‘It's Really Who They Are and What They Want’: Staff Perspectives on Supporting Autonomy for Autistic Adults With Intellectual Disabilities

Ryan, J. G., Brown, H. M., Borden, A., Devlin, C., Kedmy, A., Lee, A., Nicholas, D., & Thompson-Hodgetts, S. (2025). ‘It's Really Who They Are and What They Want’: Staff Perspectives on Supporting Autonomy for Autistic Adults With Intellectual Disabilities. Journal of Applied Research in Intellectual Disabilities, 38(4), e70106-e70106. https://doi.org/10.1111/jar.70106

Publication date: 1 Jul 2025 Added to AutiHub: 5 Jul 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
8
Publication authors identified as autistic
2 / 8 (25.0%)

Abstract

BACKGROUND: Autonomy is a crucial component of self-determination, yet it is limited for Autistic individuals, especially those with co-occurring intellectual disabilities. We explored how professionals supported Autistic people with intellectual disabilities' autonomy. MATERIALS AND METHODS: This qualitative study used a community-based participatory approach. Nine staff who worked within a post-secondary transition programme to support Autistic young adults with intellectual disabilities were interviewed. Data were analysed using reflexive thematic analysis. RESULTS: The quality and depth of relationships between staff and Autistic adults with intellectual disabilities, and a safe, supportive environment, were critical to supporting autonomy. Staff also identified several skill areas that would benefit program participants to exert their autonomy, including self-advocacy, interoceptive awareness, working with others, and understanding choices. CONCLUSIONS: This crucial information for supporting autonomy for Autistic adults with intellectual disabilities provides a basis for enacting programme change to promote self-determination. Recommendations for staff and programme development are provided.

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Bibliography inclusion overview

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 11:30.

Cited references
68
Total cited references integrated for this publication.
Cited references with an identified autistic author
9 / 68 (13.2%)
Cited author occurrences identified as autistic
27 / 257 (10.5%)
Among occurrences linked to AutiHub author records: 27 / 104 (26.0%). Distinct cited authors identified as autistic: 20 / 217 (9.2%).
Cited author occurrences linked to AutiHub author records
104 / 257 (40.5%)
Distinct linked cited authors: 85 / 217 (39.2%)
Linked cited-author occurrences not identified as autistic
77 / 104 (74.0%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 77 / 257 (30.0%). Distinct linked cited authors not identified as autistic: 65 / 85 (76.5%).
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