Transition pathways for young people with complex disabilities: exploring the economic consequences

Child Care Health Dev. 2008 Jul;34(4):512-20. doi: 10.1111/j.1365-2214.2008.00835.x. Epub 2008 May 15.


Background: Disabled young people with complex needs face particular challenges when they reach adulthood and seek to move from school to employment or further education. There are potentially substantial personal and social costs arising from these challenges.

Methods: We sought evidence from recent UK research, policy and related literatures; undertook exploratory statistical analyses of birth cohort data; and analysed information provided by 30 disabled young people requiring high levels of practical and communication support.

Results: The personal, family and social costs that result from unsuccessful transition are substantial and wide-ranging. Health service and local authority expenditure are important elements, but do not allow young people to achieve the educational or employment goals to which they aspire, resulting in considerable costs for the state, whether through missing opportunities to contribute to the economy or through dependence on welfare benefits.

Conclusions: The considerable sums currently spent on disabled children and young people are clearly not enough, or not deployed appropriately, to enable those who reach adulthood to fulfil their ambitions, or to meet government policy intentions for young people to achieve economic well-being.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child Health Services / economics
  • Disabled Persons / psychology
  • Disabled Persons / rehabilitation*
  • Employment, Supported / economics*
  • Employment, Supported / organization & administration
  • Humans
  • Salaries and Fringe Benefits / economics
  • Social Support
  • United Kingdom
  • Young Adult