, S. E. (2014). 
and early childhood executive function. Child 
Development, 85, 397–404. http://dx.doi.org/
Diamond, A., Barnett, W. S., Thomas, J., & 
Munro, S. (2007). Preschool program improves Gelman, S. A. (2006). Early conceptual developcognitive control. Science, 318, 1387–1388. 
http://dx.doi.org/10.1126/science.1151148
Dodge, K. A. (1991). Emotion and social information processing. In J. Garber & K. A. Dodge Geurten, M., & Willems, S. (2016). Metacognition 
(Eds.),  The development of emotion regulation and dysregulation (pp. 159–181). Cambridge, United Kingdom: Cambridge Univer-
Dodge, K. A., Pettit, G. S., McClaskey, C. L., Gilliam, W. S. (2008). Head Start’s evolving model 
Brown, M. M., & Gottman, J. (1986). Social 
competence in children. Monographs of the 
Society for Research in Child Development, 
51, i–85. http://dx.doi.org/10.2307/1165906
Education for All Handicapped Children Act of Gopnik, A., & Wellman, H. M. (2012). Reconstruct-
1975, PL 94-142, 20 U.S.C. §§ 1400 et seq.
Education of the Handicapped Act Amendments 
of 1986, PL 99-457, 20 U.S.C. §§ 1400 et seq.
Eisenberg, N., Edwards, A., Spinrad, T. L., 
Sallquist, J., Eggum, N. D., & Reiser, M. (2013). Gottlieb, G., Wahlstein, D., & Lickliter, R. (1998). 
Are effortful and reactive control unique 
constructs in young children? Developmental Psychology, 49, 2082–2094. http://dx.doi
Eisenberg, N., & Spinrad, T. L. (2004). Emotionrelated regulation: Sharpening the definition. 
Child Development, 75, 334–339. http://dx Grossman, T. (2015). The development of social 
.doi.org/10.1111/j.1467-8624.2004.00674.x
Espy, K. A. (Ed.). (2016). The changing nature 
of executive control in preschool (Vol. 81). 
Guralnick, M. J. (1997a). Second generation re-
Feldman, D. H. (2013). Cognitive development 
in childhood: A contemporary perspective. 
In R. M. Lerner, M. A. Easterbrooks, & J. 
Mistry (Eds.), Handbook of psychology (Vol. 6,

FOR MORE, go to http://bit.ly/EffectiveEI
Guralnick
competence: Cultural specificity, shared process. Developmental Psychology, 46, 455–467. 
http://dx.doi.org/10.1037/a0017415
Ford, D. H., & Lerner, R. M. (1992). Developmental systems theory: An integrative approach. 
Thousand Oaks, CA: Sage.
Frazier, B. N., Gelman, S. A., & Wellman, H. M. 
(2009). Preschoolers’ search for explanatory 
information within adult and child conversation. Child Development, 80, 1592–1611. http://
dx.doi.org/10.1111/j.1467-8624.2009.01356.x
Garon, N., Bryson, S. E., & Smith, I. M. (2008). 
Executive function in preschoolers: A review 
using an integrative framework. Psychological Bulletin, 134, 31–60. http://dx.doi.org/
10.1037/0033-2909.134.1.31
Garon, N., Smith, I. M., & Bryson, S. E. (2014). 
A novel executive function battery for preschoolers: Sensitivity to age differences. Child 
Neuro psychology, 20, 713–736. http://dx.doi
.org/10.1080/09297049.2013.857650
Gelman, S. A. (2006). Early conceptual development. In K. McCartney & D. Phillips (Eds.), 
Blackwell handbook of early childhood development (pp. 149–166). Malden, MA: Blackwell. 
Geurten, M., & Willems, S. (2016). Metacognition 
in early childhood: Fertile ground to understand memory development? Child Development Perspectives, 10, 263–268. http://dx.doi
.org/10.1111/cdep.12201
Gilliam, W. S. (2008). Head Start’s evolving model 
of collaboration, early education, and family support: Comments from the guest editor. 
Infants and Young Children, 21, 2–3. http://
dx.doi.org/10.1097/01.IYC.0000306368.94672.ad
Gopnik, A., & Wellman, H. M. (2012). Reconstructing constructivism: Causal models, Bayesian 
learning mechanisms, and the theory. Psychological Bulletin, 138, 1085–1108. http://dx.doi
.org/10.1037/a0028044
Gottlieb, G., Wahlstein, D., & Lickliter, R. (1998). 
The significance of biology for human development: A developmental psychobiological 
systems view. In W. Damon & R. Lerner (Eds.), 
Handbook of child psychology: Vol. 1. Theoretical models of human development (5th ed., 
pp. 233–274). New York, NY: John Wiley & Sons. 
Grossman, T. (2015). The development of social 
brain functions in infancy. Psychological Bulletin, 141, 1266–1287. http://dx.doi.org/10.1037/
bul0000002
Guralnick, M. J. (1997a). Second generation research in the field of early intervention. In 
M. J. Guralnick (Ed.), The effectiveness of 
early intervention (pp. 3–22). Baltimore, MD: 
Paul H. Brookes Publishing Co.

Diamond, A., Barnett, W. S., Thomas, J., & 
Munro, S. (2007). Preschool program improves 
cognitive control. Science, 318, 1387–1388. 
http://dx.doi.org/10.1126/science.1151148
Dodge, K. A. (1991). Emotion and social information processing. In J. Garber & K. A. Dodge 
(Eds.),  The development of emotion regulation and dysregulation (pp. 159–181). Cam-

(Eds.),  The development of emotion regulation and dysregulation (pp. 159–181). Cambridge, United Kingdom: Cambridge University Press. 
Dodge, K. A., Pettit, G. S., McClaskey, C. L., 
Brown, M. M., & Gottman, J. (1986). Social

in childhood: A contemporary perspective. 
In R. M. Lerner, M. A. Easterbrooks, & J. 
Mistry (Eds.), Handbook of psychology (Vol. 6,

Eisenberg, N., & Spinrad, T. L. (2004). Emotionrelated regulation: Sharpening the definition. 
Child Development, 75, 334–339. http://dx
.doi.org/10.1111/j.1467-8624.2004.00674.x

Brown, M. M., & Gottman, J. (1986). Social 
competence in children. Monographs of the 
Society for Research in Child Development, 
51, i–85. http://dx.doi.org/10.2307/1165906

Society for Research in Child Development, 
51, i–85. http://dx.doi.org/10.2307/1165906
Education for All Handicapped Children Act of

Education for All Handicapped Children Act of 
1975, PL 94-142, 20 U.S.C. §§ 1400 et seq.
Education of the Handicapped Act Amendments 
of 1986, PL 99-457, 20 U.S.C. §§ 1400 et seq.
Eisenberg, N., Edwards, A., Spinrad, T. L., 
Sallquist, J., Eggum, N. D., & Reiser, M. (2013). 
Are effortful and reactive control unique

.doi.org/10.1111/j.1467-8624.2004.00674.x
Espy, K. A. (Ed.). (2016). The changing nature 
of executive control in preschool (Vol. 81). 
Boston, MA: John Wiley and Sons.
Feldman, D. H. (2013). Cognitive development 
in childhood: A contemporary perspective.

---

FOR MORE, go to http://bit.ly/EffectiveEI

Foundations of Early Intervention

FOR MORE, go to http://bit.ly/EffectiveEI
Foundations	of Early	Intervention		
Guralnick, M. J. (1999). Family and child influences on the peer-related social competence of 
young children with developmental delays. 
Mental Retardation and Developmental Disabilities Research Reviews, 5, 21–29. http://
dx.doi.org/10.1002/(SICI)1098-2779(1999)
5:1<21::AID-MRDD3>3.0.CO;2-O
Guralnick, M. J. (2001). Connections between developmental science and intervention science. 
Zero to Three, 21, 24–29. 
Guralnick, M. J. (Ed.). (2005a). The developmental systems approach to early intervention. 
Baltimore, MD: Paul H. Brookes Publishing 
Co.
Guralnick, M. J. (2005b). Early intervention 
for children with intellectual disabilities: 
Current knowledge and future prospects. 
Journal of Applied Research in Intellectual Disabilities, 18, 313–324. http://dx.doi
.org/10.1111/j.1468-3148.2005.00270.x
Guralnick, M. J. (2006). Family influences on 
early development: Integrating the science of 
normative development, risk and disability, 
and intervention. In K. McCartney & D. Phillips (Eds.), Blackwell handbook of early childhood development (pp. 44–61). Malden, MA: 
Blackwell. 
Guralnick, M. J. (2008). International perspectives on early intervention: A search for 
common ground. Journal of Early Intervention, 30, 90–101. http://dx.doi.org/10.1177/
1053815107313483
Guralnick, M. J. (2011). Why early intervention works: A systems perspective. Infants 
and Young Children, 24, 6–28. http://dx.doi
.org/10.1097/IYC.0b013e3182002cfe
Guralnick, M. J. (2012). Preventive interventions for preterm children: Effectiveness 
and developmental mechanisms. Journal 
of Developmental and Behavioral Pediatrics, 33, 352–364. http://dx.doi.org/10.1097/
DBP.0b013e31824eaa3c
Guralnick, M. J. (2013). Developmental science 
and preventive interventions for children at 
environmental risk. Infants and Young Children, 26, 270–285. http://dx.doi.org/10.1097/
IYC.0b013e3182a6832f
Guralnick, M. J. (2017). Early intervention for 
children with intellectual disabilities: An update.  Journal of Applied Research in Intellectual Disabilities, 30, 211–229. http://dx.doi
.org/10.1111/jar.12233
Guralnick, M. J., & Conlon, C. (2007). Early intervention. In M. L. Batshaw, L. Pelligrino, & 
N. Roizen (Eds.), Children with disabilities
(6th ed., pp. 511–521). Baltimore, MD: Paul H. 
Brookes Publishing Co.

FOR MORE, go to http://bit.ly/EffectiveEI
Foundations	of Early	Intervention		
Guralnick, M. J. (1999). Family and child influ-(Eds.), Handbook of child psychology: Vol. 2. 
ences on the peer-related social competence of Language and perceptual development (6th 
young children with developmental delays. ed., pp. 557–608). Hoboken, NJ: John Wiley & 
Mental Retardation and Developmental Dis-Sons. 
abilities Research Reviews, 5, 21–29. http:// Handicapped Children’s Early Education Act of 
dx.doi.org/10.1002/(SICI)1098-2779(1999) 1968, PL 90-538, 20 U.S.C. §§ 621 et seq.
Hauser-Cram, P., & Warfield, M. E. (2009). Early 
Guralnick, M. J. (2001). Connections between de-intervention services. In W. B. Carey, A. C. 
velopmental science and intervention science. Crocker, W. L. Coleman, E. R. Elias, & H. M. 
Feldman (Eds.), Developmental-behavioral 
Guralnick, M. J. (Ed.). (2005a). The developmen-pediatrics (4th ed.,  pp. 923–932). Philadeltal systems approach to early intervention. phia, PA: Elsevier. 
Baltimore, MD: Paul H. Brookes Publishing Hill, J. L., Brooks-Gunn, J., & Waldfogel, J. 
(2003). Sustained effects of high participa-
Guralnick, M. J. (2005b). Early intervention tion in an early intervention for low-birthfor children with intellectual disabilities: weight premature infants. Developmental 
Current knowledge and future prospects. Psychology, 39, 730–744. http://dx.doi.org/10
Journal of Applied Research in Intellec-.1037/0012-1649.39.4.730
tual Disabilities, 18, 313–324. http://dx.doi Hutchins, V. L. (1994). Maternal and Child Health 
Bureau: Roots. Pediatrics, 94, 695–699. Re-
Guralnick, M. J. (2006). Family influences on trieved from http://www.ncbi.nlm.nih.gov/
early development: Integrating the science of entrez/query.fcgi?cmd=Retrieve&db=Pub
normative development, risk and disability, Med&dopt=Citation&list_uids=7936898
and intervention. In K. McCartney & D. Phil-Individuals with Disabilities Education Improvelips (Eds.), Blackwell handbook of early child-ment Act (IDEA) of 2004, PL 108-446, 20 U.S.C. 
hood development (pp. 44–61). Malden, MA: §§ 1400 et seq.
Ireys, H. T., & Nelson, R. P. (1992). New fed-
Guralnick, M. J. (2008). International perspec-eral policy for children with special health 
tives on early intervention: A search for care needs: Implications for pediatricians. 
common ground. Journal of Early Interven-Pediatrics, 90, 321–327. Retrieved from 
tion, 30, 90–101. http://dx.doi.org/10.1177/ http://www.ncbi.nlm.nih.gov/entrez/query.
fcgi?cmd=Retrieve&db=PubMed&dopt=
Guralnick, M. J. (2011). Why early interven-Citation&list_uids=1387706
tion works: A systems perspective. Infants Izard, C. E., & Stark, K. (2008). Beyond emotion 
and Young Children, 24, 6–28. http://dx.doi regulation: Emotion utilization and adaptive 
functioning. Child Development Perspec-
Guralnick, M. J. (2012). Preventive interven-tives, 2, 156–163. http://dx.doi.org/http://dx
tions for preterm children: Effectiveness .doi.org/10.1111/j.1750-8606.2008.00058.x
and developmental mechanisms. Journal Johnson, M. (2000). Functional brain developof Developmental and Behavioral Pediat-ment in infants: Elements of an interactive 
rics, 33, 352–364. http://dx.doi.org/10.1097/ specialization framework. Child Development, 71, 75–81. http://dx.doi.org/10.1111/
Guralnick, M. J. (2013). Developmental science 1467-8624.00120
and preventive interventions for children at Johnson, M. H. (2001). Functional brain develenvironmental risk. Infants and Young Chil-opment in humans. Nature Reviews Neurodren, 26, 270–285. http://dx.doi.org/10.1097/ science, 2, 475–483. http://dx.doi.org/10.1038/
3508150935081509
Guralnick, M. J. (2017). Early intervention for Kaplan, S., & Berman, M. G. (2010). Directed atchildren with intellectual disabilities: An up-tention as a common resource for executive 
date.  Journal of Applied Research in Intel-functioning and self-regulation. Perspectives 
lectual Disabilities, 30, 211–229. http://dx.doi on Psychological Science, 5, 43–57. http://dx 
.doi.org /10.1177/1745691609356784
Guralnick, M. J., & Conlon, C. (2007). Early in-Karmiloff-Smith, A. (2009). Nativism versus 
tervention. In M. L. Batshaw, L. Pelligrino, & neuroconstructivism: Rethinking the study of 
N. Roizen (Eds.), Children with disabilities developmental disorders. Developmental Psy-

tervention. In M. L. Batshaw, L. Pelligrino, & neuroconstructivism: Rethinking the study of 
N. Roizen (Eds.), Children with disabilities developmental disorders. Developmental Psy-
(6th ed., pp. 511–521). Baltimore, MD: Paul H. chology, 45, 56–63. http://dx.doi.org/10.1037/

---

FOR MORE, go to http://bit.ly/EffectiveEI

Guralnick

FOR MORE, go to http://bit.ly/EffectiveEI
20	
(Eds.), Handbook of child psychology: Vol. 2. 
Cognition, perception, and language (6th ed., 
pp. 109–160). Hoboken, NJ: Wiley. 
Kristen, S., Sodian, B., Thoermer, C., & Perst, H. 
(2011). Infants’ joint attention skills predict 
toddlers’ emerging mental state language. 
Developmental Psychology, 47, 1207–1219. 
http://dx.doi.org/10.1037/a0024808
Kuhn, D. (2000). Metacognitive development. 
Current Directions in Psychological Science, 
9, 178–181. http://dx.doi.org/10.1111/1467-8721
.00088
Kuhn, D. (2001). Why development does (and 
does not) occur: Evidence from the domain of 
inductive reasoning. In J. L. McClelland & 
A. S. Siegler (Eds.), Mechanisms of cognitive 
development: Behavioral and neural perspectives (pp. 221–249). Mahwah, NJ: Lawrence 
Erlbaum. 
Kuhn, L., Willoughby, M. T., Wilbourn, M. P., 
Vernon-Feagans, L., Blair, C. B., & The Family 
Life Project Key Investigators. (2014). Early 
communicative gestures prospectively predict 
language development and executive function 
in early childhood. Child Development, 85,
1898–1914. http://dx.doi.org/10.1111/cdev.12249
Leerkes, E. M., Paradise, M., O’Brien, M., Calkins, 
S. D., & Lange, G. (2008). Emotion and cognition processes in preschool children. Merrill-
Palmer Quarterly, 54, 102–124. Retrieved 
from http://www.jstor.org/stable/23096081 
Lemerise, E. A., & Arsenio, W. F. (2000). An integrated model of emotion processes and 
cognition in social information processing. 
Child Development, 71, 107–118. http://dx.doi
.org/10.1111/1467-8624.00124
Lerner, R. M., Theokas, C., & Bobek, D. L. (2005). 
Concepts and theories of human development: 
Historical and contemporary dimensions. In 
M. H. Bornstein & M. E. Lamb (Eds.), Developmental science (5th ed., pp. 3–44). Mahwah, 
NJ: Lawrence Erlbaum. 
Lesser, A. J. (1985). The origin and development 
of maternal and child health programs in the 
United States. American Journal of Public 
Health, 75, 590–595. http://dx.doi.org/10.2105/
AJPH.75.6.590
Lewis, M. (2000). The emergency of human 
emotions. In M. Lewis & J. M. Haviland-Jones 
(Eds.),  Handbook of emotions (2nd ed.,  pp. 
265–280). New York, NY: Guilford Press. 
Liew, J. (2012). Effortful control, executive functions, and education: Bringing self-regulatory 
and social-emotional competencies to the
table.  Child Development Perspectives, 6,
105–111. http://dx.doi.org/10.1111/j.1750-8606.
2011.00196.x
Long, T. (2013). Early intervention. In M. L. 
Batshaw, N. J. Roizen, & G. R. Lotrecchiano

FOR MORE, go to http://bit.ly/EffectiveEI
Guralnick
(Eds.), Handbook of child psychology: Vol. 2. pp. 547–557). Baltimore, MD: Paul H. Brookes 
Cognition, perception, and language (6th ed., Publishing Co. 
McClelland, M. M., & Cameron, C. E. (2012). 
Kristen, S., Sodian, B., Thoermer, C., & Perst, H. Self-regulation in early childhood: Improv-
(2011). Infants’ joint attention skills predict ing conceptual clarity and developing ecotoddlers’ emerging mental state language. logically valid measures. Child Develop-
Developmental Psychology, 47, 1207–1219. ment Perspectives, 6, 136–142. http://dx.doi
.org/10.1111/j.1750-8606.2011.00191.x
Kuhn, D. (2000). Metacognitive development. Meisels, S. J., & Shonkoff, J. P. (2000). Early child-
Current Directions in Psychological Science, hood intervention: A continuing evolution. In 
9, 178–181. http://dx.doi.org/10.1111/1467-8721 J. Shonkoff & S. J. Meisels (Eds.), Handbook 
of early childhood intervention (2nd ed., 
Kuhn, D. (2001). Why development does (and pp. 3–31). New York, NY: Cambridge Univerdoes not) occur: Evidence from the domain of sity Press. 
inductive reasoning. In J. L. McClelland & Meltzoff, A. N. (1995). Understanding the in-
A. S. Siegler (Eds.), Mechanisms of cognitive tentions of others: Re-enactment of intended 
development: Behavioral and neural perspec-acts by 18-month-old children. Developmentives (pp. 221–249). Mahwah, NJ: Lawrence tal Psychology, 31, 838–850. http://dx.doi.org/
10.1037/0012-1649.31.5.838
Kuhn, L., Willoughby, M. T., Wilbourn, M. P., Meltzoff, A. N., Waismeyer, A., & Gopnik, A. 
Vernon-Feagans, L., Blair, C. B., & The Family (2012). Learning about causes from people: 
Life Project Key Investigators. (2014). Early Observational causal learning in 24-monthcommunicative gestures prospectively predict old infants. Developmental Psychology, 48,
language development and executive function 1215–1228. http://dx.doi.org/10.1037/a0027440
in early childhood. Child Development, 85, Mercado, E., III. (2008). Neural and cognitive 
1898–1914. http://dx.doi.org/10.1111/cdev.12249 plasticity: From maps to minds. Psycholog-
Leerkes, E. M., Paradise, M., O’Brien, M., Calkins, ical Bulletin, 134, 109–137. http://dx.doi
S. D., & Lange, G. (2008). Emotion and cogni-.org/10.1037/0033-2909.134.1.109
tion processes in preschool children. Merrill-Miller, S. E., & Marcovitch, S. (2015). Examining 
Palmer Quarterly, 54, 102–124. Retrieved executive function in the second year of life: 
from http://www.jstor.org/stable/23096081 Coherence, stability, and relations to joint 
Lemerise, E. A., & Arsenio, W. F. (2000). An in-attention and language. Developmental Psytegrated model of emotion processes and chology, 51, 101–114. http://dx.doi.org/10.1037/
cognition in social information processing. a0038359
Child Development, 71, 107–118. http://dx.doi Morgan, G. A., MacTurk, R. H., & Hrncir, E. J. 
(1995). Mastery motivation: Overview, defini-
Lerner, R. M., Theokas, C., & Bobek, D. L. (2005). tions and conceptual issues. In R. H. MacTurk 
Concepts and theories of human development: & G. A. Morgan (Eds.), Mastery motivation: 
Historical and contemporary dimensions. In Origins, conceptualizations, and applica-
M. H. Bornstein & M. E. Lamb (Eds.), Develop-tions (pp. 1–18). Norwood, NJ: Ablex. 
mental science (5th ed., pp. 3–44). Mahwah, Piaget, J. (1952). The origins of intelligence in 
children. New York, NY: International Univer-
Lesser, A. J. (1985). The origin and development sities Press.
of maternal and child health programs in the Pintrich, P. R. (2000). The role of goal orientation 
United States. American Journal of Public in self-regulated learning. In M. Boekaerts, 
Health, 75, 590–595. http://dx.doi.org/10.2105/ P. R. Pintrich, & M. Zeidner (Eds.), Handbook 
of self-regulation (pp. 451–502). San Diego, 
Lewis, M. (2000). The emergency of human CA: Academic Press. 
emotions. In M. Lewis & J. M. Haviland-Jones Riggs, N. R., Jahromi, L. B., Razza, R. P., Dilworth-
(Eds.),  Handbook of emotions (2nd ed.,  pp. Bart, J. E., & Mueller, U. (2006). Execu-
265–280). New York, NY: Guilford Press. tive function and the promotion of social-
Liew, J. (2012). Effortful control, executive func-emotional competence. Journal of Applied 
tions, and education: Bringing self-regulatory Developmental Psychology, 27, 300–309. 
and social-emotional competencies to the http://dx.doi.org/10.1016/j.appdev.2006.04.002
table.  Child Development Perspectives, 6, Rogers, S. J., & Talbott, M. R. (2016). Early 
105–111. http://dx.doi.org/10.1111/j.1750-8606. identification and early treatment of autism 
spectrum disorder. International Review of

---

FOR MORE, go to http://bit.ly/EffectiveEI

Foundations of Early Intervention

FOR MORE, go to http://bit.ly/EffectiveEI
Foundations	of Early	Intervention		
Rose, S. A., Feldman, J. F., & Jankowski, J. J. 
(2009). Information processing in toddlers: 
Continuity from infancy and persistence of 
preterm deficits. Intelligence, 37, 311–320. 
http://dx.doi.org/10.1016/j.intell.2009.02.002
Rose-Krasnor, L. (1997). The nature of social 
competence: A theoretical review. Social  
Development, 6, 111–135. http://dx.doi.org/
10.1111/j.1467-9507.1997.tb00097.x
Rothbart, M. K., & Rueda, M. R. (2005). The development of effortful control. In U. Mayr, 
E. Awh, & S. W. Keele (Eds.), Developing individuality in the human brain: A tribute to 
Michael I. Posner (pp. 167–188). Washington, 
DC: American Psychological Association. 
Rutter, M., & Sroufe, L. A. (2000). Developmental 
psychopathology: Concepts and challenges. 
Development and Psychopathology, 12,
265–296. Retrieved from http://www.ncbi.nlm
.nih.gov/entrez/query.fcgi?cmd=Retrieve&
db=PubMed&dopt=Citation&list_uids=
11014739
Ryan, R. M., & Deci, E. L. (2000). Selfdetermination theory and the facilitation of 
intrinsic motivation, social development, and 
well-being. American Psychologist, 55, 68–78. 
http://dx.doi.org/10.1037/0003-066X.55.1.68 
Saffran, J. R., Werker, J. F., & Werner, L. A. (2006). 
The infant’s auditory world: Hearing, speech, 
and the beginnings of language. In D. Kuhn 
& R. Siegler (Eds.), Handbook of child psychology: Vol. 2. Cognition, perception, and 
language (6th ed.,  pp. 58–108). Hoboken, NJ: 
Wiley. 
Sameroff, A. J. (2009). The transactional model. 
In A. J. Sameroff (Ed.), The transactional 
model of development (pp. 3–21). Washington, 
DC: American Psychological Association 
Sameroff, A. J. (2010). A unified theory of development: A dialectic integration of nature and 
nurture. Child Development, 81, 6–22. http://
dx.doi.org/10.1111/j.1467-8624.2009.01378.x
Schneider, W., & Ornstein, P. A. (2015). The development of children’s memory. Child Development Perspectives, 9, 190–195. http://dx.doi
.org/10.1111/cdep.12129
Smith, B. J., & McKenna, P. (1994). Early intervention public policy: Past, present, and future. In L. J. Johnson, R. J. Gallagher, M. J. 
LaMontagne, J. B. Jordan, J. J. Gallagher, P. L. 
Hutinger, & M. B. Karnes (Eds.), Meeting early 
intervention challenges (pp. 251–264). Baltimore, MD: Paul H. Brookes Publishing Co. 
Social Security Act of 1935, PL 74-271, 42 U.S.C. 
§§ 301 et seq.
Spinrad, T. L., Eisenberg, N., Gaertner, B., Popp, 
T., Smith, C. L., Kupfer, A., . . . Hofer, C. (2007). 
Relations of maternal socialization and toddlers’ effortful control to children’s adjust-

FOR MORE, go to http://bit.ly/EffectiveEI
Foundations	of Early	Intervention		
Rose, S. A., Feldman, J. F., & Jankowski, J. J. Psychology, 43, 1170–1186. http://dx.doi.org/
(2009). Information processing in toddlers: 10.1037/0012-1649.43.5.1170 
Continuity from infancy and persistence of Sternberg, R. J. (1998). Abilities are forms of depreterm deficits. Intelligence, 37, 311–320. veloping expertise. Educational Researcher, 
http://dx.doi.org/10.1016/j.intell.2009.02.002 27, 11–20. http://dx.doi.org/10.3102/0013189
Rose-Krasnor, L. (1997). The nature of social X027003011 
competence: A theoretical review. Social  Thelen, E., & Smith, L. B. (1998). Dynamic sys-
Development, 6, 111–135. http://dx.doi.org/ tems theories. In W. Damon & R. M. Lerner 
(Eds.), Handbook of child psychology: Volume 
Rothbart, M. K., & Rueda, M. R. (2005). The de-1. Theoretical models of human development 
velopment of effortful control. In U. Mayr, (5th ed., pp. 563–634). Hoboken, NJ: John 
E. Awh, & S. W. Keele (Eds.), Developing in-Wiley & Sons. 
dividuality in the human brain: A tribute to Thompson, R. A., & Lagattuta, K. H. (2006). Feel-
Michael I. Posner (pp. 167–188). Washington, ing and understanding: Early emotional devel-
DC: American Psychological Association. opment. In K. McCartney & D. Phillips (Eds.), 
Rutter, M., & Sroufe, L. A. (2000). Developmental Blackwell handbook of early childhood develpsychopathology: Concepts and challenges. opment (pp. 317–337). Malden, MA: Blackwell. 
Development and Psychopathology, 12, Trohanis, P. L. (2008). Progress in providing 
265–296. Retrieved from http://www.ncbi.nlm services to young children with special needs 
.nih.gov/entrez/query.fcgi?cmd=Retrieve& and their families: An overview to and update 
db=PubMed&dopt=Citation&list_uids= on the implementation of the Individuals with 
Disabilities Education Act (IDEA). Journal of 
Ryan, R. M., & Deci, E. L. (2000). Self-Early Intervention, 30, 140–151. http://dx.doi
determination theory and the facilitation of .org/10.1177/1053815107312050
intrinsic motivation, social development, and Votruba-Drzal, E., & Dearing, E. (Eds.). (2017). 
well-being. American Psychologist, 55, 68–78. The Wiley handbook of early childhood develhttp://dx.doi.org/10.1037/0003-066X.55.1.68 opment programs, practices, and policies. 
Saffran, J. R., Werker, J. F., & Werner, L. A. (2006). West Sussex, United Kingdom: John Wiley & 
The infant’s auditory world: Hearing, speech, Sons.
and the beginnings of language. In D. Kuhn Wachs, T. D., & Combs, T. T. (1995). The domains 
& R. Siegler (Eds.), Handbook of child psy-of infant mastery motivation. In R. H. MacTurk 
chology: Vol. 2. Cognition, perception, and & G. A. Morgan (Eds.), Mastery motivation: 
language (6th ed.,  pp. 58–108). Hoboken, NJ: Origins, conceptualizations, and applications (pp. 147–164). Westport, CT: Ablex. 
Sameroff, A. J. (2009). The transactional model. Wagner, L., & Hoff, E. (2012). Language develop-
In A. J. Sameroff (Ed.), The transactional ment. In R. M. Lerner, M. A. Easterbrooks, & 
model of development (pp. 3–21). Washington, J. Mistry (Eds.), Handbook of psychology
DC: American Psychological Association (Vol. 6, pp. 173–196). New York, NY: Wiley. 
Sameroff, A. J. (2010). A unified theory of devel-Walker, C. M., & Gopnik, A. (2014). Toddlers inopment: A dialectic integration of nature and fer higher-order relational principles in causal 
nurture. Child Development, 81, 6–22. http:// learning.  Psychological Science, 25, 161–169. 
dx.doi.org/10.1111/j.1467-8624.2009.01378.x http://dx.doi.org/10.1177/0956797613502983
Schneider, W., & Ornstein, P. A. (2015). The de-Waxman, S. R., & Lidz, J. L. (2006). Early word 
velopment of children’s memory. Child Devel-learning. In D. Kuhn, R. S. Siegler, W. Damon, 
opment Perspectives, 9, 190–195. http://dx.doi & R. M. Lerner (Eds.), Handbook of child 
psychology: Vol 2. Cognition, perception, and 
Smith, B. J., & McKenna, P. (1994). Early inter-language  (6 ed., pp. 299–335). Hoboken, NJ: 
vention public policy: Past, present, and fu-John Wiley & Sons. 
ture. In L. J. Johnson, R. J. Gallagher, M. J. Welsh, M. C., Friedman, S. L., & Spieker, S. J. 
LaMontagne, J. B. Jordan, J. J. Gallagher, P. L. (2006). Executive functions in developing 
Hutinger, & M. B. Karnes (Eds.), Meeting early children: Current conceptualizations and 
intervention challenges (pp. 251–264). Balti-questions for the future. In K. McCartney & 
more, MD: Paul H. Brookes Publishing Co. D. Phillips (Eds.), Handbook of early child-
Social Security Act of 1935, PL 74-271, 42 U.S.C. hood development (pp. 167–187). Malden, MA: 
Blackwell. 
Spinrad, T. L., Eisenberg, N., Gaertner, B., Popp, Wigfield, A., Eccles, J. S., Schiefele, U., Roeser, 
T., Smith, C. L., Kupfer, A., . . . Hofer, C. (2007). R. W., & Davis-Kean, P. (2006). Development of

---

FOR MORE, go to http://bit.ly/EffectiveEI

Guralnick

FOR MORE, go to http://bit.ly/EffectiveEI
22	
Wise, P. H., & Richmond, J. B. (2008). The history of child developmental-behavioral health 
policy in the United States. In M. L. Wolraich, 
D. D. Drotar, P. H. Dworkin, & E. C. Perrin

Guralnick
Wise, P. H., & Richmond, J. B. (2008). The history of child developmental-behavioral health 
policy in the United States. In M. L. Wolraich, 
D. D. Drotar, P. H. Dworkin, & E. C. Perrin

Guralnick
disorder: A heuristic integration of social 
neuroscience and developmental psychology. 
Psychological Bulletin, 133, 535–556. http://
dx.doi.org/10.1037/0033-2909.133.3.535

D. D. Drotar, P. H. Dworkin, & E. C. Perrin dx.doi.org/10.1037/0033-2909.133.3.535
(Eds.),  Developmental-behavior pediatrics: Zelazo, P. D., & Carlson, S. M. (2012). Hot and 
Evidence and practice (pp. 1–12). Philadel-cool executive function in childhood and adolescence: Development and plasticity. Child

Evidence and practice (pp. 1–12). Philadel-
Woodward, A. L. (2009). Infants’ grasp of others’ intentions. Current Directions in Psychological Science, 18, 53–57. http://dx.doi Zelazo, P. D., & Cunningham, W. (2007). Execu-

cool executive function in childhood and adolescence: Development and plasticity. Child 
Development Perspectives, 6, 354–360. http://
dx.doi.org/10.1111/j.1750-8606.2012.00246.x
Zelazo, P. D., & Cunningham, W. (2007). Executive function: Mechanisms underlying emo-

tive function: Mechanisms underlying emo-
Xu, F., & Kushnir, T. (2013). Infants are rational tion regulation. In J. Gross (Ed.), Handbook of 
constructivist learners. Current Directions emotion regulation (pp. 135–158). New York, 
in Psychological Science, 22, 28–32. http:// NY: Guilford.

D. D. Drotar, P. H. Dworkin, & E. C. Perrin 
(Eds.),  Developmental-behavior pediatrics: 
Evidence and practice (pp. 1–12). Philadelphia, PA: Mosby. 
Woodward, A. L. (2009). Infants’ grasp of oth-

Woodward, A. L. (2009). Infants’ grasp of others’ intentions. Current Directions in Psychological Science, 18, 53–57. http://dx.doi
.org/10.1111/j.1467-8721.2009.01605.x
Xu, F., & Kushnir, T. (2013). Infants are rational

Xu, F., & Kushnir, T. (2013). Infants are rational 
constructivist learners. Current Directions 
in Psychological Science, 22, 28–32. http://
dx.doi.org/10.1177/0963721412469396

---

EARLY CHILDHOOD / EARLY INTERVENTION

Effective Early Intervention
The Developmental Systems Approach

fter decades of rapid evolution and groundbreaking research, the field of early intervention 
can be understood within a common framework: the Developmental Systems Approach (DSA). 
ACreated by a highly influential leader in the field, Dr. Michael Guralnick, this evidence-based, 
relationship-oriented, family-centered framework focuses on strengthening the quality of key family

patterns of interaction that influence a child’s development. 
In this important text, Dr. Guralnick organizes and analyzes the most current research in early 
intervention through the lens of the DSA. Starting with a clear explanation of the foundations of early 
intervention, the book then applies the DSA to four vulnerable populations: Children at risk due to 
biological factors, specifically preterm birth; children at environmental risk; children with developmental

delays; and children with autism spectrum disorder. Readers will

• Understand the developmental science that applies to all children 
• Learn how child development is influenced by three family patterns of interaction—parent-child

• Learn how child development is influenced by three family patterns of interaction—parent-child 
transactions, family-orchestrated child experiences, and parent support for child health and safety
• Explore the influence of family resources as well as child-specific risk and protective factors on a

• Explore the influence of family resources as well as child-specific risk and protective factors on a 
child’s development in the context of early intervention

• Discover what early interventions are effective, as supported by intervention science 
• Learn the fundamentals of applying the DSA framework to designing inclusive community-based

systems of early intervention
An invaluable reference for early childhood researchers, faculty, and policy makers, this visionary 
book is the key to establishing inclusive community-based early intervention systems that nurture

ISBN-13: 978-1-68125-288-9
ISBN-10: 1-68125-288-0

www.brookespublishing.com
