Journal of Child and Family Studies

, Volume 16, Issue 3, pp 401–413 | Cite as

Cost Comparison of Early Intensive Behavioral Intervention and Special Education for Children with Autism

  • Gregory S. Chasson
  • Gerald E. HarrisEmail author
  • Wendy J. Neely
Original Paper


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.


Autism 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.


  1. 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
  2. Barnett, W. S., & Escobar, C. M. (1989). Research on the cost effectiveness of early educational intervention: Implications for research and policy. American Journal of Community Psychology, 17, 677–704.PubMedCrossRefGoogle Scholar
  3. Bibby, P., Eikeseth, S., Martin, N. T., Mudford, O. C., & Reeves, D. (2001). Progress and outcomes for children with autism receiving parent-managed intensive interventions. Research in Developmental Disabilities, 22, 425–447.PubMedCrossRefGoogle Scholar
  4. Bryson, S. E., Clark, B. S., & Smith, I. M. (1988). First report of a Canadian epidemiological study of autistic syndromes. Journal of Child Psychology and Psychiatry, 29, 433–445.PubMedCrossRefGoogle Scholar
  5. Chambless, D. L., & Hollon, S. D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7–18.PubMedCrossRefGoogle Scholar
  6. 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
  7. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (2000). Washington, DC: American Psychiatric Association.Google Scholar
  8. Eikeseth, S., Smith, T., Jahr, E., & Eldevik, S. (2002). Intensive behavioral treatment at school for 4- to 7-year-old children with autism: A 1-year comparison controlled study. Behavior Modification, 26, 49–68.PubMedCrossRefGoogle Scholar
  9. Fenske, E. C., Zalenski, S., Krantz, P. J., & McClannahan, L. E. (1985). Age at intervention and treatment outcome for autistic children in a comprehensive intervention program. Analysis and Intervention in Developmental Disabilities, 5, 49–58.CrossRefGoogle Scholar
  10. Fighting Autism (2004). Texas public schools autism prevalence report: School years 1992—2003. Retrieved February 23, 2005, from Scholar
  11. 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
  12. Freeman, B. J., Ritvo, E. R., Needleman, R., & Yokota, A. (1985). The stability of cognitive and linguistic parameters in autism: A five-year prospective study. Journal of the American Academy of Child Psychiatry, 24, 459–464.PubMedCrossRefGoogle Scholar
  13. Harris, S. L., & Handleman, J. S. (2000). Age and IQ at intake as predictors of placement for young children with autism: A four- to six-year follow-up. Journal of Autism and Developmental Disorders, 30, 137–142.PubMedCrossRefGoogle Scholar
  14. Howard, J. S., Sparkman, C. R., Cohen, H. G., Green, G., & Stanislaw, H. (2005). A comparison of intensive behavior analytic and eclectic treatments for young children with autism. Research in Developmental Disabilities, 26, 359–383.PubMedCrossRefGoogle Scholar
  15. Jacobson, J. W., Mulick, J. A., & Green, G. (1998). Cost-benefit estimates for early intensive behavioral intervention for young children with autism: General model and single state case. Behavioral Interventions, 13, 201–226.CrossRefGoogle Scholar
  16. Järbrink, K., & Knapp, M. (2001). The economic impact of autism in Britain. Autism, 5, 7–22.PubMedCrossRefGoogle Scholar
  17. Kielinen, M., Linna, S. L., & Moilanen, I. (2000) Autism in Northern France. European Child and Adolescent Psychiatry, 9, 162–167.PubMedCrossRefGoogle Scholar
  18. Lotter, V. (1966). Epidemiology of autistic conditions in young children, I: Prevalence. Social Psychiatry, 1, 124–137.CrossRefGoogle Scholar
  19. Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55, 3–9.PubMedCrossRefGoogle Scholar
  20. Luiselli, J. K., Cannon, B. O., Ellis, J. T., & Sisson, R. W. (2000). Home-based behavioral intervention for young children with autism/pervasive developmental disorder. Autism, 4, 426–438.CrossRefGoogle Scholar
  21. Marcus, L. M., Rubin, J. S., & Rubin, M. A. (2000). Benefit-cost analysis and autism services. A response to Jacobson and Mulick. Journal of Autism and Developmental Disorders, 30, 595–598.PubMedCrossRefGoogle Scholar
  22. McEachin, J. J., Smith, T., & Lovaas, O. I. (1993). Long-term outcome for children with autism who received early intensive behavioral treatment. American Journal on Mental Retardation, 97, 359–372.PubMedGoogle Scholar
  23. Sallows, G. O., & Graupner, T. D. (2005). Intensive behavioral treatment for children with autism: Four-year outcome and predictors. American Journal of Retardation, 110, 417–438.CrossRefGoogle Scholar
  24. Sheinkopf, S. J., & Siegel, B. (1998). Home-based behavioral treatment of young children with autism. Journal of Autism and Developmental Disorders, 28, 15–23.PubMedCrossRefGoogle Scholar
  25. Smith, T., Groen, A. D., & Wynne, J. W. (2000). Randomized trial of intensive early intervention for children with pervasive developmental disorders. American Journal of Mental Retardation, 105, 269–285.PubMedCrossRefGoogle Scholar
  26. 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 Scholar
  27. Warfield, M. E. (1994). A cost-effectiveness analysis of early intervention services in Massachusetts: Implications for policy. Educational Evaluation and Policy Analysis, 16, 87–99.CrossRefGoogle Scholar
  28. Webb, E. V. J., Lobo, S., Hervas, A., Scourfield, J., & Fraser, W. I. (1997). The changing prevalence of autistic disorder in a Welsh health district. Developmental Medicine and Child Neurology, 39, 150–152.PubMedCrossRefGoogle Scholar
  29. Wing, L., & Potter, D. (2002). The epidemiology of Autistic Spectrum Disorders: Is the prevalence rising? Mental Retardation and Developmental Disabilities Research Reviews, 8, 151–161.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Gregory S. Chasson
    • 1
  • Gerald E. Harris
    • 2
    Email author
  • Wendy J. Neely
    • 3
  1. 1.Department of PsychologyUniversity of HoustonHoustonUSA
  2. 2.Psychological Research and Services CenterUniversity of HoustonHoustonUSA
  3. 3.Department of Educational PsychologyUniversity of HoustonHoustonUSA

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