Cost Comparison of Early Intensive Behavioral Intervention and Special Education for Children with Autism
- 1.6k Downloads
The financial implications of the increased prevalence of autism, though rarely discussed, will be extremely important to society. We compared the costs associated with 18 years of special education to the costs associated with the implementation of an average of 3 years of Discrete Trial Training as an Early Intensive Behavioral Intervention (EIBI) in an effort to minimize the need for special education. Our results indicate that the state of Texas would save $208,500 per child across eighteen years of education with EIBI. When applied to the conservative estimate of 10,000 children with autism in Texas, the State would save a total of $2.09 billion with EIBI. Implications for taxpayers, policymakers, and treatment are discussed.
KeywordsAutism Cost Early intensive behavioral intervention Special education Discrete trial training
The authors would like to thank Fredric M. Chasson, Jourdan Konier, Adam Kramer, Jim Palmer, and Adam Leventhal for their generous assistance with this paper.
- American Psychological Association Task Force on Psychological Intervention Guidelines (1995). Template for developing guidelines: Interventions for mental disorders and psychological aspects of physical disorders. Washington, DC: American Psychological Association.Google Scholar
- Department of Developmental Services (2003). Autism spectrum disorders: Changes in the California caseload: An update: 1999 through 2002. Sacramento, CA: California Health and Human Services Agency.Google Scholar
- Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (2000). Washington, DC: American Psychiatric Association.Google Scholar
- Fighting Autism (2004). Texas public schools autism prevalence report: School years 1992—2003. Retrieved February 23, 2005, from http://www.fightingautism.org/idea/reports/TX-Autism-Statistics-Prevalence-Incidence-Rates.pdfGoogle Scholar
- Freeman, B. J., Rahbar, B., Ritvo, E. R., Bice, T. L., Yokota, A., & Ritvo, R. (1991). The stability of cognitive and behavioral parameters in autism: A twelve-year prospective study. Journal of the American Academy of Child Psychiatry, 30, 479–482.Google Scholar
- United States Government Accountability Office (2005). Special education: Children with autism. Report to the Chairman and Ranking Minority Member, Subcommittee on Human Rights and Wellness, and Committee on Government Reform, House of Representatives. Retrieved February 23, 2005, from http://www.gao.gov/new.items/d05220.pdfGoogle Scholar