Service Delivery

Who gains and who loses? Sociodemographic disparities in access to special education services among autistic students.

Sturm et al. (2021) · Autism research : official journal of the International Society for Autism Research 2021
★ The Verdict

An autism label opens the door to more school help, yet White and wealthier families still walk away with the bigger share.

✓ Read this if BCBAs who write IEP goals or assign aide hours in public schools.
✗ Skip if Clinicians who only work in private-pay clinics.

01Research in Context

01

What this study did

The team looked at school records across a large district. They compared how many special-education hours each student got.

Kids with autism were matched to kids with a learning-disability label. Race, income, and parent education were also coded.

02

What they found

Autistic students as a whole received more service hours than peers with learning disabilities.

Inside the autism group, White students and those from richer families captured the biggest share.

The gap stayed even when ability level was held constant.

03

How this fits with other research

Van Herwegen et al. (2018) asked parents the same question and got the same answer: autistic students get more services, yet families still feel short-changed.

Sticinski et al. (2022) and Dudley et al. (2019) show the pattern continues after high school. Single caregivers and adults living with family also receive less help.

Nuske et al. (2019) adds the teacher view: staff give one-to-one instruction to students who look more impaired. Together the studies reveal two layers of decision making—teacher judgment and system rules—both can widen gaps.

04

Why it matters

Your caseload may look fair on paper but still hide inequity. Compare service hours by race and family income this week. If you see gaps, call an IEP meeting and justify extra minutes for the students who are getting less.

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Audit your current caseload—list each autistic student’s weekly service minutes next to race and parent education, then schedule meetings for anyone who falls below the class average.

02At a glance

Intervention
not applicable
Design
other
Sample size
76428
Population
autism spectrum disorder, intellectual disability, mixed clinical
Finding
mixed

03Original abstract

Little is known about differences in the allocation of special education services to students with autism compared with students with other primary learning differences (e.g., intellectual disability [ID], specific learning disability [SLD]) and the comparative impact of sociodemographic factors on special education service receipt. The present study aimed to compare allocation of services (i.e., quantity and types) between students eligible for special education services under autism, SLD and ID, and to identify differences in sociodemographic predictors (e.g., race, neighborhood income) of service allocation. Data were culled from special education administrative records from a large urban, primarily Hispanic, Latino, or Spanish-serving school district from academic years 2011-2012 to 2016-2017. Participants included N = 76,428 students (Nautism  = 18,151, NSLD  = 54,001, NID  = 4,276) ages 2-18. Results showed that autistic students received, on average, more services than students with SLD. Services received by students served under autism and SLD eligibility were more congruent with areas of need (e.g., language, occupational therapy) relative to students served under ID. Student-level socioeconomic status (free and reduced lunch) was more positively predictive of the number of special education services received than the neighborhood income of the school the student attended. Finally, the most significant racial disparities in service allocation were observed among students served under autism eligibility. The present study demonstrates the critical role of economic resources in the quantity and types of services received, and the desirability of a public education for well-resourced families who are possibly best situated to navigate special education services. LAY SUMMARY: An eligibility of autism in special education confers a significant advantage in the number of services a student receives. Disparity in the quantity of special education services exists among autistic students across many sociodemographic factors. Most notably, greater allocation of services to non-Hispanic, Latino, or Spanish, White American, European American, or Middle Eastern American students and students who do not receive free and reduced lunch.

Autism research : official journal of the International Society for Autism Research, 2021 · doi:10.1002/aur.2517