1 Craig Newschaffer A.J. Drexel Au5sm Ins5tute Drexel University Philadelphia, Pennsylvania [email protected] www.drexel.edu/Au5smIns5tute Research and prac,ce that informs innova,on: The research perspec,ve…
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1�
CraigNewschafferA.J.DrexelAu5smIns5tute
DrexelUniversityPhiladelphia,Pennsylvania
[email protected]/Au5smIns5tute
Researchandprac,cethatinformsinnova,on:Theresearchperspec,ve…
PaulSha:uckProgramAreaLeaderAnneRouxKristyAndersonJessicaRastPeterDoehringAmyEdwardsElizabethMcGeeHasserickColleMeSosnowyAngelHogan
Thanksandacknowledgementsto….
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o Thestudyofemploymentintheau5smresearchlandscape
o Findingsonthechallengeso Findingsonthepoten-alsolu-onso Priorityresearchdirec5onso Thoughtsonhowresearchandprac5cecan
worktogethertofosterinnova5on
3�
o Thestudyofemploymentintheau5smresearchlandscape
4�
Pubmedpublica,onsoninterven-oninchildrenwithASD*andemploymentinadultswithASD*byyear
5�
*Basedonsearchingfortheword“au,sm”pluseither“interven,on”(toppanel)or“employment”(bo:ompanel)–resul,ngpublica,onswerethenfurtherscreenedforrelevance.
1 2 1 1 1 4 3 2 3
9 10 8 11
7 11
17
10
16
25 21
31 36
54
74
1 2 1 1 1 3 4 5 3 5
0
10
20
30
40
50
60
70
80 19
83
1984
19
85
1986
19
87
1988
19
89
1990
19
91
1992
19
93
1994
19
95
1996
19
97
1998
19
99
2000
20
01
2002
20
03
2004
20
05
2006
20
07
2008
20
09
2010
20
11
2012
20
13
2014
20
15
Num
ber o
f Art
icle
s
Publication Year
Intervention in children
Employment in adults
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o Thestudyofemploymentintheau5smresearchlandscape
o Findingsonthechallengeso Descrip5vestudieso Observa5onalstudies
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Propor5on of young adults(age 21-25) with disabili5eseverhavingajobforpay
Source: NLTS2
Propor5onofyoungadults(age21-25)withASDeverhavingajobforpaystra5fiedbyHSworkhistory
Source : Na,ona l Long i tud ina lTransi,onSurvey2aspresentedintheNa,onal Au,sm Indicators Report –Transi-onIntoYoungAdulthood
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9�
o 18studieso Only4ratedashighquality–limita5onsnoted:work
par5cipa5ono`enpartofacompositeoutcome,correla5onbetweenpredictorsnotadequatelyaddressed,resultscommonlydonotachievesta5s5callysignificant,combina5onsoffactorsnotconsidered
o IQistheonlyfactorconsistentlysignificantlyassociatedwithworkpar5cipa5on
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79%
13%
45%
3%0%
20%
40%
60%
80%
100%
Lowest Skill Highest Skill
Income < $25KIncome > $75K
Disconnec,on(noworkorschool)stra,fiedbyskilllevelandfamilyincomeamongyoungadults(age21-25)withau,sm
Source:Na5onalLongitudinalTransi5onSurvey2aspresentedinShaMucketal,2012.Pediatrics129(6)
o Thestudyofemploymentintheau5smresearchlandscape
o Findingsonthechallengeso Findingsonthepoten-alsolu-ons
o Observa5onalstudieso Experimentalstudies
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Observa,onalstudiesofsupportedemployment:TheUSDOERSA-911database
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Counseling
Job placement
Job supports
College
Voc. Training
Job readiness
Transport 0.5
5
0 1 2 3 4 5 6 7 8
Adj
uste
d O
dds
Rat
io
1.0 36 29
0
20
40
60
80
100
ASD Other Disabilities
Perc
ent
36% 29%
Workpar,cipa,onintransi,onageclientsbyASDstatus
Servicepredictorsofworkpar,cipa,onintransi,onagemaleclientswithASD
BurgessandCimera.AmerJIntelDevDis2014 Sungetal.JAu5smDevDisorders.2015
RandomizedcontrolledtrialofProjectSEARCHplusASDsupportsvs.HSa:endanceplusIEPservicesinVirginia
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Workpar,cipa,onatone-yearpostenrollmentbygroup
Wehmanetal.JAutDevDisord2014
87.5
6.25 0
20
40
60
80
100
Project Search Control
Perc
ent
87.5%
6.25%
o Thestudyofemploymentintheau5smresearchlandscape
o Findingsonthechallengeso Findingsonthepoten-alsolu-onso Priorityresearchdirec5ons
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Priorityresearchdirec,ons(1)
o Understandingthechallengeso Expandedoutcomesbeyondworkpar5cipa5on
o Jobreten5on/sa5sfac5ono Impact
o Predictorsthatinformprogrammingo Execu5vefunc5on,comorbidsymptoms,socialcogni5on
o Interac5onbetweenpredictors(gender,cogni5vestatus)
o MeasurewhatmaMers!o Longitudinaldata
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Priorityresearchdirec,ons(2)
o Uncoveringsolu-onso Comparisongroupso Applyanaly5cmethodsthathelpcombatconfounding
(largesamplesizeandmeasurewhatmaMers-again!)o Understand“ac5veingredients”o Morerandomizedstudieso Studyinnova5on
o Collectqualitydataonemerging/novelprograms
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o Thestudyofemploymentintheau5smresearchlandscape
o Findingsonthechallengeso Findingsonthepoten-alsolu-onso Priorityresearchdirec5onso Thoughtsonhowresearchandprac5cecan
worktogethertofosterinnova5on
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Researchandprac,ceworkingtogethertostudyinnova,on(1)
o Programminginnovatorsshouldcommittodatacollec5onandevalua5ono Developacultureofcompromisebetween
prac55onersandresearcherso Resources(!?)o Compe55vefundingprogramsincreasingly(butslowly)selngpriori5esthatareamatchfortheseini5a5ves
o Sponsors(employers)needtoinvesto EvenwithaboMom-lineorienta5on,R&Dwillpayoff
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Researchandprac,ceworkingtogethertostudyinnova,on(2)
o Researchersshouldfindwaystoincubateinnova5veprogrammingo Inpartnershipwithprac55oners,employers,and
philanthropists
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Drexel Transition Pathways Initiative
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www.drexel.edu/AutismInstitute [email protected]
Link to National Autism Indicators Report Transition Into Young Adulthood: drexe.lu/autismindicators
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