These autism ribbon bracelets have a blue elastic stretch band that has a beautiful sterling silver plated charm with an autism ribbon on it. These bracelets are approximately 7 inches and stretch to fit most wrist sizes. Each bracelet comes in a bag.The diagnosis of autism has increased over the years. Some of the increase can be attributed to earlier diagnosis related to autism awareness. Many people will notice and ask about this wonderful bracelet. This is an opportunity to discuss how autism has impacted you.