| Titre : | The Value of Inclusive Higher Education: Cost-Benefit Analysis and Health Implications for Autistic Graduates Without Intellectual Impairment in France |
| Auteurs : | Elie Malalou Koumba ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
| Type de document : | Mémoire |
| Année de publication : | 2025 |
| Description : | 42p. |
| Langues: | Anglais |
| Classement : | MPH/ (Mémoires MPH à partir de 2024) |
| Mots-clés : | Autisme ; Education inclusive ; Inclusion scolaire ; Enseignement supérieur ; Etudiant |
| Résumé : |
Context: Autism affects 1 in 100 children globally. Inclusive higher education remains a challenge for autistic individuals without intellectual disability, who face unique academic and social barriers. In France, initiatives such as the Atypie-Friendly program have emerged to improve access, but their economic impact has not yet been assessed. This study aimed to evaluate the economic returns of investing in inclusive higher education for individuals on the autism spectrum without intellectual disability.
Methods: A literature-based cost-benefit analysis was conducted from the French government’s perspective as a public investor over a five-year post-graduation horizon (2026–2030). The model estimated public costs (education, foregone tax revenue, and scholarships) and public benefits (tax revenue, social contributions, and savings from reduced reliance on welfare and unemployment support). The analysis included 864 autistic graduates without intellectual disability and explored results by employment sector and socio-professional category (SPC). A two-way sensitivity analysis was performed to test the robustness of the base case scenario. Due to data limitations, several input parameters were based on national averages or literature-informed proxies. Results: In the baseline scenario (70% employment rate), the total public investment of €128.6 million generated €153 million in benefits, yielding an NPV of €24.4 million, a BCR of 1.19, and an ROI of 18.99%. Scenario 1 (58% employment rate) produced a negative NPV of –€17.3 million, while Scenario 2 (40% repetition rate) resulted in a slightly lower NPV of €23.7 million. The greatest fiscal gains were driven by reduced social transfers and unemployment costs. Conclusion: Inclusive higher education for autistic students without intellectual disability is a fiscally responsible investment. However, the benefits depend on sustained efforts to ensure academic success and labor market access. Inclusion must go beyond university admission to include coordinated policies and structures supporting full societal participation. |
| Diplôme : | Master MPH of public health |
| Plan de classement simplifié : | Master of Public Health - master international de Santé Publique (MPH) |
| En ligne : | https://documentation.ehesp.fr/memoires/2025/mph/elie_malalou_koumba.pdf |
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