Family Visioning for Their Adolescent and Adult Children with Autism: Mapping Current Regional Services and Identifying Gaps between Vision and Reality.

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Family Visioning for Their Adolescent and Adult Children with Autism: Mapping Current Regional Services and Identifying Gaps between Vision and Reality Ashley Horan, MOT, OTR/L, Farren Muscarella, PT, DPT, Laura Srivorakiat, PsyD, Jen Bass, PsyD, BCBA-D, Nicole Bing, PsyD, Kay Brown, MEd, LISW-S, & Sheryl Feuer, BM, CFSP Our findings correspond and support the current research, suggesting a lack of consistency between the vision of adults with ASD and the available resources. Results from this study may assist in community planning and action to support the individuals’ visions. The aims of this study were: To learn about the visions that families of adolescents and adults with ASD have for their loved-ones’ futures. To learn about the visions that adults with ASD have for their own futures. To learn about services currently available to adults with ASD and transition services in the southwest Ohio region. Individuals with Autism Spectrum Disorder (ASD) have significant difficulty transitioning successfully into adulthood. 2,5,7 In their post- secondary years, ninety-percent of youth with ASD are unable to live independently in their communities, with most living at home. 3 Only a quarter of adults with ASD are employed and more than half are working in sheltered workshops or day activity centers. 4,6 Individuals with ASD face numerous barriers for making their life visions a reality. Currently, the available services and supports for successful transition are inconsistent with the visions families and the individuals with ASD have for their future. Focus Group: Responses from 4 adults with ASD were transcribed following IRB approval and consent. Data were analyzed using Grounded Theory. 1 Pre-existing Data: Pre-existing data regarding current transition and adult ASD services in the southwest region of Ohio were analyzed using basic frequency distributions. The pre-existing data were then compared to the key themes which emerged from the focus group data to identify gaps between vision and reality. County Total # of available ASD resources Employment Services Recreation Family Support Transportation Services Residential Services Vocational Services Post-secondary In home Support Hamilton3424% 38%41%12%0%47% Clermont1315%23%15%23%38%8%0%62% Butler2124%29%24%38%43%24%0%62% Warren1619%12%19%38%44%6%0%63% Northern Kentucky 520% 0%20%0% Average Percentages %22%20%31%33%14%0%47% Introduction Purpose Methods Themes Post-secondary services and employment resources are lacking. The data obtained from the adults with ASD identified barriers with employment and post-secondary education. Key themes regarding the desire to have social opportunities and relationships were noted, and limited resources pertaining to social events or support groups exist locally. The current available resources were identified as transportation and residential needs, which were not acknowledged as key themes by these adults with ASD. The need for social relationships and stable employment were recurrent themes throughout the focus group and were noted to impact many of the other key themes. When reviewing pre-existing data, employment, recreation, vocational, and post-secondary services were the least represented areas of services. Discussion Conclusion We would like to thank the families and adults who dedicated their time to participate in our study, as well as our partners: Autism Society of Greater Cincinnati Ohio Department of Developmental Disabilities OCALI Public DDS agencies in Butler, Clermont, Hamilton, and Warren Counties Impact Autism Acknowledgements Education Educational achievement Need for educational alternatives Negative education experiences Employment Career aspirations Difficulties obtaining employment Job retention issues Desire to fill caregiver or helper role Housing Satisfaction with living situation Dissatisfaction with current living situation Varied current living situations Impact of finances on housing Social/Relationships Negative social realities Positive social experiences Social motivation and ambivalence Stress and “shutdowns” in social situations Desire for romantic relationships Family influences and support Current Data on Local Resources Services Received paid services Self-Reflection Reflections on positive aspects of life Awareness of needed supports Negative self-attribution I’m different Positive impacts of having a diagnosis This project is funded by Maternal and Child Health Bureau Grant T73MC00032