From Disruption to Connection: A Family-Based Practice Model for Enhancing Relationships in Families of Autistic Adolescents

Abstract

Research examining family relationships in families with autistic members remains limited, and integrative frameworks that translate evidence into family focused practice are scarce. Existing interventions often prioritise individual symptom management rather than strengthening family relationships and connectedness. This article presents an evidence informed practice model designed to enhance relationships and connectedness in families of autistic adolescents, grounded in systems theory. The model draws on qualitative research with 44 participants from 18 families, including autistic adolescents, parents and siblings. Family relationship experiences and dynamics were explored, with seven key findings informing the conceptual framework and practice model. Disruptive factors such as stress, conflict, caregiver burden and challenges in relating contributed to withdrawal and disconnection, while connective factors including communication, teamwork, routines and shared positive experiences supported bonding. The practice model comprises six elements and is guided by ten principles across family structure, roles, communication and adaptive patterns. This model addresses gaps in holistic family support and offers practitioners evidence informed, family centred strategies that build on strengths while addressing relational challenges.