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Keel, Jill Hinton; Mesibov, Gary B.; Woods, Amy V.

doi:10.1023/a:1025813020229

Cited by 100 publications

(19 citation statements)

References 2 publications

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“…Using the ICF environmental component, employees require a supportive, structured and task-adapted work environment to perform their jobs successfully [ 7 , 8 , 31 ]. This suggests that it is the manner in which the environment is structured and modified that influences job retention [ 32 ]. In contrast, the employer group presented a different view regarding job retention.…”

Section: Discussionmentioning

confidence: 99%

Viewpoints on Factors for Successful Employment for Adults with Autism Spectrum Disorder

et al. 2015

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This article explores the key factors for successful employment from the viewpoints of adults with autism spectrum disorder (ASD) and employers. Two groups of individuals participated in this study, 40 adults with ASD and 35 employers. Q method was used to understand and contrast the viewpoints of the two groups. Data were analysed using by-person varimax rotation factor analysis. Results showed that although both groups appear committed to the employment process, the difference in their understanding regarding the type of workplace support required, job expectations and productivity requirements continues to hinder successful employment. These results highlight the need to facilitate communication between employees and employers to ensure a clear understanding of the needs of both groups are met. The use of an ASD-specific workplace tool may assist in facilitating the necessary communication between these two groups.

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Section: Discussionmentioning

confidence: 99%

Viewpoints on Factors for Successful Employment for Adults with Autism Spectrum Disorder

et al. 2015

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“…Several models of employment services have been proposed for individuals with ASD. In particular, the TEACCH (Treatment and Education of Autistic and related Communication-handicapped Children) program has been shown in quasiexperimental studies to improve employment outcomes and related behaviors for adults with ASD (Keel et al 1997;Van Bourgondien et al 2003). More and more rigorous research is needed to evaluate the outcomes of these types of programs on functional outcomes such as employment.…”

Section: Discussionmentioning

confidence: 99%

Use of Vocational Rehabilitative Services Among Adults with Autism

Lawer

Brusilovskiy

Salzer

et al. 2008

J Autism Dev Disord

134

106

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This study examined the experiences of individuals with autism spectrum disorders (ASD) in the US Vocational Rehabilitation System (VRS). Subjects included all 382,221 adults ages 18-65 served by this system whose cases were closed in 2005; 1,707 were diagnosed with ASD. Adults with ASD were more likely than adults with other impairments to be denied services because they were considered too severely disabled. Among those served, adults with ASD received the most expensive set of services. They and adults with MR were most likely to be competitively employed at case closure. Post hoc analyses suggest that their employment was highly associated with on-the-job supports. The results suggest the importance of the VRS in serving adults with ASD.

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“…Moreover, follow-up results are suggestive of long-term beneficial effects with significant job retention 7–8 years after the initiation of the supported employment programme ( Howlin et al, 2005 ). There is also evidence from non-UK studies on adults with autism for a positive impact of supported employment programmes on employment levels and job retention ( Hillier et al, 2007 ; Keel et al, 1997 ), on autistic behaviours ( Garcia-Villamisar et al, 2000 ), quality of life ( Garcia-Villamisar et al, 2002 ) and executive function ( Garcia-Villamisar and Hughes, 2007 ). The key elements associated with successful schemes include careful job placement, prior job training, advocacy, follow-up monitoring and long-term support to ensure job retention ( Keel et al, 1997 ; Mawhood and Howlin, 1999 ; Trach and Rusch, 1989 ; Wehman and Kregel, 1985 ).…”

Section: Introductionmentioning

confidence: 99%

The cost-effectiveness of supported employment for adults with autism in the United Kingdom

Mavranezouli

Megnin-Viggars

Cheema

et al. 2013

Autism

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Adults with autism face high rates of unemployment. Supported employment enables individuals with autism to secure and maintain a paid job in a regular work environment. The objective of this study was to assess the cost-effectiveness of supported employment compared with standard care (day services) for adults with autism in the United Kingdom. Thus, a decision-analytic economic model was developed, which used outcome data from the only trial that has evaluated supported employment for adults with autism in the United Kingdom. The main analysis considered intervention costs, while cost-savings associated with changes in accommodation status and National Health Service and personal social service resource use were examined in secondary analyses. Two outcome measures were used: the number of weeks in employment and the quality-adjusted life year. Supported employment resulted in better outcomes compared with standard care, at an extra cost of £18 per additional week in employment or £5600 per quality-adjusted life year. In secondary analyses that incorporated potential cost-savings, supported employment dominated standard care (i.e. it produced better outcomes at a lower total cost). The analysis suggests that supported employment schemes for adults with autism in the United Kingdom are cost-effective compared with standard care. Further research needs to confirm these findings.

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Untitled

Cited by 100 publications

References 2 publications

Viewpoints on Factors for Successful Employment for Adults with Autism Spectrum Disorder

Viewpoints on Factors for Successful Employment for Adults with Autism Spectrum Disorder

Use of Vocational Rehabilitative Services Among Adults with Autism

The cost-effectiveness of supported employment for adults with autism in the United Kingdom

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