Tracking the long-term outcomes of a supported employment internship programme for autistic adults without a learning disability

This is the authors' abstract. We don't add key points for this paper.

Supported employment initiatives with work experience (e.g. internships) can increase employment rates for autistic people. However, such initiatives (a) are often not evidence-based, (b) focus on quantitative outcomes such as employment rates and (c) examine group-level changes without considering individual variability. Considering the effects that (un)employment can have on autistic people's well-being, it is important to examine the wider impact of supported employment initiatives. This study evaluated the long-term employment and wider outcomes of autistic adults who engaged with a supported employment internship initiative at group and individual levels. Autistic adults without a learning disability ( N = 27, ‘interns’; M age = 23.3) involved in internships across seven organisations, participated in the study. Interns reported on (a) employment-related characteristics, (b) daily living skills, (c) general self-efficacy, (d) quality of life and (e) mental health pre-internship at six and 12–24 months post-internship. The overall employment rate increased from 25.93% to 55.56% from pre- to 12–24 months post-internship, and income and number of hours worked also increased. There were improvements in daily living skills, but other wider outcome measures did not change significantly at a group level, despite individual variability. This evidence has important implications for supporting long-term outcomes for autistic people.