Healthcare Professionals’ Knowledge, Experience, and Training in Caring for Autistic Adults: A Systematic review

This publication is included in the Autistic Autism Scholarship Project. two authors of this publication are identified as autistic in the project.

About the autistic author marker

Rigney, F., Kinsella, S., Moylan, M., Dooly, Z., Doherty, M., Rinehart, N., & Gooney, M. (2026). Healthcare Professionals’ Knowledge, Experience, and Training in Caring for Autistic Adults: A Systematic review. Journal of Health and Rehabilitation Sciences, 5(1), 53-72. https://doi.org/10.33700/jhrs.5.1.224

Journal or book title
Journal of Health and Rehabilitation Sciences
Publisher
Alma Mater Europaea University
Volume
5
Issue
1
Pages
53-72
Publication date: 17 May 2026 Added to AutiHub: 6 Aug 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
7
Publication authors identified as autistic
2 / 7 (28.6%)

Abstract

Introduction: Autistic adults experience high rates of co-occurring physical and mental health conditions and often face unmet needs in all healthcare settings due to communication differences, sensory sensitivities, and atypical presentations. Healthcare professionals (HCPs) play a central role in addressing these needs; however, evidence suggests there are significant gaps in autism-specific knowledge and training. Aim: Examine HCPs knowledge, experience, and training related to caring for autistic adults. Methods: A systematic review was conducted according to the PRISMA guidelines. Studies were retrieved from five databases (Scopus, PsycINFO, PubMed, Medline and Web of Science). Nineteen studies were included in the final analysis. Results: Findings across studies indicated that HCPs possess limited and inconsistent autism-specific knowledge, and have common deficits, with notable gaps in communication, recognition of autistic adults, and management of sensory and co-occurring health needs. Clinical experience caring for autistic adults was variable and often limited. Autism-specific training was inconsistent and typically brief, with between one-third and three-quarters of HCPs reporting unmet training needs. Conclusion: This review highlighted substantial gaps in HCPs’ autism-specific knowledge, training, and experience, contributing to barriers in healthcare for autistic adults Findings highlight a clear need for standardised, evidence-based autism education across undergraduate training and continuing professional development. Future work is needed to establish coherent structured curricula with the meaningful involvement of autistic adults in the design and delivery of training and education to support person-centred healthcare.

Bibliography cited by this reference

Cited references are imported from external metadata sources when they are available. The list may be partial.

Cited bibliography overview

These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 2 Oct 2026 17:07.

Cited references
38
With a DOI
36
Without a DOI, from raw bibliography text
2
5 / 38 (13.2%) cited references include at least one author identified as autistic.
References with data to complete
2 / 38 (5.3%)
References with detected author names
36 / 38 (94.7%)
Without detected author names
2
Without a structured title
2
Without a stable identifier
2
References with raw author names still to review
2
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
308
From DOI or external metadata
308
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
6
82 / 308 (26.6%) names are linked to an author already present in AutiHub. 226 / 308 (73.4%) names are not yet linked.
Names linked to a person identified as autistic
12 / 308 (3.9%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 12 / 82 (14.6%). Distinct people identified as autistic: 8 / 289 (2.8%).
  1. Ousseny Zerbo , Maria L Massolo , Yinge Qian , Lisa A. Croen (2015). A Study of Physician Knowledge and Experience with Autism in Adults in a Large Integrated Healthcare System . Journal of Autism and Developmental Disorders, 45(12), 4002-4014. Springer Science and Business Media LLC.
    Crossref OpenAlex
  2. Javad Alaghband-rad , Maryam Ardeshir , Elham Hakki Kazazi , Mahtab Motamed (2023). Adult autism spectrum disorder: knowledge, attitude and practice of health system professionals . The Journal of Mental Health Training, Education and Practice, 18(3), 185-194. Emerald.
    Crossref OpenAlex
  3. Meng-Chuan Lai , Simon Baron-Cohen (2015). Identifying the lost generation of adults with autism spectrum conditions . The Lancet Psychiatry, 2(11), 1013. Elsevier BV.
    Crossref OpenAlex
  4. American Psychiatric Association (2022). Diagnostic and Statistical Manual of Mental Disorders . American Psychiatric Association Publishing.
    Crossref OpenAlex
  5. Traolach Brugha , Sally McManus , John Bankart , Fiona Scott , Susan Purdon , Jane Smith et al. (2011). Epidemiology of Autism Spectrum Disorders in Adults in the Community in England . Archives of General Psychiatry, 68(5), 459. American Medical Association (AMA).
    Crossref OpenAlex
  6. Pia Bradshaw , Elizabeth Pellicano , Mieke van Driel , Anna Urbanowicz (2019). How Can We Support the Healthcare Needs of Autistic Adults Without Intellectual Disability? Current Developmental Disorders Reports, 6(2), 45-56. Springer Science and Business Media LLC.
    Crossref OpenAlex
  7. Susan M. Havercamp , Karen Ratliff-Schaub , Patricia Navas Macho , Cherelle N. Johnson , Kelsey L. Bush , Heather T. Souders (2016). Preparing Tomorrow's Doctors to Care for Patients With Autism Spectrum Disorder . Intellectual and Developmental Disabilities, 54(3), 202-216. Informa UK Limited.
    Crossref OpenAlex
  8. Karola Dillenburger , Lyn McKerr , Julie-Ann Jordan , Mickey Keenan (2016). Staff Training in Autism: The One-Eyed Wo/Man… . International Journal of Environmental Research and Public Health, 13(7), 716. MDPI AG.
    Crossref OpenAlex
  9. Sarah Carlier , Patrick Vorlet , Cláudia Sá dos Reis , C. Malamateniou (2023). Strategies, challenges and enabling factors when imaging autistic individuals in Swiss medical imaging departments . Journal of Medical Imaging and Radiation Sciences, 54(4), S53-S63. Elsevier BV.
    Crossref OpenAlex
  10. Tamara E. Rosen , Carla A. Mazefsky , Roma A. Vasa , Matthew D Lerner (2018). Co-occurring psychiatric conditions in autism spectrum disorder . International Review of Psychiatry, 30(1), 40-61. Informa UK Limited.
    Crossref OpenAlex
  11. Andrew Cashin , Amy Pracilio , Thomas Buckley , Michelle Kersten , Julian Trollor , Julia Morphet et al. (2022). A survey of Registered Nurses’ educational experiences and self-perceived capability to care for people with intellectual disability and/or autism spectrum disorder . Journal of Intellectual & Developmental Disability, 47(3), 227-239. Informa UK Limited.
    Crossref OpenAlex
  12. Quan Nha Hong , Sergi Fàbregues , Gillian Bartlett , Felicity Boardman , Margaret Cargo , Pierre Dagenais et al. (2018). The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers . Education for Information, 34(4), 285-291. SAGE Publications.
    Crossref OpenAlex
  13. Kirsten Corden , Rebecca Brewer , Eilidh Cage (2022). A systematic review of healthcare professionals’ knowledge, self-efficacy and attitudes towards working with autistic people . Review Journal of Autism and Developmental Disorders, 9(3), 386. Springer Science and Business Media LLC.
    Crossref OpenAlex
  14. Samuel Tromans , Verity Chester , Chaya Kapugama , Amy Elliott , Sarah Robertson , Mary Barrett (2019). The PAAFID project: exploring the perspectives of autism in adult females among intellectual disability healthcare professionals . Advances in Autism, 5(3), 157-170. Emerald.
    Crossref OpenAlex
  15. Patricia M. Dietz , Charles E. Rose , Dedria McArthur , Matthew Maenner (2020). National and State Estimates of Adults with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 50(12), 4258-4266. Springer Science and Business Media LLC.
    Crossref OpenAlex
  16. Anna Urbanowicz , Timothy Parkin , Kate van Dooren , Sonya Girdler , Marina Ciccarelli , Nicholas Lennox (2020). The experiences, views, and needs of health professionals who provide care to adults on the autism spectrum . Research and Practice in Intellectual and Developmental Disabilities, 7(2), 179-192. Informa UK Limited.
    Crossref OpenAlex
  17. Eray, S., & Murat, D. (2017). Effectiveness of autism training programme: An example from Van, Turkey. Journal of Pakistan Medical Association, 67(11), 1708-1713.
    Type: Other
    Crossref
  18. Regina Sala , Lorene Amet , Natasa Blagojevic-Stokic , Paul Shattock , Paul Whiteley (2020). Bridging the Gap Between Physical Health and Autism Spectrum Disorder . Neuropsychiatric Disease and Treatment, Volume 16, 1605-1618. Informa UK Limited.
    Crossref OpenAlex
  19. Frank, J. R., Snell, L., & Sherbino, J. (Eds.). (2015). CanMEDS 2015 physician competency framework. Ottawa, Canada: Royal College of Physicians and Surgeons of Canada. [royalcollege.ca]
    Type: Other
    Crossref
  20. Matthew J Page , David Moher , Patrick M Bossuyt , Isabelle Boutron , Tammy C Hoffmann , Cynthia D Mulrow et al. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews . BMJ, 372, n71. BMJ.
    Type: Article DOI: 10.1136/bmj.n71 OpenAlex: https://openalex.org/W3118615836
    Crossref OpenAlex
  21. Caroline Fyfe , Henric Winell , Joseph Dougherty , David H Gutmann , Alexander Kolevzon , Natasha Marrus et al. (2026). Time trends in the male to female ratio for autism incidence: Population based, prospectively collected, birth cohort study . BMJ, 392, e084164. BMJ.
    Crossref OpenAlex
  22. Waganesh A. Zeleke , Tammy L. Hughes , Gibbs Kanyongo (2021). Assessing the Effectiveness of Professional Development Training on Autism and Culturally Responsive Practice for Educators and Practitioners in Ethiopia . Frontiers in Psychiatry, 11, 583674-583674. Frontiers Media SA.
    Crossref OpenAlex
  23. Hacer Gizem Gerçek , Çağla Çelikkol Sadıç , Aziz Kara (2024). The level of knowledge about autism spectrum disorders among a university hospital healthcare professionals in Turkey . Journal of Clinical Psychiatry, 27(1), 12-20. LookUs Bilisim A.S..
    Crossref OpenAlex
  24. Natasha Malik-Soni , Andrew Shaker , Helen Luck , Anne E. Mullin , Ryan E. Wiley , M. E. Suzanne Lewis et al. (2022). Tackling healthcare access barriers for individuals with autism from diagnosis to adulthood . Pediatric Research, 91(5), 1028-1035. Springer Science and Business Media LLC.
    Crossref OpenAlex
  25. Samar Z Hamdan , Amanda Bennett (2024). Autism-Friendly Healthcare: A Narrative Review of the Literature . Cureus, 16(7), e64108-e64108. Springer Science and Business Media LLC.
    Crossref OpenAlex
  26. Martina Micai , Antonio Ciaramella , Tommaso Salvitti , Francesca Fulceri , Laura Maria Fatta , Luise Poustka et al. (2021). Autistic Adult Health and Professional Perceptions of It: Evidence From the ASDEU Project . Frontiers in Psychiatry, 12, 614102. Frontiers Media SA.
    Crossref OpenAlex
  27. Tybytha D. Ryan , Maryellen Brunson McClain , Anna Merrill , Naima Dahir , Bryn Harris , Sarah M. Irby (2022). Preliminary investigation of interdisciplinary trainee’s improvement in knowledge about autism spectrum disorder . Advances in Autism, 8(1), 14-26. Emerald.
    Crossref OpenAlex
  28. Nikolaos Stogiannos , Jane Harvey‐Lloyd , Barbara Nugent , Andrea Brammer , S. Carlier , Karen Cleaver et al. (2022). Autism-friendly MRI: Improving radiography practice in the UK, a survey of radiographer practitioners . Radiography, 28(1), 133-141. Elsevier BV.
    Crossref OpenAlex
  29. Maria Strömberg , Lina Liman , Peter Bang , Kajsa Igelström (2022). Experiences of Sensory Overload and Communication Barriers by Autistic Adults in Health Care Settings . Autism in Adulthood, 4(1), 66-75. SAGE Publications.
    Crossref OpenAlex
  30. Ramzi Shawahna (2021). Self-rated familiarity with autism spectrum disorders among practicing nurses: a cross-sectional study in the palestinian nursing practice . BMC Nursing, 20(1), 241. Springer Science and Business Media LLC.
    Crossref OpenAlex
  31. Kelly A. Shaw , Susan Williams , Mary E. Patrick , Miguel Valencia-Prado , Maureen S. Durkin , Ellen M. Howerton et al. (2025). Prevalence and early identification of Autism Spectrum Disorder among children aged 4 and 8 Years — Autism and Developmental Disabilities Monitoring Network, 16 Sites, United States, 2022 . MMWR Surveill Summ 2025, 74(SS-2), 1. Centers for Disease Control MMWR Office.
    Crossref OpenAlex
  32. Peiru Tong , Irene Shidong An (2024). Review of studies applying Bronfenbrenner's bioecological theory in international and intercultural education research . Frontiers in Psychology, 14, 1233925-1233925. Frontiers Media SA.
    Crossref OpenAlex
  33. Amy Watson‐Grace , Ankita Patel , Priyanka Paradkar , Lauren Oatney , Todd B. Monroe , Esther Chipps et al. (2025). Author response for "Nursing Perspectives on Factors that Influence Provision of Patient-Centered Care for Autistic Patients in a Large Urban Hospital System: A Qualitative Study" . Wiley.
    Crossref OpenAlex