The Children’s Hospital of Philadelphia emphasizes that children with autism are more prone to displaying difficult behaviors during transportation. These behaviors can include refusing to buckle, attempting to remove the harness, or even physically resisting being placed in the seat at all.

Why Car Seats for a Child with Autism Can Be Challenging  

Children with autism may face a variety of challenges in different areas of life, and autism and car seats are no exception. Many parents find it hard to understand what their child is experiencing and how to offer support. Below are some of the common challenges that can make car rides more difficult:

Sensory Sensitivities   

Children with ASD can experience heightened sensory sensitivities. Here are some common sensory-related triggers that can make car travel difficult:

• Touch: Some children with ASD cannot tolerate the feeling of the harness across their chest or shoulders. The straps may feel too tight or too rough
• Sound: The clicking noise of the buckle, the hum of the engine, or unpredictable street noises may cause discomfort or fear
• Movement: The sensation of moving in a car, especially if a child has vestibular issues, may be disorienting or nauseating
• Visual Input: Flashing lights, changing scenery, or sunlight through the windows can be overstimulating

The Enfield Council’s transport guide for children with additional needs stresses the importance of tailoring transportation experiences to the child’s specific sensory profile—even something as simple as using a window shade or noise-canceling headphones can make a significant difference.

Communication Difficulties   

For many children with autism, expressing discomfort or fear can be difficult. They might not be able to say, “This feels tight” or “The fabric is scratchy.” Instead, their discomfort can show as fidgeting, crying, or attempts to get out of the car seat altogether.  

Need for Routine   

Autistic children thrive on predictability. An impromptu car ride or a sudden change from their routine can feel overwhelming, heightening their anxiety. Even being placed in a car seat when they are used to sitting elsewhere can be distressing. 

Anxiety and Hyperactivity   

Children with autism might experience heightened levels of anxiety, primarily when confined to a small space or when the car ride environment feels chaotic. Fidgeting, kicking the seat in front of them, or unbuckling the harness are common attempts to self-regulate when anxiety or hyperactivity takes over.  

Autism and Car Seat Safety: Finding a Better Fit

One of the biggest concerns for caregivers of children with autism is safety. If a child can’t tolerate the car seat, how can they stay buckled? How do you balance emotional regulation and legal safety requirements?

The Fundación MAPFRE notes that many children with special needs, including those with autism, require adaptive solutions to ensure proper restraint and comfort. These solutions may mean working with a therapist, pediatrician, or specialized car seat technician to explore products tailored to their needs.

Some tips that can help improve autism and car seat safety include:

1. Choosing the Right Car Seat: Some models are designed with additional padding or adjustable harness systems to minimize discomfort. Others offer features like a 5-point harness with shoulder covers that feel less restrictive.

Features like anti-escape buckles, additional padding, and customizable adjustments can make these seats more suitable for children with autism. Some options include:

• The Roosevelt Adaptive Car Seat offers a chest clip guard and buckle guard designed to prevent unbuckling.
• EZ-ON 303Z Vest consists of a rear zipper and tethered floor mount for additional security.

If you’re unsure about which seat to choose, a Child Passenger Safety Technician (CPST) trained in special needs can provide personalized recommendations.  

2. Trying Sensory Supports:

• Using chewable seatbelt covers or soft textures can help reduce overstimulation
• Add soft covers to the straps to prevent irritating textures
• Use noise-canceling headphones if your child is sensitive to road noise
• Securely place a sensory-friendly toy or fidget near them for focus
• Consider compression vests or weighted blankets, as these can create calming pressure

3. Practicing Car Seat Exposure at Home: Allowing your child to sit in the seat indoors, watch videos, or play with toys while buckled in can gradually increase tolerance. Praise your child every time they stay properly restrained, even for short periods.
4. Using social stories or visual schedules: Create a story for your child about why staying buckled in a car seat is essential. Use simple phrases like, “Wearing my car seat straps keeps me safe, and when I stay seated, I will get my favorite treat at the end of the ride.” These tools help prepare your child for what to expect before, during, and after the ride.
5. Create a Reward System: Offer frequent, tangible rewards when your child stays buckled. Start small with rewards at every stoplight, then extend to rewarding good behavior for the entire trip.
6. Adjust the Environment:

• Play calming music or audiobooks your child enjoys
• Keep routines predictable by preparing your child for car rides ahead of time. Visual schedules can be helpful
• Make stops on long road trips to allow your child to move and decompress.

How ABA Therapy Can Help Improve Car Safety and Foster Independence

ABA therapy often becomes a vital part of everyday life for families, extending beyond school or home settings into situations like daily car travel. ABA plays a key role in helping children with autism better manage transitions, become more comfortable with unfamiliar routines, and develop essential safety skills through gradual, individualized support.