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The cost-effectiveness of supported employment for adults with autism in the United Kingdom
Adults with autism face high rates of unemployment. Supported employment enables individuals with autism to secure and maintain a paid job in a regular work environment. The objective of this study was to assess the cost-effectiveness of supported employment compared with standard care (day services...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4230968/ https://www.ncbi.nlm.nih.gov/pubmed/24126866 http://dx.doi.org/10.1177/1362361313505720 |
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author | Mavranezouli, Ifigeneia Megnin-Viggars, Odette Cheema, Nadir Howlin, Patricia Baron-Cohen, Simon Pilling, Stephen |
author_facet | Mavranezouli, Ifigeneia Megnin-Viggars, Odette Cheema, Nadir Howlin, Patricia Baron-Cohen, Simon Pilling, Stephen |
author_sort | Mavranezouli, Ifigeneia |
collection | PubMed |
description | Adults with autism face high rates of unemployment. Supported employment enables individuals with autism to secure and maintain a paid job in a regular work environment. The objective of this study was to assess the cost-effectiveness of supported employment compared with standard care (day services) for adults with autism in the United Kingdom. Thus, a decision-analytic economic model was developed, which used outcome data from the only trial that has evaluated supported employment for adults with autism in the United Kingdom. The main analysis considered intervention costs, while cost-savings associated with changes in accommodation status and National Health Service and personal social service resource use were examined in secondary analyses. Two outcome measures were used: the number of weeks in employment and the quality-adjusted life year. Supported employment resulted in better outcomes compared with standard care, at an extra cost of £18 per additional week in employment or £5600 per quality-adjusted life year. In secondary analyses that incorporated potential cost-savings, supported employment dominated standard care (i.e. it produced better outcomes at a lower total cost). The analysis suggests that supported employment schemes for adults with autism in the United Kingdom are cost-effective compared with standard care. Further research needs to confirm these findings. |
format | Online Article Text |
id | pubmed-4230968 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-42309682014-11-20 The cost-effectiveness of supported employment for adults with autism in the United Kingdom Mavranezouli, Ifigeneia Megnin-Viggars, Odette Cheema, Nadir Howlin, Patricia Baron-Cohen, Simon Pilling, Stephen Autism Original Articles Adults with autism face high rates of unemployment. Supported employment enables individuals with autism to secure and maintain a paid job in a regular work environment. The objective of this study was to assess the cost-effectiveness of supported employment compared with standard care (day services) for adults with autism in the United Kingdom. Thus, a decision-analytic economic model was developed, which used outcome data from the only trial that has evaluated supported employment for adults with autism in the United Kingdom. The main analysis considered intervention costs, while cost-savings associated with changes in accommodation status and National Health Service and personal social service resource use were examined in secondary analyses. Two outcome measures were used: the number of weeks in employment and the quality-adjusted life year. Supported employment resulted in better outcomes compared with standard care, at an extra cost of £18 per additional week in employment or £5600 per quality-adjusted life year. In secondary analyses that incorporated potential cost-savings, supported employment dominated standard care (i.e. it produced better outcomes at a lower total cost). The analysis suggests that supported employment schemes for adults with autism in the United Kingdom are cost-effective compared with standard care. Further research needs to confirm these findings. SAGE Publications 2014-11 /pmc/articles/PMC4230968/ /pubmed/24126866 http://dx.doi.org/10.1177/1362361313505720 Text en © The Author(s) 2013 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (http://www.uk.sagepub.com/aboutus/openaccess.htm). |
spellingShingle | Original Articles Mavranezouli, Ifigeneia Megnin-Viggars, Odette Cheema, Nadir Howlin, Patricia Baron-Cohen, Simon Pilling, Stephen The cost-effectiveness of supported employment for adults with autism in the United Kingdom |
title | The cost-effectiveness of supported employment for adults with autism in the United Kingdom |
title_full | The cost-effectiveness of supported employment for adults with autism in the United Kingdom |
title_fullStr | The cost-effectiveness of supported employment for adults with autism in the United Kingdom |
title_full_unstemmed | The cost-effectiveness of supported employment for adults with autism in the United Kingdom |
title_short | The cost-effectiveness of supported employment for adults with autism in the United Kingdom |
title_sort | cost-effectiveness of supported employment for adults with autism in the united kingdom |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4230968/ https://www.ncbi.nlm.nih.gov/pubmed/24126866 http://dx.doi.org/10.1177/1362361313505720 |
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