Approaches to improving mental healthcare for autistic people: systematic review

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Loizou, S., Pemovska, T., Stefanidou, T., Foye, U., Cooper, R., Kular, A., Greenburgh, A., Baldwin, H., Griffiths, J., Saunders, K. R. K., Barnett, P., Minchin, M., Brady, G., Ahmed, N., Parker, J., Chipp, B., Olive, R. R., Jackson, R., Timmerman, A.,..., & Johnson, S. (2024). Approaches to improving mental healthcare for autistic people: systematic review. BJPsych Open, 10(4), e128-e128. https://doi.org/10.1192/bjo.2024.707

Publication date: 1 Jul 2024 Added to AutiHub: 6 Jul 2026 Type: Article Article language: English
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Authors

Publication authors
31
Publication authors identified as autistic
1 / 31 (3.2%)
  1. Sofia Loizou
  2. Tamara Pemovska
  3. Theodora Stefanidou
  4. Una Foye
  5. Ruth Cooper
  6. Ariana Kular
  7. Anna Greenburgh
  8. Helen Baldwin
  9. Jessica Griffiths
  10. Katherine R. K. Saunders
  11. Phoebe Barnett
  1. Matilda Minchin
  2. Gráinne Brady
  3. Nafiso Ahmed
  4. Jennie Parker
  5. Beverley Chipp
  6. Rachel Rowan Olive
  7. Robin Jackson
  8. Amanda Timmerman *
  9. Suzi J. Sapiets
  10. Eva Driskell
  11. Bethany Parsons
  1. Debbie Spain
  2. Vasiliki Totsika
  3. Will Mandy
  4. Richard Pender
  5. Philippa Clery
  6. Kylee Trevillion
  7. Brynmor Lloyd‐Evans
  8. Alan Simpson
  9. Sonia Johnson

Abstract

BACKGROUND: Autistic people have a high likelihood of developing mental health difficulties but a low chance of receiving effective mental healthcare. Therefore, there is a need to identify and examine strategies to improve mental healthcare for autistic people. AIMS: To identify strategies that have been implemented to improve access, experiences of care and mental health outcomes for autistic adults, and to examine evidence on their acceptability, feasibility and effectiveness. METHOD: A co-produced systematic review was conducted. MEDLINE, PsycINFO, CINHAL, medRxiv and PsyArXiv were searched. We included all study designs reporting acceptability or feasibility outcomes and empirical quantitative study designs reporting effectiveness outcomes. Data were synthesised using a narrative approach. RESULTS: A total of 30 articles were identified. These included 16 studies of adapted mental health interventions, eight studies of service improvements and six studies of bespoke mental health interventions developed for autistic people. There was no conclusive evidence on effectiveness. However, most bespoke and adapted approaches appeared to be feasible and acceptable. Identified adaptations appeared to be acceptable and feasible, including increasing knowledge and detection of autism, providing environmental adjustments and communication accommodations, accommodating individual differences and modifying the structure and content of interventions. CONCLUSION: Many identified strategies are feasible and acceptable, and can be readily implemented in services with the potential to make mental healthcare more suitable for autistic people, but important research gaps remain. Future research should address these and investigate a co-produced package of service improvement measures.

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These indicators describe the cited bibliography imported for this publication. Cited-reference metrics use the cited-reference total as denominator. Cited-author metrics state whether they use all cited-author occurrences or only occurrences linked to authors already integrated in the AutiHub database. They use cached links between cited authors and authors integrated in the AutiHub database. Last computed: 16 Aug 2026 11:31.

Cited references
73
Total cited references integrated for this publication.
Cited references with an identified autistic author
4 / 73 (5.5%)
Cited author occurrences identified as autistic
10 / 415 (2.4%)
Among occurrences linked to AutiHub author records: 10 / 128 (7.8%). Distinct cited authors identified as autistic: 9 / 360 (2.5%).
Cited author occurrences linked to AutiHub author records
128 / 415 (30.8%)
Distinct linked cited authors: 84 / 360 (23.3%)
Linked cited-author occurrences not identified as autistic
118 / 128 (92.2%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 118 / 415 (28.4%). Distinct linked cited authors not identified as autistic: 75 / 84 (89.3%).
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