08/08/2026
Trigger Warning: This post discusses elopement, accidental death, substance use, mental health crises, and gun violence because it is time we talk about the bigger picture.
Yes, intensive therapy for children with autism is expensive. We get it. Providing hours of individualized, hands-on support in a childβs natural environment requires trained professionals, time, and significant resources.
But we also need to talk about the cost of not providing it.
What is the cost when a child who elopes ends up in a canal, and an entire family and community is left grieving? What is the cost of treating addiction years later when someone turned to substances to cope with emotions and challenges they never learned how to manage? What is the cost of repeated psychiatric hospitalizations, emergency-room visits, residential treatment, involvement with law enforcement, caregiver burnout, lost employment, or lifelong dependence when earlier intervention could have helped build communication, safety, coping, and independence?
And what is the cost to a community when a young person who has spent years feeling isolated, bullied, misunderstood, or unable to regulate overwhelming anxiety reaches a crisis point- and that crisis becomes violence?
To be clear, autism does not cause violence, and autistic people should never be stigmatized as dangerous. The point is that untreated mental health needs, whether that is for a child with autism or a neurotypical child struggling with abuse, trauma, etc, profound social isolation, bullying, lack of coping skills, and inadequate access to appropriate supports can have consequences- for autistic and non-autistic people alike.
We spend enormous amounts of money responding to crises after they happen. Yet we continue creating barriers to the therapies designed to teach skills before the crisis: communication, emotional regulation, safety awareness, self-care, social connection, and independence.
Fraud, waste, and abuse should absolutely be investigated. But accountability cannot come at the expense of access. When legitimate providers cannot survive prolonged prepayment reviews and audits, and children lose medically necessary services as a result, families ultimately pay the price- and eventually, communities do too.
The question shouldn't simply be, βHow much does this therapy cost?β
It should also be: βWhat will it cost if we don't provide it?β