Types of Services and Costs of Programs for Preschoolers with Autism Spectrum Disorder Across Sectors: A Comparison of Two Canadian Provinces

J Autism Dev Disord. 2019 Jun;49(6):2492-2508. doi: 10.1007/s10803-019-03993-3.


This study measured resource utilization and costs for pre-school autism spectrum disorder (ASD)-related services in community-based sectors from multiple payer perspectives in two Canadian provinces, Nova Scotia (NS) and New Brunswick (NB), during the 12 months prior to and following the start of early intensive behavioural intervention (EIBI). The results indicate significant differences between NB and NS in utilization of services and costs to families, public sector and society. Differences can be attributed to variation in EIBI delivery models and may also be influenced by differences in diagnostic assessment practices. The study results provide resource utilization rates and costs which could be used in future economic evaluations and to inform policy making to improve outcomes for children with ASD.

Keywords: Autism spectrum disorder; Cost; Preschool-aged children; Service use.

MeSH terms

  • Autism Spectrum Disorder*
  • Behavior Therapy / economics*
  • Behavior Therapy / methods
  • Canada
  • Child
  • Child, Preschool
  • Cost-Benefit Analysis
  • Early Intervention, Educational / economics*
  • Early Intervention, Educational / methods
  • Female
  • Health Resources / economics*
  • Humans
  • Male