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Published online by Cambridge University Press: 03 March 2026
Previous research has shown that childhood disability incurs higher costs. Welfare state cash support is crucial to guarantee adequate social participation for families of children with disabilities. To properly assess the adequacy of cash support, the needs-based costs of childhood disability must be accounted for. This article investigates the adequacy of a cash support system that is designed to increase with the severity of the child’s care needs for four hypothetical children with different types of care needs. Therefore, we build on recently developed reference budgets for adequate social participation for families with disabled children in Belgium. The results show that Belgian cash support is generally insufficient to enable equal social participation for these families, particularly for children with less-visible disabilities. This forces families to make choices about which costs are met by the support measures and which costs are borne by themselves.