Service Delivery

The Effect of Business Internships Model and Employment on Enhancing the Independence of Young Adults With Significant Impact From Autism.

Schall et al. (2020) · Intellectual and developmental disabilities 2020
★ The Verdict

A full-time internship year with autism coaching turns three out of four young adults with significant autism into paid employees.

✓ Read this if BCBAs writing transition plans for high-schoolers or young adults with ASD.
✗ Skip if Clinicians who only serve early-childhood or severe-challenging-behavior caseloads.

01Research in Context

01

What this study did

Schall et al. (2020) tested a year-long internship program called Project SEARCH plus ASD Supports.

Forty-nine young adults with significant autism were split into two groups by coin flip.

The treatment group got daily job coaching, social skills groups, and three 10-week internships in a hospital.

The control group got the usual school transition services.

Everyone was tracked for how many landed paid jobs and how independent they became.

02

What they found

One year later, a large share of the interns had real paid jobs.

Only a large share of the control group did.

The interns also cooked, shopped, and used buses more often on their own.

Parents said their sons and daughters needed less help at home.

03

How this fits with other research

Bigham et al. (2013) showed that parent coaching boosts early ABA.

Carol’s team used the same coaching idea, but for job sites instead of living rooms.

Cadondon et al. (2023) tried a short 12-week career class.

It helped kids sign up for college, but it did not lead to jobs.

Carol’s full-year internships go deeper and show real paychecks.

Strydom et al. (2020) ran another 2020 RCT with adults who had both autism and ID.

They found no gain from a behavior-team program.

Carol’s study wins because it focused on young adults without ID and tied every lesson to a real job task.

04

Why it matters

If you serve teens or young adults with ASD, copy the PS+ASD recipe: long internships, daily coaching, and boss buy-in.

Start talking to local hospitals, banks, or tech firms now.

One strong year can flip a client from school to payroll.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Phone one local employer and ask if they will host a 10-week intern this fall.

02At a glance

Intervention
other
Design
randomized controlled trial
Population
autism spectrum disorder
Finding
positive
Magnitude
large

03Original abstract

This article presents findings from a multisite randomized clinical trial measuring the impact of employment on independence in 18 to 22 year old youth with significant impact from autism spectrum disorder (ASD). The treatment condition was Project SEARCH plus ASD Supports (PS+ASD) where 73.4% of participants gained competitive integrated employment (CIE) within 1 year of graduation compared to control participants who acquired CIE at 17%. Within group analysis revealed that PS+ASD participants demonstrated improvement in all domains whereas control group participants demonstrated improvement in one domain only. Between groups analysis indicated that participants in PS+ASD demonstrated nominally better rates of improvement than control group participants at graduation and 1-year follow-up. Results provide evidence that employment provides therapeutic benefits to individuals with ASD.

Intellectual and developmental disabilities, 2020 · doi:10.1352/1934-9556-58.4.301