Cited by 278Disability Education and EmploymentAutism Spectrum Disorder ResearchEmployment and Welfare Studies

Factors impacting employment for people with autism spectrum disorder: A scoping review

Open access
Scott, Melissa, Milbourn, Ben, Falkmer, Marita, Black, Melissa, Bӧlte, Sven, Halladay, Alycia, Lerner, Matthew, Taylor, Julie Lounds +1 more·2019·Autism

Abstract

The aim of this study is to holistically synthesise the extent and range of literature relating to the employment of individuals with autism spectrum disorder. Database searches of Medline, CINAHL, PsychINFO, Scopus, ERIC, Web of Science and EMBASE were conducted. Studies describing adults with autism spectrum disorder employed in competitive, supported or sheltered employment were included. Content analysis was used to identify the strengths and abilities in the workplace of employees with autism spectrum disorder. Finally, meaningful concepts relating to employment interventions were extracted and linked to the International Classification of Functioning, Disability and Health Core Sets for autism spectrum disorder. The search identified 134 studies for inclusion with methodological quality ranging from limited to strong. Of these studies, only 36 evaluated employment interventions that were coded and linked to the International Classification of Functioning, Disability and Health, primarily focusing on modifying autism spectrum disorder characteristics for improved job performance, with little consideration of the impact of contextual factors on work participation. The International Classification of Functioning, Disability and Health Core Sets for autism spectrum disorder are a useful tool in holistically examining the employment literature for individuals with autism spectrum disorder. This review highlighted the key role that environmental factors play as barriers and facilitators in the employment of people with autism spectrum disorder and the critical need for interventions which target contextual factors if employment outcomes are to be improved.

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  • Autistic people are either unemployed or underemployed at greater rates than other disabled people.

    “are either unemployed or underemployed at greater rates than other disabled people (Chen, Leader, Sung, & Leahy, 2014; Scott et al., 2019)”

    From Annual Research Review: Shifting from ‘normal science’ to neurodiversity in autism science (2022) · cites this paper as Scott et al., 2019

    The Introduction reports lower employment participation among Australian adults with ASD (42%) than among all individuals with disabilities (53%), supporting the unemployment comparison. It also describes underemployment among people with ASD, but does not compare their underemployment rate with that of other disabled people. (LLM, conf=0.86)

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1 of the 183 references couldn’t be matched to a known paper.

Research works printed but not linked: 6

  1. Bölte S, Mahdi S, de Vries PJ, et al. (2017) The Gestalt of Functioning in Autism Spectrum Disorder: Results of the International Conference to Develop Final Consensus ICF Core Sets. Manuscript submitted for publication.
  2. Cieza A, Ewert T, Berdirhan Üstün T, et al. (2004) Development of ICF Core Sets for patients with chronic conditions. Journal of Rehabilitation Medicine 36: 9-11.
  3. Hedley D, Uljarevic M, Cameron L, et al. (2016) Employment programmes and interventions targeting adults with autism spectrum disorder: A systematic review. Autism: 1-13.
  4. Schlieder M, Maldonado N and Baltes B. (2014) An Investigation of "Circle of Friends" Peer- Mediated Intervention for Students with Autism. Journal of Social Change 6.
  5. Shattuck PT and Roux AM. (2015) Commentary on employment supports research. Autism: The International Journal of Research & Practice 19: 246-247.
  6. Wehman P, Sima A, Ketchum J, et al. (2015) Predictors of Successful Transition from School to Employment for Youth with Disabilities. Journal of Occupational Rehabilitation 25: 323- 334.

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Authors
Scott, M., Milbourn, B., Falkmer, M., Black, M., Bӧlte, S., Halladay, A., Lerner, M., Taylor, J. L., & Girdler, S.
Affiliations
  • Curtin University (AU)
  • Curtin University, Australia
  • Karolinska Institutet, Sweden
  • Rutgers, The State University of New Jersey (US)
  • Stony Brook University (US)
  • Monroe Carell Jr. Children's Hospital (US)
Venue
Autism
Published
2018-08-03
Volume
23
Issue
4
Pages
869-901
ISSN
  • 1362-3613 (ISSN-L)
  • 1461-7005
OpenAlex
W2887381641
Cited by
278
References
183
Citations by year
2026: 28 · 2025: 56 · 2024: 48 · 2023: 38 · 2022: 46 · 2021: 30 · 2020: 23 · 2019: 9
FWCI
30.82
Type
journal article
Language
en
Open access
Locations
  • Autism (publishedVersion)
  • PubMed (publishedVersion)
  • eSpace (Curtin University) (submittedVersion)
Funders
  • Cooperative Research Centre for Living with Autism
  • International Society for Autism Research
Topics
  • Social Sciences › Safety Research › Disability Education and Employment
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Health Sciences › Health Professions › General Health Professions › Employment and Welfare Studies
Keywords
autism spectrum disorder, employment, supported employment, sheltered employment, competitive employment, employment interventions, International Classification of Functioning, Disability and Health, contextual factors, work participation
MeSH terms
Work Performance, Autism Spectrum Disorder, Employment, Humans, Rehabilitation, Vocational, Sheltered Workshops, Social Environment, Employment, Supported, Workplace, International Classification of Functioning, Disability and Health

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