Service Delivery

Commentary: The challenges and promises of competitively employing autistic adults in the United States.

Solomon et al. (2023) · Autism research : official journal of the International Society for Autism Research 2023
★ The Verdict

U.S. autistic adults remain under-employed because research keeps blaming the person instead of testing job-person fit and workplace fixes.

✓ Read this if BCBAs who write transition plans or job-coach adults with autism.
✗ Skip if Clinicians who only serve early-childhood cases.

01Research in Context

01

What this study did

Solomon et al. (2023) wrote a commentary, not a new experiment.

They looked at why most autistic adults in the U.S. still lack real jobs.

The team listed research gaps that must close before services can scale.

02

What they found

Federal laws exist, yet under-employment stays high.

The authors say we need studies on job-person fit, not just client skills.

They call for stronger methods and agreed-upon outcome measures.

03

How this fits with other research

Hedley et al. (2017) reached the same weak-evidence verdict six years earlier.

Vazquez et al. (2019) add that programs keep trying to fix the person while ignoring the workplace.

Agiovlasitis et al. (2025) show Missouri bosses feel ready to hire but only 25% do—data that extends this agenda into real-world numbers.

Garrison et al. (2025) map where assistive tech is missed; their findings give one clear place to start scaling services now.

04

Why it matters

You can stop waiting for perfect trials. Use the Missouri employer checklist from Agiovlasitis et al. (2025) to open doors today. Pair it with low-cost assistive tech named by Garrison et al. (2025). Track simple outcomes so future reviews finally have solid data.

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Show your client the Missouri employer checklist and pick one assistive tech tool to trial in their next application.

02At a glance

Intervention
not applicable
Design
narrative review
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Current United States statistics suggest that autistic individuals will experience high unemployment and underemployment rates throughout their lives. Furthermore, despite the passage of federal legislation to employ young autistic adults in competitive integrated settings, where they work alongside non-disabled workers and earn at least minimum wage, most individuals receiving state services still are placed in day programs or sheltered workshops. Since meaningful employment is the most important determinant of life satisfaction, this failure is a critical societal problem, exerting increasing pressure for systems change. But the news is not all bad. Private sector companies have increased their hiring of disabled workers, producing a growing base of expertise in the recruitment, on-boarding, training, and management of autistic employees. This has led to a growing recognition that autistic individuals can be ideal workers. Autism researchers have advanced the field by investigating these private industry programs as well as conducting efficacy trials of interventions and services that help autistic individuals in the workplace. However, gaps in knowledge persist stemming from the heterogeneity of autistic workers, limited knowledge about those not receiving state services, and a system of federal services that is fragmented, poorly coordinated, difficult to navigate, and over-taxed. Autism researchers can continue to improve outcomes of autistic workers through investigations of the fit between autistic workers, their preferences, and the characteristics of available jobs, and through effectiveness trails of promising employment interventions and services that promote systems change that help break down the barriers to better integration of existing state services and resources in the United States.

Autism research : official journal of the International Society for Autism Research, 2023 · doi:10.1002/aur.3009