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- Overview
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1. An introduction to autism and the autism spectrum
- Prof. Fred Volkmar
- Diagnosis and Classification
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2. The diagnosis of autism spectrum disorders
- Prof. Fred Volkmar
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4. Rett syndrome: a pediatric neurodevelopmental disorder
- Prof. Richard Van Acker
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5. The broad autism phenotype
- Prof. Noah J. Sasson
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6. PDD-NOS: the "unknown continent"
- Prof. Kenneth Towbin
- Epidemiology
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7. The epidemiology of autism spectrum disorders: history and current estimates
- Prof. Eric Fombonne
- Development and Behavior
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10. Diagnosis and clinical management of autism: implications for young children
- Dr. Kelly K. Powell
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11. The school age child with autism/autism spectrum disorders (ASD)
- Prof. Ann Le Couteur
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12. Autism in adulthood: improving the future
- Prof. Emeritus Patricia Howlin
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13. Restricted and repetitive behaviours
- Prof. Sue Leekam
- Prof. Margot Prior
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14. Autism spectrum disorder: psychiatric comorbidities
- Dr. Gerrit van Schalkwyk
- Assessment
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15. Diagnostic and screening instruments for autism
- Prof. Deborah Fein
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16. Psychological assessment of ASD
- Dr. Meghan Miller
- Interventions
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18. Models of educational intervention for people with ASD
- Prof. Sandra Harris
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19. Applied behavior analysis: conceptual foundations
- Dr. Mark J. Palmieri
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20. Applied behavior analysis: application elements
- Dr. Mark J. Palmieri
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22. Understanding and assessing language and communication in children with ASD
- Dr. Patricia A. Prelock
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23. Psychopharmacology of autism
- Prof. Christopher J. McDougle
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24. Evidence-based practices for children with autism spectrum disorder
- Dr. Brian Reichow
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25. TEACCH autism program: supporting the unique learning differences of autism
- Dr. Laura Grofer Klinger
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26. Medical care for children on the autism spectrum
- Dr. Elizabeth Wiesner
- Neurobiology
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28. Penetrance, pleiotropy, and psychiatry 1
- Dr. Jacob A.S. Vorstman
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29. Penetrance, pleiotropy, and psychiatry 2
- Dr. Jacob A.S. Vorstman
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30. Genetics of autism spectrum disorders
- Dr. Matthew State
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31. Neural signatures of atypical social brain development in autism
- Dr. Kevin Pelphrey
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32. Neurochemical research in autism
- Dr. George Anderson
- Theory
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33. Neurocognitive models of autism
- Prof. Stephen Hooper
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34. Autism theory
- Dr. Nick Chown
- Social Policy
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36. Asperger syndrome and legal issues
- Dr. Marc Woodbury-Smith
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37. Siblings of children with autistic spectrum disorders 1
- Prof. Bryna Siegel
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38. Siblings of children with autistic spectrum disorders 2
- Prof. Bryna Siegel
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39. Different kinds of minds contribute to society
- Prof. Temple Grandin
- Archived Lectures *These may not cover the latest advances in the field
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40. Psychological assessment
- Prof. Sally Ozonoff
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42. Assessing communication in ASD
- Prof. Rhea Paul
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43. Behavior intervention and autism
- Dr. Lynn Kern Koegel
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44. Alternative and controversial treatments
- Dr. Tristram Smith
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45. The DX and classification of ASDs: progress and pitfalls
- Prof. Peter Szatmari
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46. Assessment and diagnosis of autism spectrum disorders in toddlers
- Dr. Kasia Chawarska
- Dr. Celine A. Saulnier
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 March 25, 2025, from https://doi.org/10.69645/CBZN5829.Export Citation (RIS)
Publication History
- Published on April 28, 2021
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.