Service Delivery

Transition to work: Perspectives from the autism spectrum.

Hedley et al. (2018) · Autism : the international journal of research and practice 2018
★ The Verdict

Autistic adults keep jobs when the workplace gives clear rules, a buddy, and sensory tweaks, not when the worker is asked to mask or change.

✓ Read this if BCBAs helping teens or adults land first-time jobs or supported employment.
✗ Skip if Clinicians focused only on early-childhood language or home programs.

01Research in Context

01

What this study did

Hedley et al. (2018) asked adults with autism, parents, job coaches, and bosses what helps a new hire succeed.

They ran open interviews and grouped answers into themes.

The goal was to map what actually smooths the first weeks on the job.

02

What they found

Three things stood out: clear company rules, a coworker who can answer questions, and small changes to lights, noise, or schedule.

When all three were in place, workers felt safe, learned faster, and stayed in the job.

03

How this fits with other research

Vazquez et al. (2019) looked at 134 studies and saw the same gap: most programs try to fix the autistic worker, not the workplace.

Voss et al. (2019) asked the same questions in the U.S., Australia, and Sweden and found the same three helpers, showing the pattern holds across countries.

Thomas et al. (2021) adds a twist: some non-autistic coworkers feel the extra help is unfair. Their worry shows why you must train peers, not just supervisors.

04

Why it matters

You can copy this checklist tomorrow: give the new hire a written daily routine, pick one friendly coworker as a go-to guide, and let the worker use noise-canceling headphones or start 30 minutes early. These low-cost tweaks cut turnover and build an inclusive culture.

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Write a one-page cheat sheet of daily tasks and pick one peer mentor before the client clocks in.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
28
Population
autism spectrum disorder
Finding
not reported

03Original abstract

To improve employment outcomes for adults with autism spectrum disorder, it is necessary to identify factors associated with successful transition to work from the perspectives of the individual and from those who work with or support them. This study involved focus groups with adults with autism spectrum disorder ( n = 9) participating in a 3-year employment and training programme, as well as focus groups with family members ( n = 6), support staff ( n = 7) and co-workers ( n = 6). The aim was to gain better understanding of the experience of transition to work, barriers and also the factors that promote workplace success. Main themes included factors that facilitated success at work ( Enablers), barriers to success ( Challenges) and programme outcomes ( Outcomes). Organisation support, advice from co-workers, supportive leadership, allowance of environmental modifications and presence of a consultant were identified as enablers that most facilitated success at work. Challenges included task-related difficulties, individual factors, social difficulties and distractibility, not managing work-related stress, and being perceived to be too frank. Outcomes were rated as positive and encompassed work-related outcomes, as well as outcomes related to sense of purpose, achieving personal independence and improvements in social relationships, both with work colleagues and within families.

Autism : the international journal of research and practice, 2018 · doi:10.1177/1362361316687697