Health Care Transition Services and Adaptive and Social-Emotional Functioning of Youth with Autism Spectrum Disorder.
Youth with autism who get at least two health-transition services—especially self-management training—show better social-emotional health.
01Research in Context
What this study did
Songtian et al. (2021) asked a simple question. Do health-care transition services help youth with autism feel and function better?
They looked at young adults with autism. The team counted how many transition services each person used. Then they measured social-emotional health.
What they found
Kids who got two or more services did better. The biggest boost came from learning to manage their own health needs.
More services meant better social-emotional scores. The link stayed strong even after controlling for other factors.
How this fits with other research
Özmeral Erarkadaş et al. (2026) extends the story. They found that medical health and mid-range IQ predict daily living skills in high-support adults. Together, the papers show that health matters across the lifespan.
García-Villamisar et al. (2017) offers a practical tool. Their 40-week recreation program with brain games improved executive function and social skills in adults. This gives you a ready-made way to build the self-management skills Songtian calls for.
Donoso et al. (2024) adds a warning. Higher adaptive skills cut both anxiety and behavior problems. If transition services boost adaptive skills, you may get a double win: better social-emotional health and fewer mental-health symptoms.
Why it matters
You can act on this today. Check how many transition services your clients receive. If they have fewer than two, add a self-management goal. Teach them to refill meds, schedule appointments, or track symptoms. Pair the goal with a peer group or recreation program like D et al. used. More services now mean better social-emotional health later.
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02At a glance
03Original abstract
To promote health care transition services (HCTS) among youth with autism spectrum disorder (ASD), it is important to understand their access to HCTS and the association with functioning. We conducted weighted descriptive statistics and regressions. Findings suggested that HCTS were inconsistently provided to youth with ASD. Access to two or more HCTS was associated with positive social-emotional functioning. Helping youth with ASD understand health care changes and working with them to gain skills in managing health needs were found to be significant determinants of positive social-emotional functioning. The present study sheds light on HCTS that are essential for youth with ASD and highlights the necessity of health care system changes to promote service access and optimal functioning for youth with ASD.
Journal of autism and developmental disorders, 2021 · doi:10.1080/14639220903470205