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      Services for Adults With Autism Spectrum Disorder: a Systems Perspective

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          Abstract

          Purpose of Review

          We review original research about services for adults on the autism spectrum published from January 2013 through December 2018. The main aim is to characterize the topical and methodological aspects of research about services. We review research on services related to employment, living in the community, and social participation. We compare our results with those from a similar review published in 2012 to assess progress and identify where new directions in research about services for adults with autism are needed.

          Recent Findings

          We found the evidence base about services for adults on the autism spectrum remains very small and highly variable in aims and methods. There is wide variability in methods used to define sampling frames and recruit participants. Most studies focus on employment. Almost no studies examine the overall ecosystem of services serving autistic adults. Few studies use a conceptual framework for understanding access to, or improvement of, services.

          Summary

          The small size of the extant research coupled with inconsistent quality prevents the accumulation of new knowledge in ways that would significantly inform the improvement of systems of care for the growing population of adults on the autism spectrum.

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          Most cited references75

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          Pathways to Adulthood in Changing Societies: Variability and Mechanisms in Life Course Perspective

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            Early-childhood poverty and adult attainment, behavior, and health.

            This article assesses the consequences of poverty between a child's prenatal year and 5th birthday for several adult achievement, health, and behavior outcomes, measured as late as age 37. Using data from the Panel Study of Income Dynamics (1,589) and controlling for economic conditions in middle childhood and adolescence, as well as demographic conditions at the time of the birth, findings indicate statistically significant and, in some cases, quantitatively large detrimental effects of early poverty on a number of attainment-related outcomes (adult earnings and work hours). Early-childhood poverty was not associated with such behavioral measures as out-of-wedlock childbearing and arrests. Most of the adult earnings effects appear to operate through early poverty's association with adult work hours.
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              Virtual Reality Social Cognition Training for Young Adults with High-Functioning Autism

              Few evidence-based social interventions exist for young adults with high-functioning autism, many of whom encounter significant challenges during the transition into adulthood. The current study investigated the feasibility of an engaging Virtual Reality Social Cognition Training intervention focused on enhancing social skills, social cognition, and social functioning. Eight young adults diagnosed with high-functioning autism completed 10 sessions across 5 weeks. Significant increases on social cognitive measures of theory of mind and emotion recognition, as well as in real life social and occupational functioning were found post-training. These findings suggest that the virtual reality platform is a promising tool for improving social skills, cognition, and functioning in autism.
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                Author and article information

                Contributors
                ptshattuck@drexel.edu
                Journal
                Curr Psychiatry Rep
                Curr Psychiatry Rep
                Current Psychiatry Reports
                Springer US (New York )
                1523-3812
                1535-1645
                5 February 2020
                5 February 2020
                2020
                : 22
                : 3
                : 13
                Affiliations
                [1 ]ISNI 0000 0001 2181 3113, GRID grid.166341.7, A.J. Drexel Autism Institute, , Drexel University, ; Philadelphia, PA USA
                [2 ]ISNI 0000 0000 9632 6718, GRID grid.19006.3e, UCLA School of Medicine, ; Los Angeles, CA USA
                Article
                1136
                10.1007/s11920-020-1136-7
                7002329
                32026004
                ee74e4d2-8310-41a3-9d0b-4387e33c3067
                © The Author(s) 2020

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                Categories
                Autism Spectrum Disorders (ES Brodkin, Section Editor)
                Custom metadata
                © Springer Science+Business Media, LLC, part of Springer Nature 2020

                Clinical Psychology & Psychiatry
                autism,adulthood,services
                Clinical Psychology & Psychiatry
                autism, adulthood, services

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