The Cost-Effectiveness of Expanding Intensive Behavioural Intervention to All Autistic Children in Ontario

Motiwala, Sanober S.; Gupta, Shamali; Lilly, Meredith B.; Ungar, Wendy J.; Coyte, Peter C.

doi:10.12927/hcpol.2006.17884

Cited by 45 publications

(37 citation statements)

References 20 publications

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“…Three of the ASD cost-effectiveness studies suggest additional policy responses. Penner et al (2015) expanded on an earlier study by Motiwala et al (2006) that analyzed applying Early Intensive Behavioral Interventions (EIBI) to narrow versus wider groups of children along the autism spectrum. Penner et al (2015) compared the Early Start Denver Model (ESDM) with the Ontario Status Quo (OSQ) model for toddlers.…”

Section: Discussionmentioning

confidence: 99%

Brief Report: Forecasting the Economic Burden of Autism in 2015 and 2025 in the United States

Leigh

2015

J Autism Dev Disord

321

189

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Few US estimates of the economic burden of autism spectrum disorders (ASD) are available and none provide estimates for 2015 and 2025. We forecast annual direct medical, direct non-medical, and productivity costs combined will be $268 billion (range $162-$367 billion; 0.884-2.009 % of GDP) for 2015 and $461 billion (range $276-$1011 billion; 0.982-3.600 % of GDP) for 2025. These 2015 figures are on a par with recent estimates for diabetes and attention deficit and hyperactivity disorder (ADHD) and exceed the costs of stroke and hypertension. If the prevalence of ASD continues to grow as it has in recent years, ASD costs will likely far exceed those of diabetes and ADHD by 2025.

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Section: Discussionmentioning

confidence: 99%

Brief Report: Forecasting the Economic Burden of Autism in 2015 and 2025 in the United States

Leigh

2015

J Autism Dev Disord

321

189

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“…For example, estimated average costs for discrete trial training range from $22,500 to $75,670 per year (Chasson et al 2007; Motiwala et al 2006), with an expected course from two to six years (Jacobson et al 1998). Many evidence-based interventions may be too costly to implement in an era in which the number of children diagnosed with autism in the special education system increases an average of 17% a year (US Department of Education 2004).…”

Section: What Are Relative Advantage Compatibility and Complexity?mentioning

confidence: 99%

Bridging the Research-to-Practice Gap in Autism Intervention: An Application of Diffusion of Innovation Theory

Dingfelder

Mandell

2010

J Autism Dev Disord

341

297

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There is growing evidence that efficacious interventions for autism are rarely adopted or successfully implemented in public mental health and education systems. We propose applying diffusion of innovation theory to further our understanding of why this is the case. We pose a practical set of questions that administrators face as they decide about the use of interventions. Using literature from autism intervention and dissemination science, we describe reasons why efficacious interventions for autism are rarely adopted, implemented, and maintained in community settings, all revolving around the perceived fit between the intervention and the needs and capacities of the setting. Finally, we suggest strategies for intervention development that may increase the probability that these interventions will be used in real-world settings.

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“…Changes in test scores that do not reach the normal range may nonetheless reflect the acquisition of many skills that enhance independent functioning, which in turn produces economic savings due to reduced need for specialized services (Jacobson, Mulick, & Green, 1998;Motiwala, Gupta, Lilly, Ungar, & Coyte, 2006). About one-third of the children in this study who received AP or GP interventions had final scores on tests of cognitive or adaptive skills that were at least 15 points higher than their intake scores, suggesting that those interventions may produce some benefit for some children with autism.…”

Section: Differential Treatment Outcomesmentioning

confidence: 99%

Comparison of behavior analytic and eclectic early interventions for young children with autism after three years

Howard

Stanislaw

Green³

et al. 2014

Research in Developmental Disabilities

123

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In a previous study, we compared the effects of just over one year of intensive behavior analytic intervention (IBT) provided to 29 young children diagnosed with autism with two eclectic (i.e., mixed-method) interventions (Howard, Sparkman, Cohen, Green,& Stanislaw, 2005). One eclectic intervention (autism programming; AP) was designed specifically for children with autism and was intensive in that it was delivered for an average of 25-30 h per week (n = 16). The other eclectic intervention (generic programming; GP) was delivered to 16 children with a variety of diagnoses and needs for an average of 15-17 h per week. This paper reports outcomes for children in all three groups after two additional years of intervention. With few exceptions, the benefits of IBT documented in our first study were sustained throughout Years 2 and 3. At their final assessment, children who received IBT were more than twice as likely to score in the normal range on measures of cognitive, language, and adaptive functioning than were children who received either form of eclectic intervention. Significantly more children in the IBT group than in the other two groups had IQ, language, and adaptive behavior test scores that increased by at least one standard deviation from intake to final assessment. Although the largest improvements for children in the IBT group generally occurred during Year 1, many children in that group whose scores were below the normal range after the first year of intervention attained scores in the normal range of functioning with one or two years of additional intervention. In contrast, children in the two eclectic treatment groups were unlikely to attain scores in the normal range after the first year of intervention, and many of those who had scores in the normal range in the first year fell out of the normal range in subsequent years. There were no consistent differences in outcomes at Years 2 and 3 between the two groups who received eclectic interventions. These results provide further evidence that intensive behavior analytic intervention delivered at an early age is more likely to produce substantial improvements in young children with autism than common eclectic interventions, even when the latter are intensive.

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The Cost-Effectiveness of Expanding Intensive Behavioural Intervention to All Autistic Children in Ontario

Cited by 45 publications

References 20 publications

Brief Report: Forecasting the Economic Burden of Autism in 2015 and 2025 in the United States

Brief Report: Forecasting the Economic Burden of Autism in 2015 and 2025 in the United States

Bridging the Research-to-Practice Gap in Autism Intervention: An Application of Diffusion of Innovation Theory

Comparison of behavior analytic and eclectic early interventions for young children with autism after three years

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