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To think if ASD is costing the UK 32bn per year we need to better early screening?

237 replies

Pelot · 12/01/2025 19:21

Autism costs the UK 32bn a year. That's more than cancer, heart disease and stroke combined.

Yet we don't routinely screen all children and get them the services they need early enough. Often the system waits until a child is so unable to cope that they become disruptive in school that a referral is made. Often families don't realise (because no one tells them) that their child is displaying multiple red flags and that they will likely have higher care needs. Those families go on to have multiple affected children because they had no idea what the care needs of the first would be. Surely getting intervention and support sooner would be more cost effective and allow families a chance to be more fully informed when making decisions about subsequent children?

OP posts:
WeylandYutani · 12/01/2025 21:12

ElectrixAvenue · 12/01/2025 21:02

They absolutely can, and do get diagnosed. There are autistic accountants, teachers, GPs, professors…

My boyfriend is autistic, and when he went to his GP to get a referral for assessment, his GP revealed he was autistic too.
They walk among us! Who knew?
My boyfriend is in a professional job (needs post graduate qualifications for it), but he struggles hugely in pretty much everything else.

giggly · 12/01/2025 21:11

Kuch3n · 12/01/2025 20:08

“someone with a job in accountancy who functions well in the world.“ wouldn’t get an autism diagnosis.Traits need to significantly impact life.

Actually that is incorrect, any diagnosis is based on meeting the diagnostic criteria. Gaining DLA/PIP/Children’s disability payment Scotland is where is depends on the impact on day to day life.

VegTrug · 12/01/2025 21:11

@VivienneDelacroix Albert Einstein was believed by all who knew & worked with him, to be Autistic!

PreferMyAnimals · 12/01/2025 21:10

Tittat50 · 12/01/2025 21:09

I don't think my son , young teen, has cost the taxpayer a penny yet. Autistic, ADHD. Gaslit by school, doctor, assessing body within the LA who flat out refused to assess.

Now in mainstream, nightmare.

I'm willing to bet he's cost you as parents a pretty penny though. That's the reality for many parents of ND kids. I know we have funded it almost entirely ourselves.

Tittat50 · 12/01/2025 21:09

I don't think my son , young teen, has cost the taxpayer a penny yet. Autistic, ADHD. Gaslit by school, doctor, assessing body within the LA who flat out refused to assess.

Now in mainstream, nightmare.

biscuitsandbooks · 12/01/2025 21:08

so was it prevalent in Elizabethan times and we just don't know about it?

We do know about it, it just wasn't known as autism then.

People would end up on the streets, in mental institutions or being put to death. Women would likely be tried and killed as witches.

VegTrug · 12/01/2025 21:08

Wow thanks OP. Make those of us with autistic children feel even worse, why don't you?!?!

sunshine244 · 12/01/2025 21:08

Fargo79 · 12/01/2025 20:20

As a parent in an ND family, I feel like most of that money is spent actively wasting our time and finding ways to withhold the support we're crying out for.

I totally agree. My autistic son has had a huge stream of professionals involved over the last few years. Educational Psychologists, Autism Teachers, Disability Social Workers just for a start. So many meetings, but none actually meet him or offer anything tangible. Turnover of professionals is endless, and so we keep going back over the same info over and over. The money wasted is phenomenal and all it leads to is stress with no support.

soupfiend · 12/01/2025 21:07

SquirrelSoShiny · 12/01/2025 21:00

The prison population has very high numbers with ADHD and some of these men may have overlapping ASD traits. Another absolute shame for society that so many of these men would have had completely different lives with early diagnosis. Equally many also have severe trauma in early childhood which muddies the waters.

In what way do you think they would have different lives?

I work with children (and their families) and I can tell you now the children that will go on to (and continue) to be involved with the criminal justice system.

Some refuse to take ADHD medication, some take it but it makes little difference. With ASD some may be at specialist school having 1-1 support but are still committing crimes or have behaviours which will risk crime, particularly sexual crime when they are caught/older.

VivaVivaa · 12/01/2025 21:07

I love my DS but I’m sick to death of people pretending like having a very severely impaired child with crazy high support needs doesn’t entirely ruin the whole families lives. I had to leave work, there’s no wrap around care, holiday care, baby sitters, he’s violent and you literally cannot blink or he’s injured himself or burnt the house down. It’s shit, I can’t fathom why people aren’t more honest about how awful it is. Doesn’t mean I don’t love him but you know…shitty life

@cookingthebooks Flowers My eldest is also autistic, but, unlike your DS, he’s verbal, can cope with our childminder and manages in mainstream school with support. Family life is still really hard, so I can’t even imagine what it’s like for you. So just a big hug for you as, yeah, nobody will get it unless they’ve lived it xx

PreferMyAnimals · 12/01/2025 21:07

NattyTurtle59 · 12/01/2025 20:39

To those of us who have been around a while I can assure you it is surprising. Where were all these people with autism when I was young?

They were the 'naughty kids' in school, the ones who were seen by the other students as 'dumb'. I can look back and see things in fellow students (and myself) that people viewed differently. Or they might have been the super achievers, the overly compliant ones who were maybe a bit quirky and different (that describes me more).

Descriptions of people with ND traits go back to ancient times.

VivienneDelacroix · 12/01/2025 21:06

NattyTurtle59 · 12/01/2025 20:39

To those of us who have been around a while I can assure you it is surprising. Where were all these people with autism when I was young?

Some wouldn't have been in mainstream education -many would have been institutionalised, in special schools, or in the youth justice system because without the adjustments we now understand autistic people would have struggled in education.
Others existed but they masked enough to not be noticed. They would often have been those who were in inappropriate sexual relationships, struggled with friendships, were high-achieving but put themselves under pressure, used drugs or alcohol to deal with sensory overload, or experienced eating disorders.

soupfiend · 12/01/2025 21:04

Lovelybitofsquirrel3 · 12/01/2025 20:49

I am autistic and I have read studies published by professionals in china (inconveniently for me, can’t link to them as don’t have them to hand) that suggest things going wrong in the womb can cause autism, including infections that the mother has that then cause the baby not to develop properly. I can’t confirm if it’s true or not, nor can I verify if the studies are real or not, I’m not qualified in any way. There are also studies that suggest that autism could partly be caused by environmental factors in combination to things going wrong in pregnancy

Lots of angles are being looked at but for some reason when you read information about ASD (of all types), people seem very certain its 'this' and 'this' is the only explanation and reason for ASD

The reality is that we are working with theory at the moment, there is no definitive proof of cause that applies to all cases and there is work to be done.

OffMyDahlias · 12/01/2025 21:04

dermalermalurd · 12/01/2025 20:48

There is a whole lot of uneducated nonsense on this thread.

You’re not wrong. I’m shocked by some of them tbh.

ElectrixAvenue · 12/01/2025 21:02

Kuch3n · 12/01/2025 20:08

“someone with a job in accountancy who functions well in the world.“ wouldn’t get an autism diagnosis.Traits need to significantly impact life.

They absolutely can, and do get diagnosed. There are autistic accountants, teachers, GPs, professors…

gamerchick · 12/01/2025 21:02

Lovelybitofsquirrel3 · 12/01/2025 20:55

I don’t know most of my family so I can’t really say. I’m the only one diagnosed with autism that I know of. I think the family that I do know would have Asperger’s, as they are extremely intelligent but mentally ill

Did you know a lot of girls especially are diagnosed as EUPD/BPD when they are in fact undiagnosed ASD?

If you see it in your family line then it's probably genetic.

godmum56 · 12/01/2025 21:01

Pelot · 12/01/2025 19:57

@BusMumsHoliday I think we could do better with public health awareness campaigns. Not many people seem to know that spacing babies less than 2 years apart significantly increases the risk of ASD.

so was it prevalent in Elizabethan times and we just don't know about it?

2dogsandabudgie · 12/01/2025 21:01

Lovelybitofsquirrel3 · 12/01/2025 20:49

I am autistic and I have read studies published by professionals in china (inconveniently for me, can’t link to them as don’t have them to hand) that suggest things going wrong in the womb can cause autism, including infections that the mother has that then cause the baby not to develop properly. I can’t confirm if it’s true or not, nor can I verify if the studies are real or not, I’m not qualified in any way. There are also studies that suggest that autism could partly be caused by environmental factors in combination to things going wrong in pregnancy

When my son was being assessed for autism I was asked if I had experienced any depression during my pregnancy. I had at around 4 months become anxious and slightly depressed. I don't know if they were wondering whether anxiety/depression during pregnancy increased the risk of autism. But if they were doing a study into this I would be interested to know the outcome.

SquirrelSoShiny · 12/01/2025 21:00

AllTheMiceGoClang · 12/01/2025 20:56

Yes this.
I know very few autistic children who are supported well in school, or CAMHS, or their families for that matter.
CAMHS for my autistic dc was a complete waste of resources and did nothing to help my dc.

Schools actively obstruct diagnoses and support.

How are the figures going with undiagnosed ND young men in prison?

Start support young. Overhaul the crap education system completely. I have no idea about funding amounts in the UK, but I do know that right now thousands of dc are damaged via schooling which may well affect their productivity in the future in this capitalist world.

The prison population has very high numbers with ADHD and some of these men may have overlapping ASD traits. Another absolute shame for society that so many of these men would have had completely different lives with early diagnosis. Equally many also have severe trauma in early childhood which muddies the waters.

fallingupwards · 12/01/2025 21:00

@gamerchick I agree. I can think of many children in my class 45 years ago that I now think would be ASD. The pressure was not so much at age 5 and they managed better. My extremely successful husband would get a diagnosis, as would all of his family. Their struggles come off as quirks. They did not go to school until age 7. By then their brains had matured and by age 10 were all thriving academically. Everyone earns enough to support their needs with staff. My son was thrown out of the UK education system at age 5, it was too much pressure at this young age. I'm educating him for now. I've had no help with anything from anyone. I haven't even registered him disabled as I think it could hold him back and the money doesn't touch our expenses. I fully expect him to thrive like the rest of his family.

PreferMyAnimals · 12/01/2025 20:59

Kuch3n · 12/01/2025 20:31

There is a threshold you need to meet and having persistent deficits in reciprocal social communication and social interaction
restricted, repetitive patterns of behaviour and symptoms causing clinically significant impairment in social, occupational, or other important areas of functioning to the extent you are significantly impacted in life to meet diagnosis criteria would mean you don’t function “well” in life- without support and adjustments .

Autism is very broad. Some argue too broad, but this is too simple. I don't qualify under this criteria but I know I'm autistic. Social skills can be learned, so I'm very high masking. No-one can tell I'm autistic but that doesn't mean I'm not. There are many autistic people hiding in the community without a diagnosis.

cookingthebooks · 12/01/2025 20:58

I can see this from both sides.
I have a very high support needs non speaking ASD eldest child and a NT youngest child. If I had known DS would have the level of needs he does I wouldn’t have had DD tbh because I’d have been terrified of it happening again but now I have DD and she’s NT im so glad I did.

I love my DS but I’m sick to death of people pretending like having a very severely impaired child with crazy high support needs doesn’t entirely ruin the whole families lives. I had to leave work, there’s no wrap around care, holiday care, baby sitters, he’s violent and you literally cannot blink or he’s injured himself or burnt the house down. It’s shit, I can’t fathom why people aren’t more honest about how awful it is. Doesn’t mean I don’t love him but you know…shitty life.

Pelot · 12/01/2025 20:58

@Millie2008 I am ND and I want resources spent in a more effective way to help those of us who are ND. I also think parents should be informed of any risk factors they can control. Anything that is costing us 32 billion a year cannot be swept away and not discussed.

OP posts:
batroyale · 12/01/2025 20:57

Considering autism is supposed to massively impact social relationships, it is a bit surprising that so many have no trouble with relationships and having children.

Autistic people often get on just fine with other autistic people.
https://en.m.wikipedia.org/wiki/Doubleempathyy_problem

safetyfreak · 12/01/2025 20:57

biscuitsandbooks · 12/01/2025 20:49

Just because something impacts social relationships, doesn't mean you can't have a marriage and a family, though Confused

There's a reason why lots of ND people end up married to other ND people...

This is so true, the autism spectrum is so wide.

I suspect I am Autistic, late to hit milestones, speech delay as a child, learning disabilities, impaired social skills however, as I grew older I learnt to mask and as an adult, I have a professional job, two kids and a husband.

I still struggle now, especially with the social side of life and with change but I can function.

What I will say is when I was at school, they had smaller classes for children with learning disabilities so they could receive extra support. That extra support is GONE now, so more children need 1-1 support in mainstream classes.

Short term gain for long term pain.

I got more support academically than my daughter who is very similar to me. Its very sad.