From awareness to action:

Elevating autism care in the GCC for meaningful change

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  • Publication
  • April 02, 2024

Autism Spectrum Disorder (ASD) is a neurological developmental disorder, characterised by challenges with social interactions and repetitive or limited behavioural patterns. There are currently five different types of ASD, including;

  • Autistic disorder
  • Pervasive Developmental Disorder not otherwise specified (PDD-NOS)
  • Rett syndrome
  • Childhood Disintegrative Disorder (CDD) and 
  • Asperger’s syndrome.

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According to the World Health Organisation, globally 1 in 160 children has ASD. Our latest report, “From awareness to action: Elevating autism care in the GCC for meaningful change”, focuses on Autism Spectrum Disorder, a condition where the term "spectrum" describes  the wide range of symptoms, skills, and degrees of disability that people with autism may experience. The spectrum can range from level 1, “requiring support”, to level 3, “requiring very substantial support”. A definitive diagnosis of autism is typically made between the ages of 3 and 4 years old as it relies on identifying distinct behavioural impairments that usually become apparent in the second year of a child's life. Even though autism can be diagnosed at a young age, its management can span one's lifetime, necessitating a comprehensive and multidisciplinary approach to care catering to the unique needs across the spectrum and throughout their lives.

The three functional levels of autism

ASD Level 1
Requiring support
  • Difficulty initiating social interactions
  • Organisation and planning problems can hamper independence
ASD Level 2
Requiring substantial support
  • Social interactions limited to narrow special interests
  • Frequent restricted/repetitive behaviours
ASD Level 3
Requiring very substantial support
  • Severe deficits in verbal and nonverbal social communication skills
  • Great distress/difficulty changing actions or focus

Research has shown that early detection of autism can lead to better prognosis, higher chances of rehabilitation and improved integration into society, as children transition into adulthood. This support must span across all sectors, including healthcare, education and employment, to ensure individuals reach their fullest potential and can be active members of society.

“From awareness to action: Elevating autism care in the GCC for meaningful change” explores autism in the Gulf Cooperation Council (GCC) region, examining its significance, prevalence as well as its social and economic influences on families. It draws insights from interviews with families caring for individuals with autism and healthcare professionals, as well as additional research to provide a comprehensive picture of the impact of autism on societies. 

The report also reviews recent initiatives related to autism in the region, alongside global best practices, and concludes with a series of targeted recommendations to better support individuals with autism and build an inclusive society for all.

“It's very humbling to be a parent to my son. It brought out hidden gems in me that I didn't know I was capable of. We often think that happiness has a single definition, but through parenting I've learned that children [with autism] see the world and happiness in a different way. Our way of happiness is not necessarily theirs.”

A parent interviewee

Recommendations

  • Launch universal screening with systemic support:

Introduce universal early screening for autism within paediatric care across the GCC, utilising culturally sensitive tools to ensure early detection. Parallel to this, strategically scale up support systems and resources to accommodate the expected increase in diagnoses. This includes enhancing professional training, support services, and creating guided pathways for families post-diagnosis, carefully balancing the expansion with the system’s capacity to prevent overburdening it.

  • Implement comprehensive awareness campaigns:

Launch national awareness campaigns to educate the public about autism, symptoms, acceptance, and the importance of early intervention. Extend these educational efforts to all healthcare professionals, including those in non-specialised fields, to ensure individuals with autism receive empathetic and informed care across all healthcare encounters.

 

 

  • Implement comprehensive insurance coverage for autism services:

Enact policies ensuring that health insurance, both public and private, covers a comprehensive range of autism services, including diagnostic assessments, behavioural therapies, and ongoing support services.

  • Expand training programmes for specialised care providers:

Increase the availability of specialised training programmes for professionals in speech-language pathology, occupational therapy, and mental health services, addressing the critical shortage of specialised care providers and improving access to essential therapies and supports for individuals with autism and their families.

  • Enhance accessibility and capacity of autism centres:

Support the expansion and development of autism centres to increase their capacity and accessibility, including in underserved areas. This effort ensures families have comprehensive care and support services readily available, reducing wait times and travel burdens for ongoing therapy and support.

  • Strengthen support networks for carers:

Develop and fund programmes that provide education, respite care, and emotional support for carers of individuals with autism, alleviating the emotional and logistical challenges faced, promoting mental health and well-being, and enabling better care for individuals with autism.

  • Develop specialised programs for lifelong support and integration for adults living with autism:

While early detection and intervention is key, those with autism should not feel abandoned when approaching adulthood. Specialised programs and pathways need to be established to support those with autism throughout their life, enabling them to have fulfilling lives with employability skills, social empowerment and holistic wellbeing.

  • Foster intersectoral collaboration for policy development:

 Establish a cross-sectoral task force involving healthcare, education, social services, and finance ministries to develop and implement policies that support individuals with autism and their families. This task force should focus on creating a cohesive national strategy for autism care, education, and employment.

  • Enhance financial assistance programmes:

Develop financial assistance programmes for families affected by autism, providing subsidies for care, therapy, and educational support services. This assistance can alleviate the financial burden on families and ensure that individuals with autism have access to necessary services.

  • Conduct a comprehensive study on autism across the GCC:

Commit to a dual approach of funding focused research to map the prevalence, impacts, and effective interventions for autism, while also conducting a comprehensive study on the autism care landscape, family experiences, and individual needs across the GCC. These combined efforts will pinpoint system gaps, highlight effective practices, and guide a strategic overhaul of autism care, making it more accessible, proactive, and inclusive. Results will shape policies, care strategies, and educational initiatives, fully accounting for regional nuances and leveraging the latest research to empower individuals with autism to reach their fullest potential.

  • Incorporate advanced technologies in autism care:

GCC governments and healthcare providers should invest in exploring and adopting new and innovative technologies that support diagnosis, therapy, and intervention for individuals with autism. This includes, but is not limited to, artificial intelligence (AI) for personalised learning and therapy programs, virtual reality (VR) for social skills training, wearable technology for monitoring physiological responses and promoting self-regulation, and mobile applications for communication and daily living skills. This approach aims to make therapeutic interventions more personalised, engaging, and widely accessible.

  • Develop digital community platforms:

Leverage technology to build a digital community platform providing training material and resources, and a collaborative space for families and caregivers, as well as children and adults living with autism. This approach fosters an inclusive, supportive online environment where individuals can share experiences, access specialised learning tools, and find emotional support, facilitating a deeper sense of community and connection

In order to successfully and sustainably implement these recommendations, GCC governments must take a multidisciplinary approach involving key stakeholders from all sectors, healthcare providers, researchers, and families and caregivers of people with autism. It is crucial for the success of new initiatives to also include the voices of individuals living with autism in the decision-making process. This will allow governments to understand the lived experiences of society and develop relevant and inclusive initiatives and policies that start in childhood and continue to empower and enrich lives throughout adulthood.

“We have a voice. If we escalate our needs, our voice will be heard.”

A parent interviewee

From awareness to action: Elevating autism care in the GCC for meaningful change

Download the full report

Download (PDF of 6.4mb)

Contacts

Lina Shadid

Health Industries Lead, PwC Middle East

Email

Richard Jenkins

Chief Medical Officer, PwC Middle East

Email

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