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Autism Tsunami: the Impact of Rising Prevalence on the Societal Cost of Autism in the United States / Mark BLAXILL in Journal of Autism and Developmental Disorders, 52-6 (June 2022)
[article]
Titre : Autism Tsunami: the Impact of Rising Prevalence on the Societal Cost of Autism in the United States Type de document : Texte imprimé et/ou numérique Auteurs : Mark BLAXILL, Auteur ; Toby ROGERS, Auteur ; Cynthia NEVISON, Auteur Article en page(s) : p.2627-2643 Langues : Anglais (eng) Mots-clés : ASD prevalence Autism spectrum disorder Cost Future cost projections Time trends Index. décimale : PER Périodiques Résumé : The cost of ASD in the U.S. is estimated using a forecast model that for the first time accounts for the true historical increase in ASD. Model inputs include ASD prevalence, census population projections, six cost categories, ten age brackets, inflation projections, and three future prevalence scenarios. Future ASD costs increase dramatically: total base-case costs of $223 (175-271) billion/year are estimated in 2020; $589 billion/year in 2030, $1.36 trillion/year in 2040, and $5.54 (4.29-6.78) trillion/year by 2060, with substantial potential savings through ASD prevention. Rising prevalence, the shift from child to adult-dominated costs, the transfer of costs from parents onto government, and the soaring total costs raise pressing policy questions and demand an urgent focus on prevention strategies. En ligne : http://dx.doi.org/10.1007/s10803-021-05120-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=474
in Journal of Autism and Developmental Disorders > 52-6 (June 2022) . - p.2627-2643[article] Autism Tsunami: the Impact of Rising Prevalence on the Societal Cost of Autism in the United States [Texte imprimé et/ou numérique] / Mark BLAXILL, Auteur ; Toby ROGERS, Auteur ; Cynthia NEVISON, Auteur . - p.2627-2643.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-6 (June 2022) . - p.2627-2643
Mots-clés : ASD prevalence Autism spectrum disorder Cost Future cost projections Time trends Index. décimale : PER Périodiques Résumé : The cost of ASD in the U.S. is estimated using a forecast model that for the first time accounts for the true historical increase in ASD. Model inputs include ASD prevalence, census population projections, six cost categories, ten age brackets, inflation projections, and three future prevalence scenarios. Future ASD costs increase dramatically: total base-case costs of $223 (175-271) billion/year are estimated in 2020; $589 billion/year in 2030, $1.36 trillion/year in 2040, and $5.54 (4.29-6.78) trillion/year by 2060, with substantial potential savings through ASD prevention. Rising prevalence, the shift from child to adult-dominated costs, the transfer of costs from parents onto government, and the soaring total costs raise pressing policy questions and demand an urgent focus on prevention strategies. En ligne : http://dx.doi.org/10.1007/s10803-021-05120-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=474 Mental health service utilization in autism spectrum disorders / Jaime BALLARD in Research in Autism Spectrum Disorders, 23 (March 2016)
[article]
Titre : Mental health service utilization in autism spectrum disorders Type de document : Texte imprimé et/ou numérique Auteurs : Jaime BALLARD, Auteur ; D. Russell CRANE, Auteur ; James M. HARPER, Auteur ; David FAWCETT, Auteur ; Jonathan SANDBERG, Auteur Article en page(s) : p.84-93 Langues : Anglais (eng) Mots-clés : Autism Cost Health care Age Mental health services Index. décimale : PER Périodiques Résumé : AbstractPurpose The purpose of this study is to examine patterns in autism spectrum disorder (ASD) outpatient mental health services including cost and length of services, return to care rates, and dropout by the presence of commonly co-morbid mental health conditions, modality and provider type. Methodology This study is a longitudinal, retrospective study using administrative data from Cigna, a leading health care insurance provider in the U.S. Participants (n = 1614, ages 1–61) included individuals diagnosed with an ASD from 2001 to 2006, who had claims for outpatient mental health services. Results Across all age groups, the cost and length variables were lowest for family therapy, followed by individual therapy. Mixed therapy (combination of family and individual therapy) was significantly longer and more costly. Rates of dropout and return to care were lowest for mixed therapy. Dropout was significantly higher for children than for adults or adolescents. Among provider types, social workers had the lowest cost among adolescents and the highest return to care rates among adults and counselors had the longest service length and the lowest dropout rates among children. En ligne : http://dx.doi.org/10.1016/j.rasd.2015.12.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=282
in Research in Autism Spectrum Disorders > 23 (March 2016) . - p.84-93[article] Mental health service utilization in autism spectrum disorders [Texte imprimé et/ou numérique] / Jaime BALLARD, Auteur ; D. Russell CRANE, Auteur ; James M. HARPER, Auteur ; David FAWCETT, Auteur ; Jonathan SANDBERG, Auteur . - p.84-93.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 23 (March 2016) . - p.84-93
Mots-clés : Autism Cost Health care Age Mental health services Index. décimale : PER Périodiques Résumé : AbstractPurpose The purpose of this study is to examine patterns in autism spectrum disorder (ASD) outpatient mental health services including cost and length of services, return to care rates, and dropout by the presence of commonly co-morbid mental health conditions, modality and provider type. Methodology This study is a longitudinal, retrospective study using administrative data from Cigna, a leading health care insurance provider in the U.S. Participants (n = 1614, ages 1–61) included individuals diagnosed with an ASD from 2001 to 2006, who had claims for outpatient mental health services. Results Across all age groups, the cost and length variables were lowest for family therapy, followed by individual therapy. Mixed therapy (combination of family and individual therapy) was significantly longer and more costly. Rates of dropout and return to care were lowest for mixed therapy. Dropout was significantly higher for children than for adults or adolescents. Among provider types, social workers had the lowest cost among adolescents and the highest return to care rates among adults and counselors had the longest service length and the lowest dropout rates among children. En ligne : http://dx.doi.org/10.1016/j.rasd.2015.12.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=282 Age-Related Variation in Health Service Use and Associated Expenditures Among Children with Autism / Zuleyha CIDAV in Journal of Autism and Developmental Disorders, 43-4 (April 2013)
[article]
Titre : Age-Related Variation in Health Service Use and Associated Expenditures Among Children with Autism Type de document : Texte imprimé et/ou numérique Auteurs : Zuleyha CIDAV, Auteur ; Lindsay LAWER, Auteur ; Steven C. MARCUS, Auteur ; David S. MANDELL, Auteur Article en page(s) : p.924-931 Langues : Anglais (eng) Mots-clés : Autism Economics Cost Expenditures Utilization Medicaid Age variation Index. décimale : PER Périodiques Résumé : This study examined differences by age in service use and associated expenditures during 2005 for Medicaid-enrolled children with autism spectrum disorders. Aging was associated with significantly higher use and costs for restrictive, institution-based care and lower use and costs for community-based therapeutic services. Total expenditures increased by 5 % with each year of age; by 23 % between 3–5 and 6–11 year olds, 23 % between 6–11 and 12–16, and 14 % between 12–16 and 17–20 year olds. Use of and expenditures for long-term care, psychiatric medications, case management, medication management, day treatment/partial hospitalization, and respite services increased with age; use of and expenditures for occupational/physical therapy, speech therapy, mental health services, diagnostic/assessment services, and family therapy declined. En ligne : http://dx.doi.org/10.1007/s10803-012-1637-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=194
in Journal of Autism and Developmental Disorders > 43-4 (April 2013) . - p.924-931[article] Age-Related Variation in Health Service Use and Associated Expenditures Among Children with Autism [Texte imprimé et/ou numérique] / Zuleyha CIDAV, Auteur ; Lindsay LAWER, Auteur ; Steven C. MARCUS, Auteur ; David S. MANDELL, Auteur . - p.924-931.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 43-4 (April 2013) . - p.924-931
Mots-clés : Autism Economics Cost Expenditures Utilization Medicaid Age variation Index. décimale : PER Périodiques Résumé : This study examined differences by age in service use and associated expenditures during 2005 for Medicaid-enrolled children with autism spectrum disorders. Aging was associated with significantly higher use and costs for restrictive, institution-based care and lower use and costs for community-based therapeutic services. Total expenditures increased by 5 % with each year of age; by 23 % between 3–5 and 6–11 year olds, 23 % between 6–11 and 12–16, and 14 % between 12–16 and 17–20 year olds. Use of and expenditures for long-term care, psychiatric medications, case management, medication management, day treatment/partial hospitalization, and respite services increased with age; use of and expenditures for occupational/physical therapy, speech therapy, mental health services, diagnostic/assessment services, and family therapy declined. En ligne : http://dx.doi.org/10.1007/s10803-012-1637-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=194 Changes in healthcare expenditures after the autism insurance mandate / Li WANG in Research in Autism Spectrum Disorders, 57 (January 2019)
[article]
Titre : Changes in healthcare expenditures after the autism insurance mandate Type de document : Texte imprimé et/ou numérique Auteurs : Li WANG, Auteur ; Junyi MA, Auteur ; Ruchita DHOLAKIA, Auteur ; Callie HOWELLS, Auteur ; Yun LU, Auteur ; Chen CHEN, Auteur ; Runze LI, Auteur ; Michael MURRAY, Auteur ; Douglas LESLIE, Auteur Article en page(s) : p.97-104 Langues : Anglais (eng) Mots-clés : Autism mandate Healthcare expenditures Cost Autism spectrum disorder Private insurance Index. décimale : PER Périodiques Résumé : Background In recent years, most U.S. states have passed autism mandates requiring private insurers to cover autism spectrum disorders (ASD). Little is known about the post-mandate changes in healthcare expenditures. Method This study utilized 2006–2012 de-identified insurance claims data from the largest private insurer in Pennsylvania (PA), where the mandate went into effect in mid 2009. Healthcare expenditures were defined as the amount the insurer paid for healthcare services and were adjusted to 2012 price level. A mixed effects model was used to analyze the expenditures. Results A total of 9471 children with ASD were included. Although the pre-mandate total expenditures per child with ASD were similar, the post-mandate expenditures significantly increased for groups subject to the autism mandate (87% increase from $7754 in 2008 to $14,486 in 2010) compared to the exempt groups (27% increase from $7238 to $9171). By insurance type, the change from 2008 to 2010 in ASD-related expenditures per child with ASD was $8439 for fully insured large employer sponsored plans and $43 for the Children’s Health Insurance Program (CHIP), both subject to the PA mandate; and $2631 for the self-insured, $980 for small-employers, and $-92 for individual plans, all of which are exempt from the mandate. These increases were due to outpatient services but not inpatient or drug costs. Conclusions Healthcare expenditures increased significantly following the PA autism mandate. Nonexempt, large employer groups had the largest increase in spending. Some exempt, self-insured companies may have voluntarily covered ASD services, leading to a moderate increase. En ligne : https://doi.org/10.1016/j.rasd.2018.10.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=371
in Research in Autism Spectrum Disorders > 57 (January 2019) . - p.97-104[article] Changes in healthcare expenditures after the autism insurance mandate [Texte imprimé et/ou numérique] / Li WANG, Auteur ; Junyi MA, Auteur ; Ruchita DHOLAKIA, Auteur ; Callie HOWELLS, Auteur ; Yun LU, Auteur ; Chen CHEN, Auteur ; Runze LI, Auteur ; Michael MURRAY, Auteur ; Douglas LESLIE, Auteur . - p.97-104.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 57 (January 2019) . - p.97-104
Mots-clés : Autism mandate Healthcare expenditures Cost Autism spectrum disorder Private insurance Index. décimale : PER Périodiques Résumé : Background In recent years, most U.S. states have passed autism mandates requiring private insurers to cover autism spectrum disorders (ASD). Little is known about the post-mandate changes in healthcare expenditures. Method This study utilized 2006–2012 de-identified insurance claims data from the largest private insurer in Pennsylvania (PA), where the mandate went into effect in mid 2009. Healthcare expenditures were defined as the amount the insurer paid for healthcare services and were adjusted to 2012 price level. A mixed effects model was used to analyze the expenditures. Results A total of 9471 children with ASD were included. Although the pre-mandate total expenditures per child with ASD were similar, the post-mandate expenditures significantly increased for groups subject to the autism mandate (87% increase from $7754 in 2008 to $14,486 in 2010) compared to the exempt groups (27% increase from $7238 to $9171). By insurance type, the change from 2008 to 2010 in ASD-related expenditures per child with ASD was $8439 for fully insured large employer sponsored plans and $43 for the Children’s Health Insurance Program (CHIP), both subject to the PA mandate; and $2631 for the self-insured, $980 for small-employers, and $-92 for individual plans, all of which are exempt from the mandate. These increases were due to outpatient services but not inpatient or drug costs. Conclusions Healthcare expenditures increased significantly following the PA autism mandate. Nonexempt, large employer groups had the largest increase in spending. Some exempt, self-insured companies may have voluntarily covered ASD services, leading to a moderate increase. En ligne : https://doi.org/10.1016/j.rasd.2018.10.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=371 Economic impact of childhood psychiatric disorder on public sector services in Britain: estimates from national survey data / Tom SNELL in Journal of Child Psychology and Psychiatry, 54-9 (September 2013)
[article]
Titre : Economic impact of childhood psychiatric disorder on public sector services in Britain: estimates from national survey data Type de document : Texte imprimé et/ou numérique Auteurs : Tom SNELL, Auteur ; Martin KNAPP, Auteur ; Andrew HEALEY, Auteur ; Sacha GUGLANI, Auteur ; Sara EVANS-LACKO, Auteur ; Jose-Luis FERNANDEZ, Auteur ; Howard MELTZER, Auteur ; Tamsin FORD, Auteur Article en page(s) : p.977-985 Langues : Anglais (eng) Mots-clés : Cost economic impact child adolescent mental health psychiatric hyperactivity conduct emotional disorder Index. décimale : PER Périodiques Résumé : Background Approximately one in ten children aged 5–15 in Britain has a conduct, hyperactivity or emotional disorder. Methods The British Child and Adolescent Mental Health Surveys (BCAMHS) identified children aged 5–15 with a psychiatric disorder, and their use of health, education and social care services. Service costs were estimated for each child and weighted to estimate the overall economic impact at national level. Results Additional health, social care and education costs associated with child psychiatric disorders totalled £1.47bn in 2008. The lion's share of the costs falls to frontline education and special education services. Conclusions There are huge costs to the public sector associated with child psychiatric disorder, particularly the education system. There is a pressing need to explore ways to reduce these costs while improving health and well-being. En ligne : http://dx.doi.org/10.1111/jcpp.12055 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=212
in Journal of Child Psychology and Psychiatry > 54-9 (September 2013) . - p.977-985[article] Economic impact of childhood psychiatric disorder on public sector services in Britain: estimates from national survey data [Texte imprimé et/ou numérique] / Tom SNELL, Auteur ; Martin KNAPP, Auteur ; Andrew HEALEY, Auteur ; Sacha GUGLANI, Auteur ; Sara EVANS-LACKO, Auteur ; Jose-Luis FERNANDEZ, Auteur ; Howard MELTZER, Auteur ; Tamsin FORD, Auteur . - p.977-985.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 54-9 (September 2013) . - p.977-985
Mots-clés : Cost economic impact child adolescent mental health psychiatric hyperactivity conduct emotional disorder Index. décimale : PER Périodiques Résumé : Background Approximately one in ten children aged 5–15 in Britain has a conduct, hyperactivity or emotional disorder. Methods The British Child and Adolescent Mental Health Surveys (BCAMHS) identified children aged 5–15 with a psychiatric disorder, and their use of health, education and social care services. Service costs were estimated for each child and weighted to estimate the overall economic impact at national level. Results Additional health, social care and education costs associated with child psychiatric disorders totalled £1.47bn in 2008. The lion's share of the costs falls to frontline education and special education services. Conclusions There are huge costs to the public sector associated with child psychiatric disorder, particularly the education system. There is a pressing need to explore ways to reduce these costs while improving health and well-being. En ligne : http://dx.doi.org/10.1111/jcpp.12055 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=212 Hospitalization Burden Among Individuals with Autism / Tasneem LOKHANDWALA in Journal of Autism and Developmental Disorders, 42-1 (January 2012)
PermalinkRandomized Controlled Trial of Omega-3 and -6 Fatty Acid Supplementation to Reduce Inflammatory Markers in Children with Autism Spectrum Disorder / Sarah A. KEIM in Journal of Autism and Developmental Disorders, 52-12 (December 2022)
PermalinkService and Wider Societal Costs of Very Young Children with Autism in the UK / Barbara BARRETT in Journal of Autism and Developmental Disorders, 42-5 (May 2012)
PermalinkTrajectories of healthcare utilization and costs of psychiatric and somatic multimorbidity in adults with childhood ADHD: a prospective register-based study / Ebba DU RIETZ in Journal of Child Psychology and Psychiatry, 61-9 (September 2020)
PermalinkTypes of Services and Costs of Programs for Preschoolers with Autism Spectrum Disorder Across Sectors: A Comparison of Two Canadian Provinces / K. TSIPLOVA in Journal of Autism and Developmental Disorders, 49-6 (June 2019)
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