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CraigNewschafferA.J.DrexelAu5smIns5tute
DrexelUniversityPhiladelphia,Pennsylvania
[email protected]/Au5smIns5tute
Researchandprac,cethatinformsinnova,on:Theresearchperspec,ve…
PaulSha:uckProgramAreaLeaderAnneRouxKristyAndersonJessicaRastPeterDoehringAmyEdwardsElizabethMcGeeHasserickColleMeSosnowyAngelHogan
Thanksandacknowledgementsto….
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o Thestudyofemploymentintheau5smresearchlandscape
o Findingsonthechallengeso Findingsonthepoten-alsolu-onso Priorityresearchdirec5onso Thoughtsonhowresearchandprac5cecan
worktogethertofosterinnova5on
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o Thestudyofemploymentintheau5smresearchlandscape
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Pubmedpublica,onsoninterven-oninchildrenwithASD*andemploymentinadultswithASD*byyear
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*Basedonsearchingfortheword“au,sm”pluseither“interven,on”(toppanel)or“employment”(bo:ompanel)–resul,ngpublica,onswerethenfurtherscreenedforrelevance.
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9 10 8 11
7 11
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31 36
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2014
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Num
ber o
f Art
icle
s
Publication Year
Intervention in children
Employment in adults
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o Thestudyofemploymentintheau5smresearchlandscape
o Findingsonthechallengeso Descrip5vestudieso Observa5onalstudies
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Propor5on of young adults(age 21-25) with disabili5eseverhavingajobforpay
Source: NLTS2
Propor5onofyoungadults(age21-25)withASDeverhavingajobforpaystra5fiedbyHSworkhistory
Source : Na,ona l Long i tud ina lTransi,onSurvey2aspresentedintheNa,onal Au,sm Indicators Report –Transi-onIntoYoungAdulthood
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9�
o 18studieso Only4ratedashighquality–limita5onsnoted:work
par5cipa5ono`enpartofacompositeoutcome,correla5onbetweenpredictorsnotadequatelyaddressed,resultscommonlydonotachievesta5s5callysignificant,combina5onsoffactorsnotconsidered
o IQistheonlyfactorconsistentlysignificantlyassociatedwithworkpar5cipa5on
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79%
13%
45%
3%0%
20%
40%
60%
80%
100%
Lowest Skill Highest Skill
Income < $25KIncome > $75K
Disconnec,on(noworkorschool)stra,fiedbyskilllevelandfamilyincomeamongyoungadults(age21-25)withau,sm
Source:Na5onalLongitudinalTransi5onSurvey2aspresentedinShaMucketal,2012.Pediatrics129(6)
o Thestudyofemploymentintheau5smresearchlandscape
o Findingsonthechallengeso Findingsonthepoten-alsolu-ons
o Observa5onalstudieso Experimentalstudies
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Observa,onalstudiesofsupportedemployment:TheUSDOERSA-911database
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Counseling
Job placement
Job supports
College
Voc. Training
Job readiness
Transport 0.5
5
0 1 2 3 4 5 6 7 8
Adj
uste
d O
dds
Rat
io
1.0 36 29
0
20
40
60
80
100
ASD Other Disabilities
Perc
ent
36% 29%
Workpar,cipa,onintransi,onageclientsbyASDstatus
Servicepredictorsofworkpar,cipa,onintransi,onagemaleclientswithASD
BurgessandCimera.AmerJIntelDevDis2014 Sungetal.JAu5smDevDisorders.2015
RandomizedcontrolledtrialofProjectSEARCHplusASDsupportsvs.HSa:endanceplusIEPservicesinVirginia
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Workpar,cipa,onatone-yearpostenrollmentbygroup
Wehmanetal.JAutDevDisord2014
87.5
6.25 0
20
40
60
80
100
Project Search Control
Perc
ent
87.5%
6.25%
o Thestudyofemploymentintheau5smresearchlandscape
o Findingsonthechallengeso Findingsonthepoten-alsolu-onso Priorityresearchdirec5ons
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Priorityresearchdirec,ons(1)
o Understandingthechallengeso Expandedoutcomesbeyondworkpar5cipa5on
o Jobreten5on/sa5sfac5ono Impact
o Predictorsthatinformprogrammingo Execu5vefunc5on,comorbidsymptoms,socialcogni5on
o Interac5onbetweenpredictors(gender,cogni5vestatus)
o MeasurewhatmaMers!o Longitudinaldata
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Priorityresearchdirec,ons(2)
o Uncoveringsolu-onso Comparisongroupso Applyanaly5cmethodsthathelpcombatconfounding
(largesamplesizeandmeasurewhatmaMers-again!)o Understand“ac5veingredients”o Morerandomizedstudieso Studyinnova5on
o Collectqualitydataonemerging/novelprograms
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o Thestudyofemploymentintheau5smresearchlandscape
o Findingsonthechallengeso Findingsonthepoten-alsolu-onso Priorityresearchdirec5onso Thoughtsonhowresearchandprac5cecan
worktogethertofosterinnova5on
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Researchandprac,ceworkingtogethertostudyinnova,on(1)
o Programminginnovatorsshouldcommittodatacollec5onandevalua5ono Developacultureofcompromisebetween
prac55onersandresearcherso Resources(!?)o Compe55vefundingprogramsincreasingly(butslowly)selngpriori5esthatareamatchfortheseini5a5ves
o Sponsors(employers)needtoinvesto EvenwithaboMom-lineorienta5on,R&Dwillpayoff
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Researchandprac,ceworkingtogethertostudyinnova,on(2)
o Researchersshouldfindwaystoincubateinnova5veprogrammingo Inpartnershipwithprac55oners,employers,and
philanthropists
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Drexel Transition Pathways Initiative
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www.drexel.edu/AutismInstitute [email protected]
Link to National Autism Indicators Report Transition Into Young Adulthood: drexe.lu/autismindicators
