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Vocational Rehabilitation Service Patterns and Outcomes for Individuals with Autism of Different Ages

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Abstract

Young adults with autism spectrum disorders (ASD) often experience employment difficulties. Using Rehabilitation Service Administration data (RSA-911), this study investigated the service patterns and factors related to the employment outcomes of individuals with ASD in different age groups. Hierarchical logistic regression analyses were conducted to examine the effects of demographic and vocational rehabilitation (VR) service variables on employment outcomes in each age group. The results show that transition youth made up the largest portion of VR service users among the ASD population, yet they have the worst employment outcomes across all age groups. Factors that are significantly associated with increased odds for employment in each age group were identified. Implications from systemic, practical, and research perspectives are also provided.

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References

  • Allen, K. D., Wallace, D. P., Renes, D., Bowen, S. L., & Burke, R. V. (2010). Use of video modeling to teach vocational skills to adolescents and young adults with autism spectrum disorders. Education & Treatment of Children (West Virginia University Press), 33(3), 339–349.

    Article  Google Scholar 

  • Bennett, K. D., & Dukes, C. (2013). Employment instruction for secondary students with autism spectrum disorder: A systematic review of the literature. Education and Training in Autism and Developmental Disabilities, 48(1), 67–75.

    Google Scholar 

  • Bolton, B. F., Bellini, J. L., & Brookings, J. B. (2000). Predicting client employment outcomes from personal history, functional limitations, and rehabilitation services. Rehabilitation Counseling Bulletin, 44(1), 10–20.

    Article  Google Scholar 

  • Burgess, S., & Cimera, R. E. (2014). Employment outcomes of transition-aged adults with autism spectrum disorders: A state of the states report. American Journal on Intellectual and Developmental Disabilities, 119(1), 64–83. doi:10.1352/1944-7558-119.1.64.

    Article  PubMed  Google Scholar 

  • Burke, R. V., Allen, K. D., Howard, M. R., Downey, D., Matz, M. G., & Bowen, S. L. (2013). Tablet-based video modeling and prompting in the workplace for individuals with autism. Journal of Vocational Rehabilitation, 38(1), 1–14.

    Google Scholar 

  • Centers for Disease Control and Prevention (CDC). (2013). New features added to Disability and Health Data System (DHDS). Retrieved July 11, 2014, from http://www.cdc.gov/ncbddd/disabilityandhealth/features/dhds.html

  • Centers for Disease Control and Prevention (CDC). (2014). Press release: CDC estimates 1 in 68 children has been identified with autism spectrum disorder. Retrieved April 29, 2014, from http://www.cdc.gov/media/releases/2014/p0327-autism-spectrum-disorder.html

  • Chan, F., Strauser, D., Silva Cardoso, E., Zheng, L., Chan, J. Y. C., & Feuerstein, M. (2008). State vocational services and employment in cancer survivors. Journal of Cancer Survivorship, 2(3), 169–178. doi:10.1007/s11764-008-0057-y.

    Article  PubMed  Google Scholar 

  • Chan, J. Y., Wang, C.-C., Ditchman, N., Kim, J. H., Pete, J., Chan, F., & Dries, B. (2014). State unemployment rates and vocational rehabilitation outcomes: A multilevel analysis. Rehabilitation Counseling Bulletin, 57(4), 209–218. doi:10.1177/0034355213509855.

    Article  Google Scholar 

  • Cimera, R. E., & Cowan, R. J. (2009). The costs of services and employment outcomes achieved by adults with autism in the US. Autism, 13(3), 285–302. doi:10.1177/1362361309103791.

    Article  PubMed  Google Scholar 

  • Dew, D. W., & Alan, G. M. (Eds.). (2007). Rehabilitation of individuals with autism spectrum disorders (Institute on rehabilitation issues monograph no. 32). Washington, DC: The George Washington University, Center for Rehabilitation Counseling Research and Education.

  • Dutta, A., Gervey, R., Chan, F., Chou, C. C., & Ditchman, N. (2008). Vocational rehabilitation services and employment outcomes for people with disabilities: A United States study. Journal of Occupational Rehabilitation, 18(4), 326–334. doi:10.1007/s10926-008-9154-z.

    Article  PubMed  Google Scholar 

  • García-Villamisar, D., Wehman, P., & Navarro, M. D. (2002). Changes in the quality of autistic people’s life that work in supported and sheltered employment. A 5-year follow-up study. Journal of Vocational Rehabilitation, 17(4), 309–312.

    Google Scholar 

  • Gentry, T., Lau, S., Molinelli, A., Fallen, A., & Kriner, R. (2012). The Apple iPod touch as a vocational support aid for adults with autism: Three case studies. Journal of Vocational Rehabilitation, 37(2), 75–85.

    Google Scholar 

  • Gerhardt, P. F., & Lainer, I. (2011). Addressing the needs of adolescents and adults with autism: A crisis on the horizon. Journal of Contemporary Psychotherapy, 41(1), 37–45. doi:10.1007/s10879-010-9160-2.

    Article  Google Scholar 

  • Goh, A. E., & Bambara, L. M. (2013). Video self-modeling: A job skills intervention with individuals with intellectual disability in employment settings. Education and Training in Autism and Developmental Disabilities, 48(1), 103–119.

    Google Scholar 

  • Grandin, T. (2006). Thinking in pictures: And other reports from my life with autism. London: Bloomsbury.

    Google Scholar 

  • Hendricks, D. (2010). Employment and adults with autism spectrum disorders: Challenges and strategies for success. Journal of Vocational Rehabilitation, 32(2), 125–134.

    Google Scholar 

  • Hillier, A., Campbell, H., Mastriani, K., Izzo, M. V., Kool-Tucker, A. K., Cherry, L., & Beversdorf, D. Q. (2007). Two-year evaluation of a vocational support program for adults on the autism spectrum. Career Development for Exceptional Individuals, 30(1), 35–47. doi:10.1177/08857288070300010501.

    Article  Google Scholar 

  • Howlin, P. (2008). Redressing the balance in autism research. Nature Clinical Practice Neurology, 4(8), 407. doi:10.1038/ncpneuro0860.

    Article  PubMed  Google Scholar 

  • Howlin, P. (2013). Social disadvantage and exclusion: Adults with autism lag far behind in employment prospects. Journal of the American Academy of Child and Adolescent Psychiatry, 52(9), 897–899. doi:10.1016/j.jaac.2013.06.010.

    Article  PubMed  Google Scholar 

  • Howlin, P., Alcock, J., & Burkin, C. (2005). An 8 year follow-up of a specialist supported employment service for high-ability adults with autism or Asperger syndrome. Autism, 9(5), 533–549. doi:10.1177/1362361305057871.

    Article  PubMed  Google Scholar 

  • Howlin, P., Goode, S., Hutton, J., & Rutter, M. (2004). Adult outcome for children with autism. Journal of Child Psychology and Psychiatry and Allied Disciplines, 45(2), 212–229.

    Article  Google Scholar 

  • Hurlbutt, K., & Chalmers, L. (2004). Employment and adults with Asperger syndrome. Focus on Autism and Other Developmental Disabilities, 19(4), 215–222. doi:10.1177/10883576040190040301.

    Article  Google Scholar 

  • Jung, Y., & Bellini, J. L. (2011). Predictors of employment outcomes for vocational rehabilitation consumers with HIV/AIDS: 2002–2007. Rehabilitation Counseling Bulletin, 54(3), 142–153. doi:10.1177/0034355210392241.

    Article  Google Scholar 

  • Jung, Y., Schaller, J., & Bellini, J. (2010). Predictors of employment outcomes for state-federal vocational rehabilitation consumers with HIV/AIDS. Rehabilitation Counseling Bulletin, 53(3), 175–185. doi:10.1177/0034355209356596.

    Article  Google Scholar 

  • Keel, J., Mesibov, G., & Woods, A. (1997). TEACCH-supported employment program. Journal of Autism and Developmental Disorders, 27(1), 3–9.

    Article  PubMed  Google Scholar 

  • Kellems, R. O., & Morningstar, M. E. (2012). Using video modeling delivered through iPods to teach vocational tasks to young adults with autism spectrum disorders. Career Development and Transition for Exceptional Individuals, 35(3), 155–167. doi:10.1177/0885728812443082.

    Article  Google Scholar 

  • Kiernan, W. E., Hoff, D., Freeze, S., & Mank, D. M. (2011). Employment first: A beginning not an end. Intellectual and Developmental Disabilities, 49(4), 300–304. doi:10.1352/1934-9556-49.4.300.

    Article  PubMed  Google Scholar 

  • Laugeson, E. A., & Ellingsen, R. (2014). Social skills training for adolescents and adults with autism spectrum disorder. In F. R. Volkmar, B. Reichow, & J. C. McPartland (Eds.), Adolescents and adults with autism spectrum disorders (pp. 61–85). Springer New York. Retrieved from http://link.springer.com/chapter/10.1007/978-1-4939-0506-5_4

  • Lawer, L., Brusilovskiy, E., Salzer, M. S., & Mandell, D. S. (2009). Use of vocational rehabilitative services among adults with autism. Journal of Autism and Developmental Disorders, 39(3), 487–494. doi:10.1007/s10803-008-0649-4.

    Article  PubMed  Google Scholar 

  • Lugas, J., Timmons, J., & Smith, F. A. (2010). Vocational rehabilitation services received by youth with autism: Are they associated with an employment outcome? Research to Practice Brief, issue no. 48. Boston, MA: Institute for Community Inclusion, University of Massachusetts Boston.

  • Mawhood, L., & Howlin, P. (1999). The outcome of a supported employment scheme for high-functioning adults with autism or Asperger syndrome. Autism, 3(3), 229–254. doi:10.1177/1362361399003003003.

    Article  Google Scholar 

  • Migliore, A., Butterworth, J., & Zalewska, A. (2014). Trends in vocational rehabilitation services and outcomes of youth with autism: 2006–2010. Rehabilitation Counseling Bulletin, 57(2), 80–89. doi:10.1177/0034355213493930.

    Article  Google Scholar 

  • Migliore, A., Timmons, J., Butterworth, J., & Lugas, J. (2012). Predictors of employment and postsecondary education of youth with autism. Rehabilitation Counseling Bulletin, 55(3), 176–184. doi:10.1177/0034355212438943.

    Article  Google Scholar 

  • Müller, E., Schuler, A., Burton, B. A., & Yates, G. B. (2003). Meeting the vocational support needs of individuals with Asperger syndrome and other autism spectrum disabilities. Journal of Vocational Rehabilitation, 18(3), 163–175.

    Google Scholar 

  • Müller, E., Schuler, A., & Yates, G. B. (2008). Social challenges and supports from the perspective of individuals with Asperger syndrome and other autism spectrum disabilities. Autism, 12(2), 173–190. doi:10.1177/1362361307086664.

    Article  PubMed  Google Scholar 

  • National Dissemination Center for Children with Disabilities. (2013). Transition to adulthood. Retrieved April 14, 2014, from http://nichcy.org/schoolage/transitionadult

  • Nicholas, D. B., Attridge, M., Zwaigenbaum, L., & Clarke, M. (2014). Vocational support approaches in autism spectrum disorder: A synthesis review of the literature. Autism, 19(2), 235–245. doi:10.1177/1362361313516548.

    Article  PubMed  Google Scholar 

  • Ozonoff, S., Rogers, S. J., & Hendren, R. L. (2003). Autism spectrum disorders: A research review for practitioners. Washington, DC: American Psychiatric Publishing.

    Google Scholar 

  • Patterson, A., & Rafferty, A. (2001). Making it to work: Towards employment for the young adult with autism. International Journal of Language & Communication Disorders, 36, 475–480.

    Article  Google Scholar 

  • Roux, A. M., Shattuck, P. T., Cooper, B. P., Anderson, K. A., Wagner, M., & Narendorf, S. C. (2013). Postsecondary employment experiences among young adults with an autism spectrum disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 52(9), 931–939. doi:10.1016/j.jaac.2013.05.019.

    Article  PubMed Central  PubMed  Google Scholar 

  • Schaller, J., & Yang, N. (2005). Competitive employment for people with autism: Correlates of successful closure in competitive and supported employment. Rehabilitation Counseling Bulletin, 49(1), 4–16.

    Article  Google Scholar 

  • Shattuck, P. T., Narendorf, S. C., Cooper, B., Sterzing, P. R., Wagner, M., & Taylor, J. L. (2012a). Postsecondary education and employment among youth with an autism spectrum disorder. Pediatrics, 129(6), 1042–1049.

    Article  PubMed Central  PubMed  Google Scholar 

  • Shattuck, P. T., Roux, A. M., Hudson, L. E., Taylor, J. L., Maenner, M. J., & Trani, J.-F. (2012b). Services for adults with an autism spectrum disorder. Canadian Journal of Psychiatry, 57(5), 284–291.

    Google Scholar 

  • Sheldon Jr, J. R., & Golden, T. P. (2005). Conducting outreach to transition-aged youth: Strategies for reaching out to youth with disabilities, their families, and agencies that serve them. Employment and Disability Institute Collection: Policy and Practice Brief, 61. Ithaca, NY: Cornell University, Employment and Disability Institute. Retrieved from http://digitalcommons.ilr.cornell.edu/cgi/viewcontent.cgi?article=1060&context=edicollect

  • Smith, F. A., & Lugas, J. (2010). Vocational rehabilitation employment outcomes for transition-age youth with autism and other disabilities. DataNote Series, DataNote 26. Boston, MA: University of Massachusetts Boston, Institute for Community Inclusion. Retrieved from http://search.proquest.com.proxy2.cl.msu.edu/docview/815958511/142F2C292DB3F7A1671/2?accountid=12598

  • Stephens, D. L., Collins, M. D., & Dodder, R. A. (2005). A longitudinal study of employment and skill acquisition among individuals with developmental disabilities. Research in Developmental Disabilities, 26(5), 469–486. doi:10.1016/j.ridd.2003.12.003.

    Article  PubMed  Google Scholar 

  • Strickland, D. C., Coles, C. D., & Southern, L. B. (2013). JobTIPS: A transition to employment program for individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 43(10), 2472–2483. doi:10.1007/s10803-013-1800-4.

    Article  PubMed Central  PubMed  Google Scholar 

  • Taylor, J. L., & Seltzer, M. M. (2011). Employment and post-secondary educational activities for young adults with autism spectrum disorders during the transition to adulthood. Journal of Autism and Developmental Disorders, 41(5), 566–574. doi:10.1007/s10803-010-1070-3.

    Article  PubMed Central  PubMed  Google Scholar 

  • United States Department of Education. (2007). 29th annual report to congress on the implementation of the Individuals with Disabilities Education Act (Vol. 2). Retrieved from http://www2.ed.gov/about/reports/annual/osep/2007/parts-b-c/29th-vol-2.pdf

  • United States Department of Labor. (2014). Bureau of labor statistics data. Retrieved February 19, 2014, from http://data.bls.gov/timeseries/LNU04000000?years_option=all_years&periods_option=specific_periods&periods=Annual+Data

  • VanBergeijk, E., Klin, A., & Volkmar, F. (2008). Supporting more able students on the autism spectrum: College and beyond. Journal of Autism and Developmental Disorders, 38(7), 1359–1370. doi:10.1007/s10803-007-0524-8.

    Article  PubMed  Google Scholar 

  • Wehman, P., Lau, S., Molinelli, A., Brooke, V., Thompson, K., Moore, C., & West, M. (2012a). Supported employment for young adults with autism spectrum disorder: Preliminary data. Research & Practice for Persons with Severe Disabilities, 37(3), 160–169.

    Article  Google Scholar 

  • Wehman, P., Schall, C., McDonough, J., Molinelli, A., Riehle, E., Ham, W., & Thiss, W. R. (2012b). Project SEARCH for youth with autism spectrum disorders increasing competitive employment on transition from high school. Journal of Positive Behavior Interventions, 15(3), 144–155. doi:10.1177/1098300712459760.

    Article  Google Scholar 

  • Wittenburg, D., & Maag, E. (2002). School to where? A literature review on economic outcomes of youth with disabilities. Journal of Vocational Rehabilitation, 17(4), 265–280.

    Google Scholar 

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Chen, J.L., Sung, C. & Pi, S. Vocational Rehabilitation Service Patterns and Outcomes for Individuals with Autism of Different Ages. J Autism Dev Disord 45, 3015–3029 (2015). https://doi.org/10.1007/s10803-015-2465-y

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