Phases for Developing an Internship Program for Autistic Adults in a University Medical Center

Background Current practice often separates employment training from clinical support. This approach advances current practice by embedding employment training within a clinical environment, allowing for real-time access to autism specialists and on-demand support. Objective This study with a descriptive research design outlines a comprehensive framework for developing an internship program designed to improve employment outcomes for young adults with autism spectrum disorder (ASD), with a specific focus on the underserved Latino community. Method We propose a multi-phase model that integrates a bilingual therapy curriculum with a vocational internship within a university medical center. Key methodological innovations include the synchronization of individualized coaching with employer neurodiversity training and the inclusion of a parent training component to support family systems during the transition to adulthood. We discuss the iterative development process, utilizing feedback from interns, supervisors, and parents to refine program components such as executive functioning support and transportation logistics. Results As a descriptive framework, this paper outlines program design and preliminary qualitative feedback rather than quantitative efficacy results. Conclusion This framework offers a replicable, culturally responsive approach for institutions seeking to bridge the gap between clinical intervention and competitive employment.