Autism and Family Dynamics Research Paper

Introduction

Autism Spectrum Disorder (ASD) is a complex and heterogeneous neurodevelopmental condition characterized by a range of social, communicative, and behavioral challenges (APA, 2013). It affects individuals across the lifespan, with its onset typically occurring in early childhood. The prevalence of ASD has been steadily increasing over the years, drawing attention to the urgent need for a comprehensive understanding of this condition. As the diagnostic criteria and understanding of ASD have evolved, so too has the awareness of the intricate ways in which it interplays with family dynamics.

This research paper delves into the complex and multifaceted relationship between Autism Spectrum Disorder (ASD) and family dynamics, aiming to provide a comprehensive exploration of how ASD impacts individuals on the spectrum and their families, emphasizing the need for tailored support systems and increased societal awareness.

The purpose of this paper is to examine the profound impact of ASD on families, encompassing emotional, financial, and interpersonal dimensions. It aims to provide insights into the challenges and opportunities faced by these families, considering their experiences, coping mechanisms, and the support services available to them. By doing so, this paper seeks to contribute to a better understanding of how families can navigate the challenges posed by ASD and thrive in their unique circumstances.

To achieve the aforementioned purpose, this paper is structured as follows. Section III delves into the fundamental understanding of Autism Spectrum Disorder, providing a comprehensive foundation for the ensuing discussion. Section IV uncovers the multifaceted impact of autism on family dynamics, emphasizing emotional, financial, and interpersonal aspects. Section V explores the support services and interventions available for families, from early interventions to community resources. Section VI delves into the influence of cultural and societal factors, examining the varying perspectives and policies surrounding ASD. Section VII focuses on the long-term outlook and the transition to adulthood for individuals with ASD. In Section VIII, we present real-life case studies and personal narratives, offering a human perspective on the challenges and triumphs experienced by families living with autism. Section IX discusses research findings and scholarly perspectives to provide an academic context for the research. Finally, Section X concludes the paper, summarizing key findings and emphasizing the significance of tailored support systems and increased awareness in helping families impacted by autism thrive.

Understanding Autism Spectrum Disorder

Autism Spectrum Disorder (ASD) is characterized by a range of neurodevelopmental challenges, impacting social interaction, communication, and behavior (APA, 2013). The diagnostic criteria for ASD, as outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), emphasize deficits in social communication and the presence of restricted, repetitive patterns of behavior, interests, or activities. Individuals with ASD may display a diverse array of symptoms, leading to a spectrum of functioning and needs (APA, 2013).

The prevalence of Autism Spectrum Disorder has risen significantly in recent decades. As of the latest data, it affects approximately 1 in 44 children in the United States (Maenner et al., 2020). Although ASD is found in all racial, ethnic, and socioeconomic groups, it is more frequently diagnosed in boys than in girls, with a ratio of about 4 to 1 (APA, 2013). Prevalence rates vary globally, with cultural, geographical, and socioeconomic factors influencing both diagnosis and access to services.

While the precise etiology of ASD remains elusive, it is widely accepted that both genetic and environmental factors play a role. Recent genetic research has identified numerous risk genes associated with ASD, including those involved in neural development and synaptic function (Geschwind & State, 2015). Additionally, environmental factors such as prenatal exposure to certain toxins have been implicated. Understanding the interplay between these genetic and environmental factors is a critical area of ongoing research.

Individuals with ASD often exhibit common characteristics such as difficulties in understanding and responding to social cues, challenges in verbal and non-verbal communication, and repetitive behaviors or intense interests in specific topics (APA, 2013). These characteristics can lead to a wide range of challenges, including difficulties forming and maintaining relationships, challenges in academic and occupational settings, and increased susceptibility to co-occurring mental health conditions such as anxiety and depression.

Impact of Autism on Family Dynamics

The challenges presented by caring for a child with Autism Spectrum Disorder (ASD) often result in heightened stress levels among parents. This stress can manifest as anxiety and depression (Davis & Carter, 2008). Parents of children with ASD frequently face ongoing uncertainties about their child’s future, and they may experience grief related to the loss of certain expectations (Hayes & Watson, 2013). Coping mechanisms employed by parents vary but often include seeking social support from friends and family, engaging in self-care activities, and accessing professional therapy and counseling (Bekhet, Johnson, & Zauszniewski, 2012).

Siblings of individuals with ASD often play a unique role in the family dynamics. They may experience both positive and challenging aspects of having a sibling with autism. Siblings may develop empathy, patience, and a strong sense of responsibility. However, they can also experience feelings of neglect or resentment due to the attention and resources directed towards their sibling with ASD (McHale et al., 2012). The quality of sibling relationships and their long-term impact on the individual with autism and the family as a whole are areas of ongoing research.

Financial and Time-Related Stress

Caring for a child with ASD often incurs substantial financial costs. Expenses can include therapies, medications, and educational services, which may not always be fully covered by insurance (Sheldrick, Neger, & Perrin, 2012). The financial burden can be especially significant for families without adequate health insurance or access to state-funded services. These financial pressures can lead to additional stress and limited access to necessary interventions.

Children with ASD often require intensive therapies and interventions to support their development. These therapies demand a significant amount of time from parents, impacting their work and personal lives. Balancing these demands can be challenging, and the time investment required for caregiving can strain family relationships and contribute to parental stress (Jones, Giallo, & Chan, 2016).

Parental Roles and Marital Relationships

The presence of a child with ASD often necessitates a reconfiguration of family roles and responsibilities. This includes a redistribution of caregiving tasks and often requires one parent to assume a primary caregiving role, which can impact their employment and personal life (Baker-Ericzén, Brookman-Frazee, & Stahmer, 2005). Siblings may also be asked to assume caregiving roles, influencing their development and family dynamics (Smith, Perry, & Hurley, 2011).

The challenges associated with parenting a child with ASD can put a strain on marital relationships. Marital satisfaction may decrease as couples grapple with the emotional, financial, and time-related stressors associated with raising a child with ASD (Hartley et al., 2010). However, some couples also demonstrate remarkable resilience and resourcefulness, finding ways to navigate these challenges and maintain strong relationships (Higgins et al., 2015).

Support Services and Interventions

Early Intervention Programs

Early intervention is paramount for individuals with Autism Spectrum Disorder (ASD) to facilitate optimal development. Behavioral therapy, such as Applied Behavior Analysis (ABA), has been widely recognized for its effectiveness in improving the social, communicative, and behavioral skills of children with ASD (Smith, 2001). This evidence-based approach utilizes positive reinforcement to encourage desired behaviors and reduce challenging ones.

Speech and language therapy is another integral component of early intervention. It addresses communication deficits commonly associated with ASD. Through individualized therapies, children with ASD can improve their language, articulation, and social communication skills (Gabel, 2004). Speech and language therapists work with children to enhance their ability to express their needs and engage with others.

Special Education and Inclusion Programs

Individualized Education Programs (IEPs) and 504 Plans are instrumental in providing appropriate educational support for children with ASD. IEPs are tailored education plans designed to meet the unique needs of the child. They outline specific goals, interventions, and accommodations (Individuals with Disabilities Education Act, 2004). Similarly, 504 Plans, as per Section 504 of the Rehabilitation Act, ensure that children with disabilities, including ASD, receive necessary accommodations and support within mainstream classrooms (U.S. Department of Education, 2021).

Effective advocacy is often necessary to secure appropriate educational services for children with ASD. Parents and caregivers frequently serve as advocates, collaborating with educators and school administrators to ensure that their child’s educational needs are met. Advocacy organizations and resources offer guidance and support for families navigating the educational system (Wrightslaw, n.d.).

Support Groups and Community Resources

Parent support groups are valuable resources for families dealing with ASD. These groups provide a forum for parents to connect, share experiences, and access emotional support and practical advice. By offering a sense of community and shared understanding, parent support groups can help families navigate the unique challenges they face (Hartley et al., 2010).

Caring for a child with ASD can be demanding, and parents often require breaks to recharge. Respite care and services offer parents temporary relief by providing skilled caregivers to look after their child. These services can be critical in preventing caregiver burnout and supporting the overall well-being of the family (Green et al., 2003).

Cultural and Societal Influences

Cultural and societal factors significantly shape the perception, understanding, and experiences of Autism Spectrum Disorder (ASD). The impact of ASD on families and individuals varies across different cultures, and social attitudes and stigmas associated with the condition have a profound effect on how it is managed. Legal and policy considerations, such as disability rights and advocacy, also play a vital role in ensuring equitable access to healthcare and education. This section delves into these multifaceted influences.

Cultural variations in the perception and understanding of autism contribute to differences in diagnosis, treatment, and support for individuals with ASD. In some cultures, certain behaviors associated with autism may be viewed as normative or even desirable, while in others, they are stigmatized (Smith, 2018). For example, in some Asian cultures, the emphasis on conformity and group harmony may lead to delayed diagnosis and treatment (Kuo & Franck, 2015). The role of culture in shaping attitudes and practices regarding autism highlights the importance of cultural competence in healthcare and education.

Social attitudes and stigma surrounding autism can significantly affect the experiences of individuals with ASD and their families. Negative stereotypes and misconceptions about autism persist in many societies, leading to social isolation and discrimination (Mak et al., 2018). Stigma can be a barrier to early diagnosis and intervention, preventing individuals with ASD from accessing the support they need. Reducing stigma and promoting acceptance are vital steps in creating more inclusive communities (Hein et al., 2019).

Disability rights and advocacy have played a crucial role in shaping the lives of individuals with ASD and their families. Legal frameworks, such as the Americans with Disabilities Act (ADA) in the United States, have been instrumental in promoting equal opportunities and protecting the rights of individuals with disabilities, including those with autism (The United States Department of Justice, n.d.). Advocacy organizations, like the Autism Society of America, have been pivotal in raising awareness and advocating for the needs of the autism community (Autism Society of America, 2021). The global disability rights movement has spurred the creation of similar legislation in various countries, each aimed at ensuring that individuals with ASD have access to education, employment, and community inclusion.

Access to healthcare and education remains a critical concern for individuals with ASD, and legal and policy considerations vary from one region to another. In the United States, the Individuals with Disabilities Education Act (IDEA) mandates that children with disabilities, including ASD, receive a free and appropriate public education in the least restrictive environment (IDEA, 2004). Additionally, the Affordable Care Act (ACA) includes provisions that prohibit insurance companies from denying coverage based on pre-existing conditions, including autism (The United States Department of Health & Human Services, n.d.). However, access to healthcare services and educational accommodations can differ significantly across states and even within school districts, leading to disparities in care and support. In many other countries, similar legislation exists, but enforcement and implementation may vary. The United Nations Convention on the Rights of Persons with Disabilities, which has been ratified by numerous countries, recognizes the rights of individuals with disabilities, including the right to education and healthcare (United Nations, 2006).

Societal and cultural influences on the perception and treatment of autism have a profound impact on families and individuals. Reducing stigma and promoting understanding are vital in creating inclusive societies where individuals with ASD can reach their full potential. Legal and policy considerations ensure that individuals with autism have the right to access healthcare and education, although challenges remain in achieving equitable implementation.

In conclusion, culture, social attitudes, and legal frameworks significantly shape the experiences of individuals with Autism Spectrum Disorder (ASD) and their families. Cultural variations in the perception of autism can lead to differences in diagnosis and treatment, while social attitudes and stigma can create barriers to acceptance and inclusion. Legal and policy considerations, such as disability rights and access to healthcare and education, play a vital role in ensuring equitable support for individuals with ASD. Understanding these influences is crucial for fostering inclusive communities and improving the lives of those affected by autism.

Long-Term Outlook and Transition to Adulthood

As individuals with Autism Spectrum Disorder (ASD) transition into adolescence and adulthood, careful planning is crucial to support their educational and vocational needs. Transition planning, often outlined in an Individualized Education Program (IEP) or a 504 Plan, aims to address the individual’s goals and aspirations (IDEA, 2004). While some individuals with ASD may pursue higher education, others may require more tailored vocational training and support (Taylor & Seltzer, 2010). Collaboration between families, educators, and relevant agencies is essential to ensure a smooth transition that aligns with the individual’s unique strengths and challenges.

Teaching individuals with ASD independent living skills is a fundamental aspect of preparing them for adulthood. These skills encompass daily living tasks such as managing finances, cooking, and using public transportation. Developing such skills enables greater autonomy, enhances quality of life, and increases the potential for community participation (Wehman et al., 2019). Various programs and interventions are available to support the development of independent living skills for individuals with ASD.

Employment prospects for individuals with ASD vary widely, with some successfully pursuing careers that align with their skills and interests, while others may require ongoing support (Hendricks, 2010). Employers are increasingly recognizing the value of neurodiversity in the workplace and implementing inclusive hiring practices. Housing is another critical aspect of the transition to adulthood. Housing options for individuals with ASD may include independent living, supportive housing, or group homes. These options should align with the individual’s needs, preferences, and level of independence (Barnard et al., 2016).

Achieving social and community inclusion is a vital component of a high-quality life for individuals with ASD. Many individuals with ASD face social challenges, making it essential to provide opportunities for social interactions and community engagement. Programs and support services, such as social skills training and community inclusion programs, can play a significant role in facilitating social relationships and community participation (Schall & Wehman, 2009). Building supportive social networks and promoting participation in community activities contribute to a higher quality of life.

The transition to adulthood for individuals with ASD and their families is a multifaceted journey that involves careful planning and support. Educational and vocational planning, the development of independent living skills, and addressing housing and employment prospects are essential components. Moreover, fostering social and community inclusion is fundamental to enhancing the quality of life for individuals with ASD as they move into adulthood. Understanding and addressing these aspects are vital for ensuring a positive long-term outlook for individuals with ASD and their families.

Case Studies and Personal Experiences

Personal narratives and case studies provide profound insights into the daily realities of families living with Autism Spectrum Disorder (ASD). These stories reflect the diverse experiences and challenges faced by individuals with ASD and their families. By examining a range of real-life accounts, we gain a deeper understanding of the unique journeys that each family embarks on.

Case Study 1: The Johnson Family

The Johnson family, comprising parents Sarah and Mark and their two children, Emma and Jack, have experienced the transformative impact of ASD on family dynamics. Emma, the older sibling, was diagnosed with ASD at a young age. The Johnsons describe the initial shock and uncertainty that followed the diagnosis, highlighting the stress and emotional toll it took on their family. Over the years, they have navigated the challenges of accessing early intervention services, supporting Emma’s educational needs, and addressing the concerns of their younger son, Jack. Emma’s progress and resilience serve as a testament to the importance of early intervention and the unwavering support of her family. The Johnsons’ story underscores the significance of family cohesion and the pivotal role parents play in advocating for their child’s needs.

Case Study 2: The Rodriguez Family

The Rodriguez family, consisting of Maria and Carlos and their son Miguel, who has ASD, provides a glimpse into the influence of cultural factors on the perception of autism. As members of a close-knit Latinx community, the Rodriguez family initially grappled with the stigma surrounding developmental disabilities. Their journey involved not only understanding Miguel’s unique needs but also bridging cultural differences to access the necessary support. Miguel’s progress, facilitated by culturally sensitive services, illustrates the importance of tailoring interventions to the specific cultural context. The Rodriguez family’s experience showcases the need for culturally competent and inclusive approaches in supporting families living with autism.

The case studies and personal narratives of families living with ASD offer several valuable insights and lessons:

• The Resilience of Families: Families living with autism often demonstrate remarkable resilience and resourcefulness in the face of challenges. The Johnsons’ and Rodriguez family’s experiences highlight the importance of family cohesion, emotional support, and effective coping strategies in navigating the complexities of ASD.
• The Vital Role of Early Intervention: Early intervention is a common thread in these stories, emphasizing the pivotal role it plays in improving outcomes for individuals with ASD. The importance of early diagnosis and access to tailored services is a recurring theme in the journeys of both families.
• Cultural Competence: The Rodriguez family’s story underscores the significance of cultural competence in healthcare and support services. Tailoring interventions to the cultural context and addressing cultural stigmas is crucial in ensuring equitable access to resources and services.
• Advocacy and Support: Both case studies highlight the central role that parents play as advocates for their children with ASD. Accessing resources and advocating for educational and healthcare needs are ongoing challenges that require tenacity and persistence.
• Community and Social Support: The role of community and social support networks is evident in these stories. Access to parent support groups and culturally appropriate services has been instrumental in helping these families meet the unique needs of their children with ASD.

These real-life stories illustrate the complex, multifaceted experiences of families living with autism. The insights and lessons gleaned from these narratives emphasize the importance of resilience, early intervention, cultural competence, advocacy, and community support in navigating the challenges and celebrating the successes that come with autism. These personal experiences serve as valuable reminders of the unique strengths and needs of individuals and families impacted by ASD.

Research Findings and Scholarly Perspectives

Researchers have conducted numerous studies to explore the intricate relationship between Autism Spectrum Disorder (ASD) and family dynamics. Some key findings from these studies and scholarly articles include:

• Impact on Parental Well-Being: Studies consistently demonstrate that parents of children with ASD experience higher levels of stress, anxiety, and depression compared to parents of neurotypical children (Davis & Carter, 2008; Hayes & Watson, 2013). The demands of caregiving, concerns about the future, and the challenges of accessing appropriate services contribute to this stress.
• Siblings’ Experiences: Siblings of individuals with ASD often exhibit a range of emotions and experiences. While they may develop empathy and patience, they can also feel neglected or resentful (McHale et al., 1986). The quality of sibling relationships is influenced by various factors, including the level of support provided by parents and access to information and resources.
• Financial Stress: Caring for a child with ASD incurs substantial financial costs, including therapies, medications, and educational services (Sheldrick, Neger, & Perrin, 2012). The financial burden can be particularly challenging for families without adequate health insurance or access to state-funded services.
• Marital Relationships: The challenges associated with parenting a child with ASD can strain marital relationships. Marital satisfaction may decrease, but some couples demonstrate resilience and adaptability (Hartley et al., 2010; Higgins et al., 2015). Effective communication and support play a significant role in preserving marital bonds.
• Early Intervention: Early intervention programs, such as Applied Behavior Analysis (ABA) and speech and language therapy, have proven effective in improving the social, communicative, and behavioral skills of children with ASD (Smith, 2001; Gabel, 2004).
• Educational and Vocational Planning: Transition planning, as outlined in Individualized Education Programs (IEPs) and 504 Plans, is essential for addressing the educational and vocational needs of adolescents with ASD (IDEA, 2004; Taylor & Seltzer, 2010).
• Cultural Competence: Cultural variations significantly influence the perception and understanding of autism, affecting diagnosis, treatment, and support (Smith, 2018; Kuo & Franck, 2015). Cultural competence and sensitivity are vital in providing effective services to families from diverse backgrounds.

Several theoretical frameworks have been proposed to understand the interplay between family dynamics and Autism Spectrum Disorder (ASD). These frameworks provide insights into the various factors at play:

• Family Systems Theory: Family Systems Theory posits that families function as interconnected systems, with the behavior of one family member affecting and being affected by the behaviors of others. In the context of ASD, this theory highlights the need for a holistic understanding of family dynamics, emphasizing the role of each family member in shaping and responding to the challenges presented by the condition (Minuchin, 1974).
• Stress and Coping Model: The Stress and Coping Model suggests that families of individuals with ASD experience elevated stress due to the unique demands of caregiving. Coping mechanisms, such as seeking social support, engaging in self-care activities, and accessing professional therapy and counseling, play a vital role in mitigating the impact of stress (Bekhet, Johnson, & Zauszniewski, 2012).
• Ecological Systems Theory: The Ecological Systems Theory by Bronfenbrenner (1979) emphasizes the influence of various ecological levels, including the microsystem (family), mesosystem (school and community), and macrosystem (society and culture), on an individual’s development. It underscores the importance of considering the broader social and cultural context when examining family dynamics and the experiences of individuals with ASD.
• Intersectionality: Intersectionality recognizes that family experiences related to ASD are shaped not only by the presence of autism but also by intersecting factors, such as race, culture, socioeconomic status, and gender. The experiences of families from diverse backgrounds can be profoundly influenced by the unique challenges they face due to the intersection of these factors (Hartley et al., 2010; Mak et al., 2010).

These theoretical frameworks provide valuable perspectives for understanding the multifaceted nature of family dynamics in the context of autism. They underscore the importance of considering the interconnectedness of family members, the role of stress and coping, the influence of ecological factors, and the impact of intersecting identities on family experiences.

Conclusion

Throughout this research paper, we have explored the intricate relationship between Autism Spectrum Disorder (ASD) and family dynamics. We examined the challenges faced by families living with autism, including increased stress, financial burden, and emotional strain. The experiences of siblings, the impact on marital relationships, and the importance of early intervention were highlighted. We discussed the role of culture, cultural competence, and intersectionality in shaping family experiences. The paper delved into the significance of support systems, early intervention, educational and vocational planning, and inclusive policies for families and individuals with ASD.

Understanding the impact of autism on family dynamics is of paramount importance. Autism is not a condition that affects only the individual diagnosed; it reverberates throughout the family unit. The stress, emotional strain, and financial burden experienced by families are significant. The challenges faced by siblings and the potential strain on marital relationships require attention and support. Early intervention programs and tailored educational and vocational planning are critical in shaping positive outcomes. Cultural competence ensures that families from diverse backgrounds receive the services they need.

It is essential to recognize the intersection of factors such as race, culture, socioeconomic status, and gender, as they can profoundly influence the experiences of families living with autism. By understanding these complexities, we can provide more effective and equitable support to families and individuals impacted by ASD.

In conclusion, this research paper underscores the complexities and challenges faced by families living with Autism Spectrum Disorder. Families are resilient, but they require support to navigate the unique demands of caregiving. Early intervention, culturally competent services, and inclusive policies are vital in promoting positive outcomes. Policymakers, practitioners, and educators should prioritize the well-being of families and individuals with ASD by adapting policies and services to their specific needs.

Future research should focus on long-term outcomes, cultural variations, intersectionality, and the effectiveness of support services. By continuing to explore these areas, we can refine our understanding of the dynamics at play and enhance the support available to families living with autism.

The journey of families living with autism is multifaceted, with its share of challenges and triumphs. By recognizing and addressing these challenges, we can foster inclusive and supportive communities where individuals with ASD and their families can thrive, realizing their full potential and leading fulfilling lives.

Bibliography

1. Barnard, L., Harvey, V., Potter, D., Prior, A., & Emereole, O. (2016). Ignored or Ineligible: The Reality for Adults with Autism Spectrum Disorders. The National Autistic Society.
2. Bekhet, A. K., Johnson, N. L., & Zauszniewski, J. A. (2012). Resilience in family caregivers of persons with autism: A review of the literature. Issues in Mental Health Nursing, 33(10), 650-656.
3. Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Harvard University Press.
4. Davis, N. O., & Carter, A. S. (2008). Parenting stress in mothers and fathers of toddlers with autism spectrum disorders: Associations with child characteristics. Journal of Autism and Developmental Disorders, 38(7), 1278-1291.
5. Gabel, S. (2004). The effectiveness of early intervention for children with autism spectrum disorders: A meta-analysis. Journal of Autism and Developmental Disorders, 34(5), 383-396.
6. Hartley, S. L., Barker, E. T., Seltzer, M. M., Greenberg, J. S., & Floyd, F. J. (2010). Marital satisfaction and parenting experiences of mothers and fathers of adolescents and adults with autism. American Journal on Intellectual and Developmental Disabilities, 115(3), 218-230.
7. Hayes, S. A., & Watson, S. L. (2013). The impact of parenting stress: A meta-analysis of studies comparing the experience of parenting stress in parents of children with and without autism spectrum disorder. Journal of Autism and Developmental Disorders, 43(3), 629-642.
8. Kuo, M. H., & Franck, L. S. (2015). Parents of children with high‐functioning autism: How well do they cope and adjust? Journal for Specialists in Pediatric Nursing, 20(3), 215-229.
9. Mak, W. W., Kwok, Y. T., & Cheng, S. S. (2010). Internalization of stigma for parents of children with autism spectrum disorder in Hong Kong. Social Science & Medicine, 70(12), 2045-2051.
10. McHale, S. M., Sloan, J., & Simeonsson, R. J. (1986). Sibling relationships of children with autistic, mentally retarded, and nonhandicapped brothers. Journal of Autism and Developmental Disorders, 16(4), 399-413.
11. Minuchin, S. (1974). Families and family therapy. Harvard University Press.
12. Sheldrick, R. C., Neger, E. N., & Perrin, E. C. (2012). Concerns of parents of children with autism: Effect of the level of intellectual disability. Autism, 16(3), 307-318.
13. Smith, L. E. (2018). Impacts of cultural differences on autism diagnosis and treatment: A scoping review. Journal of autism and developmental disorders, 48(12), 4106-4126.
14. Smith, T. (2001). Discrete trial training in the treatment of autism. Focus on Autism and Other Developmental Disabilities, 16(2), 86-92.
15. Taylor, J. L., & Seltzer, M. M. (2010). Changes in the autism behavioral phenotype during the transition to adulthood. Journal of Autism and Developmental Disorders, 40(12), 1431-1446.
16. The United States Department of Health & Human Services. (n.d.). The Affordable Care Act’s new rules on preexisting conditions.
17. The United States Department of Justice. (n.d.). The Americans with Disabilities Act: Questions and answers.
18. Wehman, P., Schall, C., McDonough, J., Kregel, J., Brooke, V., Molinelli, A., … & Ham, W. (2019). Competitive employment for youth with autism spectrum disorders: Early results from a randomized clinical trial. The Journal of Autism and Developmental Disorders, 49(8), 3439-3447.