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Governments Treating Autism: How Far Should the State Go to Pay for Developmental Disorder Interventions?

By Jamie K. Wilson, published May 31, 2007
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In a story out of California, a mother caught her child's autism very early, shortly after birth. Today, the child is doing quite well, making breakthrough after breakthrough, and he may be on track to overcome his autism for the most part by the time he reaches school.

To do this, the state of California has been paying $70,000 a year: for 36 hours of work per week by graduate students who come in every day to work with the boy; for outside therapists to treat him; and for some special interventions: repetitive motion, rewards like praise and treats, swinging and other forms of play that get the child excited, and special rewards when certain benchmarks are made - such as making sounds that can be put together into language.

It is wonderful that autism treatment has advanced to the point that, through early and consistent intervention, babies who are highly at risk can be turned around at that early phase. But with the sudden enormous apparent epidemic of autistic children, how long can any state sustain the cost of treatment for these children when insurance will not pay for it (and most won't)?

More importantly, do interventions for these children take money from other, more worthy programs? And can the parents be trained to use these interventions instead, freeing up funding for other programs?

Train-the-Parent Instead?

Right now, autism costs us all $90 billion a year, and that number is expected to double in a decade. Why? No one really knows. Some say it's because of food and immunization allergies, or geek-marrying-geek syndrome, or indigo children, or pollution. Most likely, though, it is primarily because we are getting increasingly good at identifying borderline cases, and properly diagnosing cases that once were categorized as mental retardation or other issues.

Takeaways
  • At least some Californian autistic children can receive 70K per year in paid treatment.
  • Is this really equitable?
Comments
Showing Comments 1 - 9 of 9
 
 
Great article. Maddy: I got the impression that Jamie was saying to train the parents so that not only do they cut cost in the long run, but the parents are completely equipped. A "specialist" is anyone with extensive knowledge on a subject, including a well-trained parent.

Posted on 06/16/2007 at 7:06:00 AM

 
I have an autistic son and I completely agree with the 'train the parents' method. I do not think professional help should be taken away, but I do think it is the parent's main responsibility, no matter how stressed we get.

Posted on 06/12/2007 at 5:06:00 AM

 
I was terrified of writing this article. But I also have seen autistic kids neglected by their parents, who are more interested in careers etc. or who just feel helpless -- and I know how much my own son is helped by my personal focus on him. I don't see him doing so well under a series of therapists. AFA the strong will Maddie referenced -- yep. It's horribly hard work. Been there, done that -- on both ends.

Posted on 06/06/2007 at 11:06:00 PM

 
Amen, sista'!!!

Posted on 06/05/2007 at 10:06:00 PM

 
Great article! You're right--the amount of resources any state has is limited, and to devote such a large amount to autistic children in the way that they are doing so is not the best way. I understand what Maddy is saying, and if your idea was implemented, an autistic child as severe as her stepson would be identified by the weekly therapist visits--I'm quite sure that any qualified therapist would be able to see if the parental training is effective or if the child needs more intervention. In the case of Maddy's stepson, he would have been referred for more help. But many autistic children could benefit greatly from more parental involvement in their care.

Posted on 06/04/2007 at 8:06:00 AM

 
Your idea makes a lot of sense.

Posted on 06/01/2007 at 8:06:00 PM

 
I am sorry, but I can not agree with the entire article. I have a stepson who is autistic to quite a degree. His mother does exceptionally well with him, but not all autism is the same. Although he is now 18, he didn't utter a sound until he was three years old, he is very repeaticious, anti-social and appears almost selfish and uncaring, but this is not the case. He just doesn't understand others emotions or when he has offended someone. These parents do work very hard for their children and it can we extremely over whelming but they do the best they can. Yes some new techniques may help the parents but overall the behavioral problems and the child's strong will (which these children have, also known as lacking emotions, which usually cause the parents to give in to the child out of hopelessness,stress and exhaustion.The professionals realize this and are trained to cope with these circumstances and are not emotionally attached like the parents. If they treated these children as menta

Posted on 05/31/2007 at 9:05:00 PM

 
I would imagine the children would benefit more from the parents working with them rather than strangers anyway right? Great article!

Posted on 05/31/2007 at 4:05:00 PM

 
The Federal Government needs to git a comprehensive health care plan in place soon. This disease like many others needs addressed now!

Posted on 05/31/2007 at 4:05:00 PM

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