Across the United States, a growing number of children are being diagnosed with autism—but far too many families still struggle to access the care they need. Despite the fact that Applied Behavior Analysis (ABA) is the most widely used and evidence-based therapy for children with autism, a recent study reveals that more than half of all U.S. counties lack even a single certified ABA therapist.
This national gap in care highlights a pressing issue that hits close to home: without access to quality therapy, children with autism can miss out on vital early intervention that supports their communication, behavior, and development. Fortunately, for families in Maryland, there are solutions—and we’re here to help provide them.
The Scope of the Shortage: When Demand Outpaces Supply
The study, published in Autism earlier this year, found that 54% of U.S. counties do not have a single Board Certified Behavior Analyst (BCBA). That’s not just a number—it represents tens of thousands of children who are potentially going without essential services. Some counties have up to 328 autistic children per therapist, compared to just 18 per therapist in more well-resourced areas.
Even more troubling, over 300 counties have no access to ABA providers in neighboring regions either. These “therapy deserts” are often rural, lower-income areas, creating huge geographic and financial barriers for families already carrying the emotional and logistical weight of raising a child with autism.
ABA Therapy: Why Access Matters So Much
ABA therapy is backed by decades of research and is considered the gold standard for helping children with autism build life skills, regulate behavior, and improve communication. Insurance covers it in all 50 states—including Maryland—but coverage doesn’t mean much if there’s no one available to deliver the care.
Without accessible providers, parents often face waitlists that stretch months (or years), travel hours for sessions, or are forced to skip therapy entirely. And since early intervention is key, these delays can have lasting consequences.
Meeting the Need with ABA Therapy Services in Maryland
While the nationwide shortage is real, families in Maryland are fortunate to have better access to high-quality care—and that’s exactly where we come in.
At Steady Steps, we provide ABA therapy services in Maryland that are personalized, compassionate, and rooted in proven strategies. Whether your child is newly diagnosed or has been navigating the spectrum for years, our team of expert therapists is here to support their growth every step of the way.
We understand the challenges families face—not just in accessing care, but in finding providers who truly listen, understand, and partner with you to meet your child’s needs.
Building a Brighter, More Inclusive Future—Together
As the national conversation around autism therapy access continues, we’re proud to be part of the solution right here in Maryland. Every child deserves the opportunity to thrive, regardless of where they live—and our mission is to make sure that happens.
Get in touch today to learn how our ABA therapy services in Maryland can help your child grow with confidence and care. We’re here to walk this journey with you—one steady step at a time.
