Assessment & Research

Measuring the parental, service and cost impacts of children with autistic spectrum disorder: a pilot study.

Järbrink et al. (2003) · Journal of autism and developmental disorders 2003
★ The Verdict

A ready-to-use cost form lets parents translate autism care into dollar figures for quick advocacy.

✓ Read this if BCBAs who write funding requests or meet with school districts.
✗ Skip if Clinicians who only provide direct therapy and never handle paperwork.

01Research in Context

01

What this study did

Järbrink et al. (2003) built a short form that adds up what parents spend on a child with autism.

They tried the form with a small group of families to see if it was easy to use.

The goal was to give parents hard dollar numbers they could show to schools, insurers, or funders.

02

What they found

Parents reported big out-of-pocket costs.

The form itself worked: people could fill it out and the totals made sense.

The team said the tool is ready for larger studies and for advocates who need real price tags.

03

How this fits with other research

Barrett et al. (2012) later used a similar cost tally in the UK. They found preschool autism costs about £430 a month and the price climbs with age and symptom severity.

Capio et al. (2013) repeated the idea in Oman and saw heavy costs no matter how rich or poor the family was.

Fahmie et al. (2013) pooled many stress studies and showed parents of children with autism feel far more stress than other parents. Krister’s cost tool gives you one quick way to measure part of that stress in dollars, which the meta-analysis did not do.

04

Why it matters

When you write a treatment plan or ask for extra hours, funders often want numbers, not stories.

Keep Krister’s form in your intake packet. A five-minute parent survey can give you the dollar impact you need to justify services or advocate for policy change.

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Add the Krister cost sheet to your intake forms and ask every new family to complete it.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder
Finding
not reported

03Original abstract

The aim of this study was to carry out a preliminary examination of a research instrument developed specifically to collect cost information for individuals with autistic spectrum disorder. There is very little cost information on children or adults with autism or autism-related disorder, and no study appears to have carried out a specific cost collection in this area. Although some global cost estimates can be made, little is known about the cost implications of parental burden. By using different techniques to collect indirect costs, the study outlines a functional methodology. Results from this small pilot study point to considerable economic burden for parents and give some indication of the associated costs of autistic spectrum disorder.

Journal of autism and developmental disorders, 2003 · doi:10.1023/a:1025058711465