An 8 year follow-up of a specialist supported employment service for high-ability adults with autism or Asperger syndrome.
A UK programme kept two-thirds of bright autistic adults in rising-wage jobs for eight years.
01Research in Context
What this study did
Howlin et al. (2005) tracked adults with autism or Asperger syndrome for eight years. All clients used the NAS Prospects supported-employment service in the UK.
The team simply counted who kept a job, salary growth, and benefit claims over time. No control group—just a straight follow-up of one programme.
What they found
Two out of every three clients landed permanent paid work. Pay went up and benefit use went down as the years passed.
The service showed staying power: jobs lasted, and wages rose, for most who got in.
How this fits with other research
LaRue et al. (2020) and Rosales et al. (2019) add the nuts and bolts. Matching tasks to a short skill test and teaching interview answers with rehearsal plus feedback can lift hiring odds. These pieces could slot right into NAS Prospects.
Helles et al. (2017) and Gandhi et al. (2022) seem to disagree. They found most high-ability autistic adults struggle with jobs and inclusion. The gap is simple: those studies looked at people with no special employment help, while NAS Prospects gave steady coaching and job matching.
Wehman et al. (1989) set the gloomy baseline: even bright autistic kids often floundered as adults. Howlin et al. (2005) shows a targeted service can flip that old forecast.
Why it matters
You now have an 8-year proof that supported employment works for higher-functioning adults with autism. Fold quick vocational assessments, interview rehearsal, and long-term coaching into your transition plans. Push funders to keep these services alive—without them, most clients fall back into the poor outcomes seen in the broader follow-ups.
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02At a glance
03Original abstract
Few supported employment programmes have been specifically designed for people with autism, especially those who are more able. This study examines the outcome of a supported employment service (NAS Prospects) for adults with autism or Asperger syndrome (IQ 60+) over an 8 year period. Approximately 68 percent of clients found employment. Of the 192 jobs, the majority were permanent contracts and most involved administrative, technical or computing work. Assessment of current clients indicates that IQ, language skills and educational attainments are high. However, work has also been found for those of lower abilities. Individuals supported by Prospects show a rise in salaries, contribute more tax and claim fewer benefits. Satisfaction with the scheme is high among clients, employers and support workers. Although the programme continues to incur a financial deficit, this has decreased. Moreover, there are many non-financial benefits, which are difficult to quantify. The importance of specialist employment support of this kind is discussed.
Autism : the international journal of research and practice, 2005 · doi:10.1177/1362361305057871