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Originally prepared for the Office of Disabilities
Issues in November, 1999
Re-written April 30, 2000
Compiled by Lisa Simmermon, President, Saskatchewan
Society for the Autistic
Saskatchewan Representative, Autism Society Canada
Canada
Prepared by Peter Zwack, President, Quebec Autism
Society
Quebec Representative, Autism Society Canada
- 50,000 individuals in Canada estimated with
autism related disorders
- $2 million minimum lifetime cost estimated
per individual with autism who does not receive
effective autism services through the Canadian
health, education and social services systems.
- $1 billion minimum cost per year estimated
for support services to people with autism in
Canada
Manitoba
(From Manitoba Families for Effective Autism Treatment
- MFEAT proposal for Applied Behavior Analysis/Discrete
Trial
Training for children with Autism (ADCA) Demonstration
Project <now approved>)
- $3.1 million cost per individual with autism
over a 72 year lifetime
- ABA cost at an early age is $1.7 million per
individual on average
- $603,955 current liability for a 3 year old
with autism
- $393,486 liability for same child enrolled
in an ABA therapy program (assumes interest
over inflation is 6% per year.)
Quebec
(This is an estimate of the costs/benefits of providing
Lovaas ABA Therapy compared to conventional treatment,
as produced by a health professional in Quebec for
Peter Zwack, President of the Quebec Autism Society)
Comprehensive Costs associated with caring for
a Person with Autism
using Conventional Therapies
| Infant stimulation |
0-3 yr. |
$ 7,600 |
| Pre-school support and
stimulation |
3-5 yr. |
$11,400 |
| Extra cost to school
boards |
5-21 yr. |
$224,000 |
| Rehab., family support
and respite |
5-21 yr. |
$128,000 |
| Vocational program |
22-65
yr. |
$340,000 |
| Residential program |
22-65
yr. |
$1,700,000 |
| Rehab |
22-65
yr. |
$136,000 |
| Total |
|
$2,547,000 |
| Average over 65 years |
|
$39,184 |
- This amount does not include all of the medical
tests and treatments
- Using the outcomes of the 1987 Lovaas study,
75% of the above costs
- 47% would not need special help after the
3 years of intensive
- 42% would require some continued support
and special education now required
- 11% would require services at the same level
as currently.
Saskatchewan
(This was prepared by Lisa Simmermon, but is only
a reference summary, not an official research
document.)
Current costs with current interventions (Regina)
| early education |
3 yr.
@ $ 3,000/yr. |
$ 9 ,000 |
| special education |
at least
12 yr. @ 6,000/yr. |
$72,000 |
| special autism programming |
18 yr.
@ 3,000/yr. |
$54,000 |
| life long
support |
| in
group home |
at least
40 yr. @ 20,000/yr. |
$800,000 |
| in
health institution |
possible
40 yr. @ 50,000/yr. |
$2,000,000 |
| in
penal institution |
possible
40 yr. @ 90,000/yr. |
$3,600,000 |
| Total life
cost per person with autism - no time in penal
institution) |
$935,000
to $2,135,000 |
| Total for
400 Saskatchewan persons with autism |
$374 to
$800 million |
Projected costs with ABA intervention
These figures would depend on
- ·the degree of expertise of the therapists
and program supervisors
- Beginning ABA by age 4
- 4 to 7 years of ABA early intervention
- research supported intensity range of 25 to
40 hours of ABA per week
- Outcomes reflecting the research percentages
- 47% needing no further supports in education
settings past middle elementary school, succeeding
in mainstream education, and probably succeeding
in mainstream life with gainful employment,
taxpaying, and other contributions to the community
| ABA in early intervention |
4 to 7 years @ $25,000 to $40,000/yr |
$100,000
to $280,000 |
| Other supports |
4
to 7 years @ up to 10,000/yr |
40,000
to 70,000 |
| Life span supports (minimal) |
|
50,000 |
| Total (per
person with autism in the 47% very positive
success group) |
$400,000 |
Savings
(conservative projection) 30% of the 400 Saskatchewan
persons with autism falling in very positive success
group
120 ABA successful intervention individuals (30%
of 400) @ $400,000 life cost $48 million
280 lower success intervention individuals (400
- 120) @ $.935 to $2.135 million $261.8 to $597.8
million
Total cost (400 persons with autism, 30% very minimal
support) $309.8 to $645.8 million
Average cost per person with autism $774,500 to
$1,614,500
Savings to Saskatchewan taxpayers ($374 m - 309.8
to 800-645.8) $64.2 to $154.2 million
Savings to Sask. Taxpayers per person with autism
($64.2 & $154.2 m /400) $160,500 to $385,500
Average savings to Sask. Taxpayer per person with
autism $273,000
· (optimistic projection) 47% of the 400
Saskatchewan persons with autism falling in very
positive success group
188 ABA successful intervention individuals (47%
of 400) @ $400,000 life cost $ 75.2 million
212 lower success intervention individuals (400-188)
@$.935 to $2.135 million $198.22 to $452.62 million
Total cost (400 persons with autism, 47% very minimal
support) $273.42 to 527.82 million
Average cost per person with autism $683,550 to
1,319,550
Savings to Saskatchewan taxpayers ($374m-273.42
to 800-527.82m) $100.58 to 272.18 million
Savings to Sask. Taxpayers per person with autism
($100.58 & 272.18m/400) $251,450 to $680,450
Average savings to Sask. Taxpayer per person with
autism $465,950
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