2023-09-28 14:46:10 +00:00
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abstract: 'The growing number of autistic adults challenges the limited adult
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service system. While data on service use and barriers are available,
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there is limited information from the individual''s perspective on which
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services are most helpful in adulthood and how service use is connected
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to community participation outcomes. Forty autistic adults participated
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in a study combining global positioning system community participation
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measures with survey and interview data on service use, including which
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services are most helpful in adulthood, barriers to services, and
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service needs. Participation outcomes were analyzed relative to
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demographics, number and types of services received in the past 2 years,
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and current mental health service use. Participants received an average
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of two services in the past 2 years, most frequently mental health and
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employment services. Individuals currently seeing a mental health
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counselor were more likely to be working full-time and visit more
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community locations compared to those who were not seeing a counselor.
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Participants reported mental health services as the most helpful service
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received in adulthood followed by employment services. While an emphasis
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is often placed on employment services in the transition to adulthood,
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findings suggest a need for integrated mental health and employment
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services for autistic adults.
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Lay Abstract
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The number of autistic adults is growing, but there are fewer services
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to support them in adulthood. Many autistic adults need some support
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services to lead successful adult lives. We know a lot about the
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services autistic adults use and some of the problems with using these
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services, but we do not know which services are most helpful to them and
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how the services they use relate to how they interact with their
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communities. Forty autistic adults took part in a study about service
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use and community participation. They completed surveys, interviews, and
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carried a global positioning system tracker. They answered questions
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about which services are most helpful in adulthood, things that make it
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hard to use services, and what services they needed. Most participants
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used two services in the past 2 years, most frequently mental health and
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employment services. Adults who were currently seeing a mental health
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counselor were more likely to be working full-time and visit more
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locations in the community compared to those who were not seeing a
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counselor. Mental health services were reported as the most helpful
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service they received as adults, followed by employment services. We
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often focus on the importance of employment services after high school,
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but our findings show a need for both mental health and employment
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services for autistic adults.'
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affiliation: 'Chan, DV (Corresponding Author), Univ North Carolina Chapel Hill, Dept
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Hlth Sci, Div Clin Rehabil \& Mental Hlth Counseling, Bondurant Hall,CB7205, Chapel
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Hill, NC 27599 USA.
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Chan, Dara, V; Doran, Julie D., Univ North Carolina Chapel Hill, Chapel Hill, NC
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USA.
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Chan, Dara, V, Univ North Carolina Chapel Hill, Dept Hlth Sci, Div Clin Rehabil
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\& Mental Hlth Counseling, Bondurant Hall,CB7205, Chapel Hill, NC 27599 USA.'
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article-number: '13623613231197446'
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author: Chan V, Dara and Doran, Julie D.
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author-email: dara\_chan@med.unc.edu
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author_list:
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- family: Chan V
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given: Dara
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- family: Doran
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given: Julie D.
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da: '2023-09-28'
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doi: 10.1177/13623613231197446
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earlyaccessdate: SEP 2023
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eissn: 1461-7005
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files: []
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issn: 1362-3613
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journal: AUTISM
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keywords: 'adults; autism; community participation; employment; mental health;
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psychiatric treatment; service use'
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keywords-plus: 'SPECTRUM DISORDERS; CUSTOMIZED EMPLOYMENT; YOUTH; INDIVIDUALS; OUTCOMES;
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PARTICIPATION; POPULATION; DISABILITY; PATTERNS; SUPPORT'
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language: English
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month: 2023 SEP 7
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number-of-cited-references: '65'
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orcid-numbers: 'Doran, Julie/0000-0002-6705-2716
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Chan, Dara/0000-0003-3751-3670'
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papis_id: 7cba5d81cd5866885a04d7b678645da0
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ref: Chanv2023mentalhealth
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times-cited: '0'
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title: 'Mental health counseling is rated as most helpful by autistic adults: Service
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perspectives in adulthood'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:001061316300001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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web-of-science-categories: Psychology, Developmental
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year: '2023'
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