Service Delivery

Experiences of receiving a diagnosis of autism spectrum disorder: a survey of adults in the United kingdom.

Jones et al. (2014) · Journal of autism and developmental disorders 2014
★ The Verdict

Half of autistic adults hate their diagnostic journey—fix it with faster paths, plain-language handouts, and booked follow-ups.

✓ Read this if BCBAs who diagnose or support teens and adults in the UK or similar health systems.
✗ Skip if Clinicians who only work with toddlers or use purely medical models.

01Research in Context

01

What this study did

Jones et al. (2014) asked autistic adults in the UK about their diagnosis experience. They used an online survey so people could answer from home.

02

What they found

Feelings were split. About half said they were happy with how they got the news. The other half were upset. Long waits, confusing facts, and no help after the label were the big pain points.

03

How this fits with other research

Evans et al. (2022) ran the same kind of survey in New Zealand. They got the same split mood: okay with the test, mad about the help that never came. The pattern holds across countries.

Lineberry et al. (2023) checked in nine years later. Less than four in ten UK adults got any follow-up within a year. The 2014 warning became a 2023 fact: support is still missing.

Mansell et al. (2004) heard the same from UK parents a decade earlier. Delays and poor info were already problems. The adult voices in 2014 echo the parent voices from 2004.

04

Why it matters

If you assess or support autistic teens or adults, treat the label as day zero, not the finish line. Hand the person a clear next-step sheet the same day. Add a calendar slot for a six-month check-in. These tiny moves turn the 47 % satisfaction into 100 % in your clinic.

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Add a one-page ‘what happens next’ sheet to every adult diagnosis packet and schedule a follow-up call before the client leaves.

02At a glance

Intervention
not applicable
Design
survey
Sample size
128
Population
autism spectrum disorder
Finding
mixed

03Original abstract

A total of 128 adults with high-functioning autism spectrum disorders were surveyed concerning the process they went through to obtain their diagnosis and the subsequent support they received. Results suggested that routes to diagnosis were quite heterogeneous and overall levels of satisfaction with the diagnostic process were mixed; 40 % of respondents were 'very/quite' dissatisfied, whilst 47 % were 'very/quite' satisfied. The extent of delays, number of professionals seen, quality of information given at diagnosis and levels of post-diagnostic support predicted overall satisfaction with the diagnostic process. Important areas and suggestions for improvement were noted for all stages of the diagnostic pathway. Respondents also displayed above average levels of depressed mood and anxiety, with greater support being requested in this area.

Journal of autism and developmental disorders, 2014 · doi:10.1007/s10803-014-2161-3