School & Classroom

The Impact of Inclusive Education Practices on Students With ASD'S Outcomes: Report From the ELENA French Cohort Study.

Rattaz et al. (2026) · Autism research : official journal of the International Society for Autism Research 2026
★ The Verdict

Inclusive elementary classrooms give children with autism a clear edge in talking and daily living skills.

✓ Read this if BCBAs writing IEPs for elementary students with autism.
✗ Skip if Clinicians who only see preschoolers or adults.

01Research in Context

01

What this study did

Researchers tracked French children with autism for three years. They compared kids in regular classrooms with matched peers in special classrooms.

The team used propensity-score matching to create fair pairs. This method balances factors like IQ and family background.

02

What they found

Children in inclusive classrooms gained stronger communication skills. They also improved more in daily living skills like dressing and eating.

Social skills and IQ scores stayed the same between groups. The setting mattered for some skills but not others.

03

How this fits with other research

Ilan et al. (2021) seemed to disagree at first. Their survey found that child traits barely predict preschool placement. The key difference: they studied 1-5 year-olds while Cécile et al. looked at older kids using stricter matching.

Cohen et al. (1990) found no language boost from inclusive preschools. The newer study shows gains in elementary years. Age and methods explain the gap.

Dessemontet et al. (2012) saw only tiny literacy gains for kids with intellectual disability. Cécile et al. found medium gains in communication for children with autism. Different diagnoses, different results.

04

Why it matters

If you serve school-age clients, push for inclusive placement when the team agrees. Target communication and self-care goals in IEPs. Track these specific domains rather than broad IQ or social scores. Pair inclusion with direct speech and adaptive-skills interventions to maximize the boost.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Add a communication or adaptive goal that can be practiced during regular class routines.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
356
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

03Original abstract

Inclusive education is largely promoted in the field of autism spectrum disorders (ASD), but scientific and empiric studies about the impact of school inclusion on the children's outcome are lacking. We studied the effect of the type of inclusion (regular classroom vs. special education classroom) in a sample of 356 children with ASD over a three-years period. Results first showed that, when comparing both groups at baseline, children in special education classes were older, had a higher level of challenging behaviors and came from lower socioeconomic status families. Once matched through propensity score, children in special classrooms had significantly lower communication and daily living skills than children in ordinary classrooms after 3 years, whereas there was no significant difference in socialization skills and in IQ. Overall, placement in a regular education classroom was positive for most children, however there is a high inter-individual variability and it is very unlikely that inclusive settings are by default superior for all children with special needs. These results, emphasizing the crucial role of the mainstream milieu, cannot be considered definitive and further studies are needed to address this critical educational policy issue. Trial Registration: ClinicalTrials.gov identifier: NCT02625116.

Autism research : official journal of the International Society for Autism Research, 2026 · doi:10.1002/aur.70164