Cited by 177Disability Education and EmploymentAutism Spectrum Disorder ResearchFamily and Disability Support Research

Disclosure and workplace accommodations for people with autism: a systematic review

Open access
Lindsay, Sally, Osten, Victoria, Rezai, Mana, Bui, Sunny·2021·Disability and Rehabilitation

Abstract

PURPOSE: The objective of this systematic review was to describe the prevalence and processes of disability disclosure for persons with autism spectrum disorder. METHODS: Systematic searches of seven international databases revealed 26 studies meeting our inclusion criteria. We analyzed these studies with respect to participant demographics, methodology, results and quality of the evidence. RESULTS: Among the 26 studies, 7006 participants (aged 13-75, mean 28.1 years) were represented across seven countries. Our findings showed that rates of disclosure and receiving workplace accommodations varied considerably. Benefits of disclosing in the workplace included greater acceptance and inclusion, receiving accommodations, and increasing awareness about autism. Limitations of disclosing to employers involved experiencing stigma and discrimination. Factors affecting decisions to disclose included age at diagnosis, social demands of the job, and workplace policies. Types of accommodations that were received or desired included adjustments to the job interview process, schedules (i.e., flexibility, working from home), job content or working conditions, environment (i.e., lighting, quiet space); support with communication and social skills; and disability awareness training for their workplace colleagues. CONCLUSIONS: Our findings highlight that disclosing a condition of autism in the workplace and requesting accommodations is complex. More research is needed to explore processes of disclosing and accommodation and how these processes vary by autism sub-type, gender, and industry type.Implications for rehabilitationClinicians and vocational Counselors should support people with autism to advocate for their needs in the workplace, including the potential benefits of disclosing their conditions so they can access accommodations that allow them to keep healthy and productive in workplace.Clinicians should recognize that people with autism spectrum disorder may have different workplace accommodation needs than those with other types of disabilities, in particular support with social and communication skills.Clinicians should aid people with autism to access resources and supports that are available to them to access workplace accommodations.

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  1. McIntosh C. Asperger's syndrome and the development of a positive work identity. Journal of Business and Management. 2016;22(1):87-101.
  2. Muller E, Schuler A, Burton B, Yates G. Meeting the vocational needs of individuals with Asperger Syndrome and other autism spectrum disabilities. Journal of Vocational Rehabilitation. 2003;18:163-75.
  3. Scott G, editor Workplace Accommodation for Autistics: Autistic Autobiography and Technology-Enabled Prosthetic Environments. International Conference on Applied Human Factors and Ergonomics; 2018: Springer.
  4. Sénéchal C, Fontaine C, Larivée S, Legault F. Integration in the workforce of Québec of adults living with Autism Spectrum Disorder or Asperger Syndrome. Sante mentale au Quebec. 2011;36(1):181-99.
  5. Goldman AI. Theory of mind. The Oxford handbook of philosophy of cognitive science. 2012:402-24.
  6. Ricoeur P. Time and narrative: University of Chicago Press; 2010.
  7. Knights D, Willmott H. Labour process theory: Springer; 2016.
  8. Muller E, Evans D, Frasche N, Kern A, Resti I. Stakeholder perceptions of the impact of individualized electronic communication stories on workplace communication. Journal of Vocational Rehabilitation. 2018;48:11-25.
  9. Gordis L. Case-control and other study designs. Epidemiology 5th ed Philadelphia: Elsevier/Saunders. 2014:189-214.
  10. Fichten C, Schipper F, Cutler N. Does volunteering with children affect attitudes toward adults with disabilities? Rehabilitation Psychology. 2005;50:164-73.
  11. McMahon B, Shaw L, West S, Waid-Ebbs K. Workplace discrimination and spinal cord injury: The national EEOC ADA research project. Journal of Vocational Rehabilitation. 2005;23(3):155-62.
  12. Lindsay S, Cagliostro E, Leck J, Shen W. Disclosure and accommodation and workplace accommodations among youth with disabilities. Disability and rehabilitation. 2019; 41(16): 1914-1924.

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Authors
Lindsay, S., Osten, V., Rezai, M., & Bui, S.
Affiliations
  • University of Toronto (CA)
  • Holland Bloorview Kids Rehabilitation Hospital (CA)
Corresponding author
Lindsay, Sally
Venue
Disability and Rehabilitation
Published
2019-07-07
Volume
43
Issue
5
Pages
597-610
ISSN
  • 0963-8288 (ISSN-L)
  • 1464-5165
OpenAlex
W2953880694
Cited by
176
References
66
Citations by year
2026: 32 · 2025: 33 · 2024: 37 · 2023: 37 · 2022: 20 · 2021: 16 · 2020: 1
FWCI
2.46
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Disability and Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
  • TSpace (University of Toronto) (submittedVersion, cc-by-nc)
Funders
CIHR-SSHRC partnership
Topics
  • Social Sciences › Safety Research › Disability Education and Employment
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
Keywords
autism spectrum disorder, disability disclosure, workplace accommodations, employment of autistic people, stigma and discrimination, workplace inclusion, age at diagnosis, workplace policies, working from home, quiet spaces, disability awareness training, career guidance
MeSH terms
Autism Spectrum Disorder, Autistic Disorder, Persons with Disabilities, Humans, Workplace, Disclosure

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