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Toddlers and Families Together is a group-based caregiver-mediated intervention using naturalistic developmental behavioral strategies for families and their young children with social-communication difficulties, including children with, or at-risk for, autism spectrum disorder (ASD), that targets joint engagement within a context of everyday routines and activities through eight weekly 3-hour sessions. In a randomized controlled trial using mixed methods, results show that toddlers and families participating in the intervention (n=39) spent a significantly higher percentage of time in joint engagement during a videorecorded play session than those that did not participate in the intervention (n=22). These data are promising in showing preliminary efficacy and social validity data supporting this intervention format for promoting joint engagement in young children with social-communication difficulties.