Achieving competitive, customized employment through specialized services (ACCESS)

Abstract

There is a paucity of research regarding employment services for adults with autism. Interventions typically focus on adapting behaviors of the person rather than customized approaches and environmental adaptations that may improve employment matching and ongoing, competitive employment rates. OBJECTIVE: The ACCESS intervention protocolizes the customized employment (CE) process and has the potential to optimize employment outcomes in adults with autism. Lessons learned during the implementation of the Phase I open trial are presented. METHODS: The study utilizes a randomized pre-test post-test experimental control group design. Phase I - open trial (N= 10) of the study tested feasibility and acceptability of the ACCESS intervention. Phase II - randomized controlled trial (N= 30) will test preliminary efficacy of an amended intervention protocol. RESULTS: Findings from the open trial suggest the need for a revised recruitment strategy and an extended timeframe for the intervention. Thorough screening of practitioners and assessing participants' work motivation may reduce attrition. CONCLUSION: An evidence-based, user-friendly process that employs well-trained practitioners is critical to successful implementation of CE services with fidelity and consistency. A collaborative approach to training, implementation, documentation, evaluation, and pre and post-employment supports is essential to promote an effective and sustainable intervention.