OTSLPQualitativeAutism in adulthood2026

Learning from the Experiences of Autistic Professionals Working in Health and Education.

Eleanor Curnow, Donald Maciver, Lorna Johnston and 7 others

PMID 42383264

WHAT IT FOUND

Autistic health and education professionals in Scotland described disclosure as risky, interviews as confusing, and unpredictable environments as stressful.

Support came from trusted colleagues, advance information, sensory adjustments, and teams that valued neurodivergence.

Key findings

01Most participants had shared aspects of their autistic identity at work, but they deliberated carefully about what and to whom they disclosed.

02Some participants obtained employment or promotion through in-post opportunities or locum positions after interview difficulties.

03Structured, protocol-driven environments helped participants, while cumulative stressors could lead to burnout and time away from work.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs

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What it does not show

The sample was mainly White and female, so the experiences may not represent autistic professionals from other backgrounds. Participants were recruited through social media and professional contacts, so people who are already comfortable discussing autism at work may have been more likely to take part. The study did not confirm autism diagnoses, and some participants were self-identified. All participants were already working in professional roles, so the paper says little about autistic people who cannot get or keep such jobs. Training and recruitment experiences were recalled after time had passed. The findings describe experiences and cannot show whether workplace changes improve employment outcomes.

Declared interests

The study was funded by the Scottish Government through the National Autism Implementation Team. The authors declared no potential conflicts of interest.

The easy way to misread this

Do not read this as evidence that disclosure, interviews, or workplace adjustments will produce a specific patient outcome. It describes the experiences of 34 autistic professionals already working in health or education, and the sample was mainly White and female.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →