Final Week 2 Flashcards

1
Q

ASD and Employment Assumptions

A

ASD quality of life measurements comparable to NTs
Job satisfaction correlates with life satisfaction
Self efficiency correlates with work outcome
ASD individuals are capable of employment and want to work
Advantages of ASD employment: a chance to do what they want, social components, and money (not as significant)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Employment Numbers

A

Canada: 300,000 adults working with ASD
Worldwide: 50-60 million adults have ASD
Many people employed aren’t officially diagnosed/don’t know they’re autistic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Employment Numbers Studies

A

Scott (2015) labour force participation rates:
•Neurotypicals: 83%, Those with any disabilities: 54%, ASD: 34%
Howarda (DSM 4):
•25% of ASD were employed
Roux:
•ASD: least likely to be employed out of all special ed
•ID 4x, emotional disturbance 7x, learning disability 12x, and speech/language impairment 7x
The National Longitudinal Transition Study:
•45.2% of youth with ASD had paid job (71% normals)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Possible Employment Outcomes

A

Unemployed (no job)
Underemployed (employed but doesn’t meet skill sets)
Malemployed (wrong job)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Barriers to Employment

A

People with ASD need:
•Family support
•Agencies available (life coaches)
•Community (employers wanting to take the risk)
•Workplace (keeping them on the job)
Benefits: social, economic (Ganz: average lifetime cost: $3,200,000 – adult care and lost productivity)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Internal Challenges with ASD and Employment

A

Finding work, interviews, On-the-job skills, behaviours, social skills, and comorbidities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Finding Work

A
  • Navigating want-adds (craigslist)

* Executive functioning needed for: writing resumes, sending to employers, following up (ToM)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Job Interview

A
  • Presentation (hygiene, dress)
  • On time (executive functioning)
  • Open ended questions/thinking on your feet
  • Social graces: eye contact, smile, firm hand shake, etc
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

On-the-job Skills

A
  • Executive functioning skills (knowing how to ask for direction)
  • Balancing/prioritizing workload (knowing where to start)
  • Complex sets of instruction
  • Expectation of generalization (floor specialist at mcdonalds)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Behaviours

A
Hendricks: behaviours are more problematic to employers than job-task related issues because of their: 
•Inflexible routines (floor specialist)
•Ritualistic behaviours
•Tantrums/aggression 
•Sensory issues
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Social Skills

A

Hendricks: one of the most significant barriers to successful employment
•Rude/no filter
•Poor social communication
•Poor negotiation skills/challenge with compromise
•Failure to understand instructions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Comorbidities

A

When they want to start work, mental health issues can come up: anxiety, depression, ADHD, and ID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

External Challenges

A

Workplace protocols, disability attitudes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Workplace protocols

A

Tardiness protocol, overtime, health and safety, rules, honesty (assessment making him an alcoholic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Disability attitudes

A
  • Employer understanding?

* Fixed way of doing business (not willing to adapt)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Types of Jobs

A
ASD Friendly:
•Pattern recognition/repetitive 
•Income not tied to production/sales
•Less emphasis on deadlines/rushing 
ASD Challenging:
•Income tied to social skills (sales) needing ToM
•Reliant on generalization 
•Reliant on deadlines/rushing
17
Q

Types of Employment

A

Competitive employment, self-employment, supported employment, customized employment, social enterprise

18
Q

Competitive Employment

A
  • ‘Regular’ job

* Doesn’t necessarily require support (but can)

19
Q

Self-Employment

A
  • Start-ups
  • Contract work
  • Ex: art work, programming websites
20
Q

Supported Employment

A

UN: person with disabilities has the right to work on an equal basis with others
•Supported employment: paid work in integrated work settings with support for individuals with disabilities
*Phases: assessment, job finding/analysis/matching/ redesign, intro to workplace, training on the job, support outside the workplace and ongoing support

21
Q

Customized Employment

A

Provides a set of services prior to employment designed to fit the employer and job seeker’s needs
•Goal: avoid barriers created by job descriptions through voluntary negotiations

22
Q

Social Enterprise

A

Non-Prof organization that generates income while promoting positive social, cultural, and environmental outcomes (may or may not be payed)

23
Q

Making a Case for ASD in the Workplace

A
  • Employers: learn about ASD and how it brings positivity and new skill sets to workplace
  • ASD ratings: less flexible, pay more attention to detail, complete work on time, and have better work ethic
24
Q

Anderson: A Systematic Review of Interventions for Adults with ASD to Promote Employment

A
  • ABA
  • Behavioural Skills Training (prompting, reinforcement, feedback) showed strong impacts
  • Video-Based Intervention (VBI): an emerging intervention showing potential
25
Q

Baker: Supported Employment, Comprehensive Cognitive Enhancement, and Social Skills Intervention (SUCCESS)

A
  • Cognitive/social challenges lead to poor employment outcomes
  • Taught skills (executive functioning, social) lead to more than doubled employment rates
26
Q

Specialisterne

A

Danish for “the specialists”
•Danish company (2008)
•Specialist People Foundation (2009): goal to employ 1,000,000 people with ASD globally (not achieved yet)
•Partnered with SAP (software company) to help get 1% (65,000) of their goal workforce (2013)
•Testsite in Vancouver

27
Q

Other Employers

A

Israeli Army (unit 9900 deciphering satellite images), Microsoft, Walgreens, Focus Professionals, Meticulon

28
Q

Adults Who Missed Diagnosis

A

Kanner (1943): “autistic disturbances of affective contact”
•First wave up to 75 years old that were never diagnosed
DSM-III (1980): first generation to have title of autism (IA)
•Second wave all over 38 years old
DSM-IV (1994): Intro to Aspergers
•Third wave now 24 years old

29
Q

ASD in Adulthood Assumptions

A

Prior versions of DSM/ICD
•More likely to be intellectually delayed, male, and has lower incidence rates
Current
•should be 1/68, M-F ratio should be less than 5-1, cognitive functioning should be above ID level

30
Q

Brugha: Epidemiology of ASD in Adults in England

A

•Stratified random sampling with questionnaire (20 questions)
•ADOS-4: 618/7,461 had probable scores
•Incidence rates: approx 1%
•Significant demographic findings:
*Male: 18/1,000 Female 2/1,000
*More likely to be single and less likely to own real estate

31
Q

Lai & Baron-Cohen

A

Average male has more ASD symptoms than average female

32
Q

Challenges with ASD Adult Assessment

A
  • Parents may not be able to provide developmental history
  • Normative behaviours change overtime (Kanner’s version of play different than current play)
  • More isolation lead to less social comparison
  • Lifelong social pressures may lead to more camouflage behaviours (trained eye contact)
  • ASD symptoms can be overshadowed by co-occuring conditions (epilepsy)
  • May be triggered by setback phenomenon
33
Q

Late vs Early Diagnosis

A

Early: more likely to get accurate support, accommodations, and acceptance of ASD
Late: diagnostic confusion and missed opportunities leading to:
•High rates of co-occuring mental challenges
•Increased cost of social challenges
•Higher likelihood of health conditions (epilepsy)