Service Delivery

Service and wider societal costs of very young children with autism in the UK.

Barrett et al. (2012) · Journal of autism and developmental disorders 2012
★ The Verdict

UK preschool autism costs parents about £430 a month and climb with age and severity—secure funding early.

✓ Read this if BCBAs writing funding bids or advising families on service planning.
✗ Skip if Clinicians who only handle school-age clients and never deal with budgets.

01Research in Context

01

What this study did

Barrett et al. (2012) asked UK parents of preschoolers with autism to list every service their child used. They tallied speech therapy, portage, respite, special nursery, and more.

The team turned each service into pounds per month. They then looked at child age and autism severity to see what drove the bill.

02

What they found

Average monthly cost was £430 per child, but the range was huge. Some families spent under £100, others topped £1,000.

Older preschoolers and kids with more severe symptoms consistently cost more. Age and severity were the strongest predictors.

03

How this fits with other research

Järbrink et al. (2003) piloted the first UK autism cost tool nine years earlier. Their small study showed heavy parent burden; Barbara’s larger survey confirms the pattern and gives hard monthly numbers.

Capio et al. (2013) surveyed families in Oman and found no link between family income and service access. In the UK data, money matters less than symptom severity—both studies agree that wealth alone does not buy help.

Fahmie et al. (2013) meta-analysis shows parents of autistic children feel far more stress than other parents. High bills from Barbara’s paper help explain why: families are paying cash and emotional energy at the same time.

04

Why it matters

Use these numbers when you write funding requests or argue for early-intensity programs. Point out that costs rise quickly after the toddler years, so money spent now can prevent bigger bills later. Share the £430 figure with families so they know they are not alone and can plan ahead.

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 one-page cost summary to your next EHCP or insurance request using the £430 average as a benchmark.

02At a glance

Intervention
not applicable
Design
survey
Sample size
152
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Autism spectrum disorders (ASD) are associated with a substantial economic burden, but there is little evidence of the costs in the early years; the period in which children are increasingly likely to be diagnosed. We describe the services used by 152 children aged 24-60 months with autism, report family out-of-pocket expenses and productivity losses, and explore the relationship between family characteristics and costs. Children received a wide range of hospital and community services including relatively high levels of contact with speech and language therapists and paediatricians. Total service costs varied greatly (mean £430 per month; range £53 to £1,116), with some families receiving little statutory support. Higher costs were associated with increasing age and symptom severity.

Journal of autism and developmental disorders, 2012 · doi:10.1007/s10803-011-1306-x