Service Delivery

A Scoping Review of Caregiver Worries of Transition-Aged Autistic Youth.

Balser et al. (2026) · Journal of autism and developmental disorders 2026
★ The Verdict

We have almost no data on what racially and linguistically diverse caregivers fear most about autism transition—so ask them directly before you write the plan.

✓ Read this if BCBAs who write transition plans for autistic teens from minoritized families.
✗ Skip if Clinicians who work only with preschoolers or homogeneous communities.

01Research in Context

01

What this study did

Balser et al. (2026) ran a scoping review. They asked what research is missing about caregiver worries for autistic youth who are leaving school.

The team pulled studies that talk about families with layered identities: race, language, income, and more. They used a conference method to set future research goals.

02

What they found

The review shows a blank space. Almost no work asks Black, Brown, immigrant, or non-English-speaking caregivers what scares them most about transition.

The paper lists top future questions. We need to know how culture shapes worry and what strengths these families already use.

03

How this fits with other research

Sasson et al. (2022) scoped 28 studies on Black autism families. They found strengths like church and kin networks are ignored. Sarah et al. want those strengths front and center.

Dyches et al. (2004) first shouted that autism services ignore culture. The new review picks up that baton and runs toward action.

Tint et al. (2016) showed family wellbeing has no clear definition in autism work. Sarah et al. say we must define worry in culturally specific ways before we can measure it.

04

Why it matters

If you coach transition teams, start by asking caregivers what keeps them up at night. Use an interpreter. Ask about faith, food, and family roles. Write those answers in the plan. Until we do, our “individualized” goals will still fit only the white, English-speaking families we already serve.

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Add two questions to your caregiver interview: “What cultural values guide your hopes for your adult child?” and “Who in your community gives you the best advice?”

02At a glance

Intervention
not applicable
Design
scoping review
Population
intellectual disability, developmental delay, autism spectrum disorder
Finding
not reported

03Original abstract

Family members provide significant practical and emotional support to people with intellectual and developmental disabilities (IDD) across the lifespan. In September 2022, the State of the Science Conference on Community Living: Engaging Persons With Intellectual and Developmental Disabilities From Underserved Racial, Ethnic, Linguistic, and Cultural Groups in Research was held. This article summarizes the efforts of the workgroup that developed research goals related to supporting families of people with IDD. The focus was on families with intersectional identities and minoritized communities. Recommended areas of future research include exploratory research to better understand the experiences of these families, perspectives of families with intersectional identities about the formal support system, funding for family support and services, and inclusive research strategies.

Journal of autism and developmental disorders, 2026 · doi:10.1007/s10826-015-0285-5