Cost comparison of early intensive behavioral intervention and treatment as usual for children with autism spectrum disorder in the Netherlands
Open accessAbstract
Early intensive behavioral intervention (EIBI) may result in improved cognitive, adaptive and social functioning and reductions in autism severity and behavioral problems in children with Autism Spectrum Disorder (ASD). For a subset of children, normal functioning may be the result. However, due to the intensity (20-40 h per week for 3 years with a low child staff ratio) implementation costs are high and can be controversial. Estimated costs for education, (supported) work and (sheltered) living for individuals with ASD in The Netherlands are applied in a cost-offset model. A compelling argument for the provision of EIBI is long term savings which are approximately € 1,103,067 from age 3 to 65 years per individual with ASD. Extending these costs to the whole Dutch ASD population, cost savings of € 109.2-€ 182 billion have been estimated, excluding costs associated with inflation.
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A recent cost comparison estimated possible lifetime savings exceeding one million Euros per person.
“A recent cost-comparison study of early intensive behavioral intervention in the Netherlands suggests that lifetime cost savings could be over one million Euros per individual.28”
From Long-Term Outcomes of Early Intervention in 6-Year-Old Children With Autism Spectrum Disorder (2015) · cites this paper as [28]
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- Authors
- Peters-Scheffer, N., Didden, R., Korzilius, H., & Matson, J.
- Affiliations
- Radboud University Nijmegen (NL)
- Louisiana State University (US)
- Corresponding author
- Peters-Scheffer, Nienke
- Venue
- Research in Developmental Disabilities
- Publisher
- Elsevier BV
- Published
- 2012-11
- Volume
- 33
- Issue
- 6
- Pages
- 1763-1772
- ISSN
- 0891-4222 (ISSN-L)
- OpenAlex
- W1983339975
- Cited by
- 148
- References
- 72
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 9 · 2023: 12 · 2022: 9 · 2021: 17 · 2020: 9 · 2019: 16 · 2018: 9 · 2017: 13 · 2016: 8 · 2015: 8 · 2014: 14 · 2013: 8 · 2012: 2
- FWCI
- 5.24
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Research in Developmental Disabilities (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Funders
- Elst, the Netherlands
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- early intensive behavioral intervention, autism spectrum disorder, cost comparison, long-term cost savings, usual care, children, Netherlands, education costs, supported employment
- MeSH terms
- Adolescent, Adult, Aged, Behavior Therapy, Child, Child Behavior Disorders, Child Development Disorders, Pervasive, Child, Preschool, Cost-Benefit Analysis, Education, Special, Female, Humans, Longitudinal Studies, Male, Middle Aged, Netherlands, Outcome and Process Assessment, Health Care, Early Intervention, Educational, Young Adult
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