The Cost of Autism Spectrum Disorders

Objective: A diagnosis of an autism spectrum disorders is usually associated with substantial lifetime costs to an individual, their family and the community. However, there remains an elusive factor in any cost-benefit analysis of ASD diagnosis, namely the cost of not obtaining a diagnosis. Given t...

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Main Authors: Horlin, Chiara, Falkmer, Marita, Parsons, Richard, Albrecht, Matthew, Falkmer, Torbjorn
Format: Journal Article
Published: Public Library of Science 2014
Online Access:http://hdl.handle.net/20.500.11937/39473
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author Horlin, Chiara
Falkmer, Marita
Parsons, Richard
Albrecht, Matthew
Falkmer, Torbjorn
author_facet Horlin, Chiara
Falkmer, Marita
Parsons, Richard
Albrecht, Matthew
Falkmer, Torbjorn
author_sort Horlin, Chiara
building Curtin Institutional Repository
collection Online Access
description Objective: A diagnosis of an autism spectrum disorders is usually associated with substantial lifetime costs to an individual, their family and the community. However, there remains an elusive factor in any cost-benefit analysis of ASD diagnosis, namely the cost of not obtaining a diagnosis. Given the infeasibility of estimating the costs of a population that, by its nature, is inaccessible, the current study compares expenses between families whose children received a formal ASD diagnosis immediately upon suspecting developmental atypicality and seeking advice, with families that experienced a delay between first suspicion and formal diagnosis. Design: A register based questionnaire study covering all families with a child with ASD in Western Australia. Participants: Families with one or more children diagnosed with an ASD, totalling 521 children diagnosed with an ASD; 317 records were able to be included in the final analysis.Results: The median family cost of ASD was estimated to be AUD $34,900 per annum with almost 90% of the sum ($29,200) due to loss of income from employment. For each additional symptom reported, approximately $1,400 cost for the family per annum was added. While there was little direct influence on costs associated with a delay in the diagnosis, the delay was associated with a modest increase in the number of ASD symptoms, indirectly impacting the cost of ASD. Conclusions: A delay in diagnosis was associated with an indirect increased financial burden to families. Early and appropriate access to early intervention is known to improve a child's long-term outcomes and reduce lifetime costs to the individual, family and society. Consequently, a per symptom dollar value may assist in allocation of individualised funding amounts for interventions rather than a nominal amount allocated to all children below a certain age, regardless of symptom presentation, as is the case in Western Australia.
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spelling curtin-20.500.11937-394732017-09-13T14:24:48Z The Cost of Autism Spectrum Disorders Horlin, Chiara Falkmer, Marita Parsons, Richard Albrecht, Matthew Falkmer, Torbjorn Objective: A diagnosis of an autism spectrum disorders is usually associated with substantial lifetime costs to an individual, their family and the community. However, there remains an elusive factor in any cost-benefit analysis of ASD diagnosis, namely the cost of not obtaining a diagnosis. Given the infeasibility of estimating the costs of a population that, by its nature, is inaccessible, the current study compares expenses between families whose children received a formal ASD diagnosis immediately upon suspecting developmental atypicality and seeking advice, with families that experienced a delay between first suspicion and formal diagnosis. Design: A register based questionnaire study covering all families with a child with ASD in Western Australia. Participants: Families with one or more children diagnosed with an ASD, totalling 521 children diagnosed with an ASD; 317 records were able to be included in the final analysis.Results: The median family cost of ASD was estimated to be AUD $34,900 per annum with almost 90% of the sum ($29,200) due to loss of income from employment. For each additional symptom reported, approximately $1,400 cost for the family per annum was added. While there was little direct influence on costs associated with a delay in the diagnosis, the delay was associated with a modest increase in the number of ASD symptoms, indirectly impacting the cost of ASD. Conclusions: A delay in diagnosis was associated with an indirect increased financial burden to families. Early and appropriate access to early intervention is known to improve a child's long-term outcomes and reduce lifetime costs to the individual, family and society. Consequently, a per symptom dollar value may assist in allocation of individualised funding amounts for interventions rather than a nominal amount allocated to all children below a certain age, regardless of symptom presentation, as is the case in Western Australia. 2014 Journal Article http://hdl.handle.net/20.500.11937/39473 10.1371/journal.pone.0106552 Public Library of Science fulltext
spellingShingle Horlin, Chiara
Falkmer, Marita
Parsons, Richard
Albrecht, Matthew
Falkmer, Torbjorn
The Cost of Autism Spectrum Disorders
title The Cost of Autism Spectrum Disorders
title_full The Cost of Autism Spectrum Disorders
title_fullStr The Cost of Autism Spectrum Disorders
title_full_unstemmed The Cost of Autism Spectrum Disorders
title_short The Cost of Autism Spectrum Disorders
title_sort cost of autism spectrum disorders
url http://hdl.handle.net/20.500.11937/39473