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Printable Handouts
Navigable Slide Index
- Introduction
- Summary of talk
- Little research on adults
- Life stages of individuals with autism
- Autism in adulthood: UK
- Transition to adulthood: Positive aspects
- Transition to adulthood: Negative aspects
- Low employment levels
- Low independence levels due to a lack of adequate support
- Social outcomes
- Other problems in autistic adults
- Poor mental health
- Poor physical health
- Premature mortality
- Summary: Outcome in adulthood is generally poor
- Predictors of adult outcome
- Known predictors of outcome in adulthood
- What other factors are important?
- Other unknown influences
- Environmental influences
- Accurately predicting the future remains a challenge
- Developmental trajectories
- How can we improve the lives of more autistic adults?
- Long-term effects of early intervention
- No current evidence for improvement
- No evidence for long-term effects
- Effects of adult intervention
- Studies on autism
- NICE: Core autism deficits
- NICE: Increasing daily living and life skills
- Evidence for supported employment schemes
- Supported employment schemes
- NICE: Mental health
- NICE: Pharmacology and other interventions
- Other approaches
- 1. Focus on skills, not deficits
- Savant skills
- 2. Focus on environment
- 3. Reduce stress
- 4. Improve quality of daily life
- No autism-specific measures
- “Person-environment fit”
- Diagnosis in adulthood
- Elderly and autism
- Is age related decline less in autism?
- Conclusions (I)
- Conclusions (II)
- Applying treatment across the person’s life span
- Making the future together
- Thank you!
Topics Covered
- Adult outcomes for individuals with autism
- Positive and negative aspects of autism in adulthood
- Predictors of outcome in adulthood
- Interventions for adults with autism
- Future research needs
Links
Series:
Categories:
Therapeutic Areas:
Talk Citation
Howlin, P. (2021, April 28). Autism in adulthood: improving the future [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved December 22, 2024, from https://doi.org/10.69645/CBZN5829.Export Citation (RIS)
Publication History
Financial Disclosures
- There are no commercial/financial matters to disclose.
A selection of talks on Neurology
Transcript
Please wait while the transcript is being prepared...
0:00
My name is Patricia Howlin.
I'm a Emeritus Professor of Clinical Child Psychology at the Institute of Psychiatry,
Psychology & Neuroscience at King's College London.
What I wanted to do today in this talk was examine how we
might begin to improve the future for adults with autism.
0:22
What I'm going to do throughout the course of the talk is explore what
we know about outcome in adulthood for people with autism,
look at evidence for predictors or factors that may lead to a better or poor outcome.
I'll discuss a little about interventions for adults with autism and finish
by looking at what we need to
do in terms of improving research and services
generally to improve outcome for adults on the autism spectrum.
0:53
Despite the fact there's been a dramatic rise in the numbers of
individuals diagnosed with autism over recent decades,
there's still being relatively little research on adults.
For example, although there are recent studies suggesting
the rates of autism in children may be as high as one in 68,
that figure is from the US,
a study sometime ago,
looking at published papers on adulthood,
find that although there were many thousands of
papers covering autism across the age spectrum,
there was very, very little on adults and
almost nothing at all on older people with autism.
1:38
What do we know about the life stages of individuals with autism?
Well, we know a great deal now about autism in young children and into adolescence.
There's been many improvements in ways to reliably diagnose the condition,
and we know a lot more about effective treatments and
educational methods that can help to improve lives.
There's much less known about people with autism in middle age
and almost nothing at all known about autism in older people.