The Early Start Denver Model (ESDM) (15) was the first empirically-validated comprehensive intervention for toddlers with Autism Spectrum Disorders (ASD). In a study of P-ESDM that parallels the proposed study, Vismara et al (2009) demonstrated that in a brief 12 week, 1 hour per week, P-ESDM program with parents of toddlers with ASD, all but one parent in the study acquired mastery of the ESDM techniques at or above the 85 percent criterion by the fifth to sixth intervention session as measured by the ESDM fidelity scale. Furthermore, high levels of correct implementation of the ESDM techniques were maintained at follow-up for those parents who met fidelity and completed the program, with average percent accuracy ranging from 93-97%. The brief intervention also resulted in sustained positive growth in child social communicative behaviors (see Figure 1) (31). More recently, in an NIH-funded randomized controlled trial (RCT), Rogers et al (2012) found that both P-ESDM and community interventions were associated with increases in language and cognitive outcomes and decrease in ASD symptoms, despite the fact that the community intervention involved a greater number of intervention hours (32). Specifically, a 10-point increase in verbal developmental quotient (DQ), a 4-5 point increase in overall DQ, and a decrease in social affect symptoms on the Autism Diagnostic Observational Schedule (ADOS) were found. Moreover, the intervention resulted in lower levels of parenting stress (33).