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The purpose of this study was to contribute information to service delivery gaps within the intervention literature related to the expense and inaccessibility of evidence-informed interventions for children with disabilities who have experienced maltreatment. A non-concurrent multiple baseline method was used to determine a relationship between the intervention and children’s challenging behaviors for five caregiver-child dyads. Results from visual analysis, masked visual analysis, and hierarchical linear modeling supported a statistically and clinically significant relationship between Smart Start and improved caregiver ratings of children’s challenging behaviors. The intervention was implemented with good fidelity, and all caregivers found Smart Start acceptable.

Smart Start: a feasible intervention for young children with disabilities and trauma