Indigenous Australians with autism: A scoping review
Open accessAbstract
Aboriginal and Torres Strait Islander people with autism spectrum disorder, used interchangeably with the term autism, are among the most marginalised people in Australian society. This review maps out existing and emerging themes in the research involving Indigenous Australians with autism based on a search of the peer-reviewed and grey literature. Our search identified 1457 potentially relevant publications. Of these, 19 publications met our inclusion criteria and focused on autism spectrum disorder diagnosis and prevalence, as well as carer and service provider perspectives on autism, and autism support services for Indigenous Australians. We were able to access 17 publications: 12 journal articles, 3 conference presentations, 1 resource booklet and 1 dissertation. Findings suggest similar prevalence rates for autism among Indigenous and non-Indigenous Australians, although some Aboriginal and Torres Strait Islander people with autism may not receive a diagnosis or may be misdiagnosed. Research on the perspectives of Aboriginal and Torres Strait Islander carers and Indigenous and non-Indigenous service providers is discussed in relation to Indigenous perspectives on autism, as well as barriers and strategies to improve access to diagnosis and support services. Although not the focus of our review, we briefly mention studies of Indigenous people with autism in countries other than Australia. Lay Abstract: Aboriginal and Torres Strait Islander people with developmental disabilities such as autism are among the most marginalised people in Australian society. We reviewed research involving Indigenous Australians with autism based on a search of the peer-reviewed and grey literature. Our search identified 1457 potentially relevant publications. Of these, 19 publications were in line with our main areas of inquiry: autism spectrum disorder diagnosis and prevalence, carer and service provider perspectives on autism, and autism support services. These included 12 journal publications, 3 conference presentations, 1 resource booklet and 1 thesis dissertation. Findings suggest similar prevalence rates for autism among Indigenous and non-Indigenous Australians, although some Aboriginal and Torres Strait Islander people with autism may not receive a diagnosis or may be misdiagnosed. We also discuss research on the perspectives of Aboriginal and Torres Strait Islander carers and Indigenous and non-Indigenous service providers, as well as barriers and strategies for improving access to diagnosis and support services.
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A clear finding in the extant literature, similar to research in other settler-colonial nations, was the ongoing subjugation of Indigenous knowledges, perspectives and lived experiences to inform autism services by and with Indigenous families and children.
“However, a clear finding in the extant literature, and similar to research in other settler-colonial nations (Bailey & Arciuli, 2020; Bennett & Hodgson, 2017; Bent et al., 2015; Roy & Balaratnasingam, 2010; Wilson & Watson, 2011), was the ongoing subjugation of Indigenous knowledges, perspectives and lived experiences to inform autism services by and with Indigenous families and”
From Autism and Autism Services with Indigenous Families and Children in the Settler-Colonial Context of Canada: A Critical Scoping Review (2022) · cites this paper as Bailey & Arciuli, 2020
In the Discussion section on diagnostic and support services (page unavailable), the review reports that some Indigenous carers felt service providers dismissed their views and told families how to support their children. It also calls for greater community involvement in services. These findings support concerns about marginalised perspectives, but the review does not establish ongoing subjugation across autism services or the claimed similarity across other settler-colonial nations. (LLM, conf=0.83)
Experimental — accuracy not yet measuredReviews in Australia and New Zealand identified similar barriers to Canada, including less access to diagnostic services, misdiagnoses, and lack of data on autism such as prevalence.
“They identified similar barriers to what is found in Canada, including less access to diagnostic services, misdiagnoses, and lack of data on autism such as prevalence, with recommendations to support improved quality of life for Indigenous Autistics.”
From Indigenous Autism in Canada: A Scoping Review (2024) · cites this paper as Bailey & Arciuli, 2020
The Discussion section on diagnosis and prevalence reports reduced access to diagnostic services, missed or misdiagnosis, and the need for changes before autism prevalence in Indigenous Australian communities can be measured accurately. The section on diagnostic and support services also recommends improving service accessibility. But this is a review of Indigenous Australians; its Results section only briefly mentions a Māori study, so it does not establish that reviews in both Australia and New Zealand identified the stated barriers or made the stated quality-of-life recommendation. (LLM, conf=0.85)
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“21 This is true of other indigenous populations globally, such as in Australia, 22 the USA and Canada.”
Background
- Authors
- Bailey, B., & Arciuli, J.
- Affiliations
- The University of Sydney (AU)
- Corresponding author
- Arciuli, Joanne
- Venue
- Autism
- Publisher
- SAGE Publications
- Published
- 2020-01-13
- Volume
- 24
- Issue
- 5
- Pages
- 1031-1046
- ISSN
- 1362-3613 (ISSN-L)
- 1461-7005
- PMC
- PMC7309356
- OpenAlex
- W2998906852
- Cited by
- 47
- References
- 42
- Citations by year
- 2026: 8 · 2025: 7 · 2024: 8 · 2023: 7 · 2022: 10 · 2021: 5 · 2020: 2
- FWCI
- 0.81
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Autism (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- University of Sydney (SOAR Research Fellowship)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- autism spectrum disorder, Aboriginal and Torres Strait Islander peoples, Indigenous Australians, autism diagnosis, autism prevalence, misdiagnosis, caregiver perspectives, service provider perspectives, autism services, access to services, marginalization, developmental disabilities
- MeSH terms
- Autism Spectrum Disorder, Australian Aboriginal and Torres Strait Islander Peoples, Australia, Autistic Disorder, Humans, Prevalence, Native Hawaiian or Other Pacific Islander
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