Older Autistic People, Access and Experiences of Services, and the Factors That Affect This

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

About the autistic author marker

Hersh, M., Mery, P., & Dawson, M. (2024). Older Autistic People, Access and Experiences of Services, and the Factors That Affect This. International Journal of Environmental Research and Public Health, 21(11), 1535. https://doi.org/10.3390/ijerph21111535

Publication date: 19 Nov 2024 Added to AutiHub: 6 Jul 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
3
Publication authors identified as autistic
3 / 3 (100.0%)

Abstract

This paper presents new empirical data obtained from interviews and focus groups on older (50 and over) autistic people's experiences of accessing a variety of services. The involvement of older autistic people and giving voice to their experiences was central to all aspects of the research process. This work makes a significant contribution to the scarce literature on older autistic people. In particular, it discusses the factors that act as barriers and enablers to the access to and productive use of services, the strategies used by participants to manage and improve their experiences, and the success of these strategies. It shows older autistic people as autonomous adults and active protagonists in their own lives, taking action to overcome the barriers they experience to accessing services on the same terms as everyone else, but that lack of understanding and support from service providers and the general public can undermine their strategies. Finally, this work provides a series of recommendations for service providers to improve (older) autistic people's service access and experiences.

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 08:04.

Cited references
47
With a DOI
33
Without a DOI, from raw bibliography text
12
11 / 47 (23.4%) cited references include at least one author identified as autistic.
References with data to complete
11 / 47 (23.4%)
References with detected author names
36 / 47 (76.6%)
Without detected author names
11
Without a structured title
11
Without a stable identifier
12
References with raw author names still to review
11
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
176
From DOI or external metadata
176
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
20
109 / 176 (61.9%) names are linked to an author already present in AutiHub. 67 / 176 (38.1%) names are not yet linked.
Names linked to a person identified as autistic
31 / 176 (17.6%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 31 / 109 (28.4%). Distinct people identified as autistic: 19 / 138 (13.8%).
  1. David Marks , Lucy Yardley (2004). Research Methods for Clinical and Health Psychology . SAGE Publications, Ltd.
    Crossref OpenAlex OpenCitations
  2. (n.d.). Eurostat (2024, August 21). Population on 1 January by Age Group and Sex. Available online: https://ec.europa.eu/eurostat/databrowser/view/DEMO_PJANGROUP__custom_1269323/bookmark/table?lang=en&bookmarkId=66c88f91-bde0-4606-abbd-bd1a65c8224a .
    Type: Other
    Crossref
  3. Janette Dinishak (2016). The Deficit View and Its Critics . Disability Studies Quarterly, 36(4). The Ohio State University Libraries.
    Crossref OpenAlex OpenCitations
  4. Marco Carotenuto (2023). Autism Spectrum Disorders - Recent Advances and New Perspectives . IntechOpen.
    Crossref OpenAlex OpenCitations
  5. Hilde M. Geurts , Goldie A. McQuaid , Sander Begeer , Gregory L. Wallace (2022). Self-reported parkinsonism features in older autistic adults: A descriptive study . Autism, 26(1), 217-229. SAGE Publications.
    Crossref OpenAlex OpenCitations
  6. Lydia Jones , Lorna Goddard , Elisabeth L. Hill , Lucy A. Henry , Laura Crane (2014). Experiences of Receiving a Diagnosis of Autism Spectrum Disorder: A Survey of Adults in the United Kingdom . Journal of Autism and Developmental Disorders, 44(12), 3033-3044. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  7. Roeliena C.D. Davids , Yvonne Groen , Ina J. Berg , Oliver Tucha , Ingrid D.C. van Balkom (2020). Local-global processing approaches in older autistic adults: A matched control study using RCFT and WAIS-IV . Research in Autism Spectrum Disorders, 78, 101655. Elsevier BV.
    Crossref OpenAlex OpenCitations
  8. Venus W. S. Tse , Jason Crabtree , Shamsun Islam , Joshua Stott (2019). Comparing Intellectual and Memory Abilities of Older Autistic Adults with Typically Developing Older Adults Using WAIS-IV and WMS-IV . Journal of Autism and Developmental Disorders, 49(10), 4123-4133. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  9. Andrea Lubin , Cecilia Feeley (2016). Transportation Issues of Adults on the Autism Spectrum . Transportation Research Record: Journal of the Transportation Research Board, 2542(1), 1-8. SAGE Publications.
    Type: Article DOI: 10.3141/2542-01 OpenAlex: https://openalex.org/W2219405871
    Crossref OpenAlex OpenCitations
  10. Marisse Sonido , Samuel R. C. Arnold , Julianne M. Higgins *Autistic author. Learn more… , Ye In (Jane) Hwang (2020). Autism in Later Life: What Is Known and What Is Needed? Current Developmental Disorders Reports, 7(2), 69-77. Springer Science and Business Media LLC.
    AutiHub · Autistic Autism Scholarship Project Crossref OpenAlex OpenCitations
  11. Devajyoti Deka , Cecilia Feeley , Andrea Lubin (2016). Travel Patterns, Needs, and Barriers of Adults with Autism Spectrum Disorder . Transportation Research Record: Journal of the Transportation Research Board, 2542(1), 9-16. SAGE Publications.
    Type: Article DOI: 10.3141/2542-02 OpenAlex: https://openalex.org/W2267591384
    Crossref OpenAlex OpenCitations
  12. Brittany N. Hand , Amber Angell , Lauren Harris , Laura Arnstein Carpenter (2020). Prevalence of physical and mental health conditions in Medicare-enrolled, autistic older adults . Autism, 24(3), 755-764. SAGE Publications.
    Crossref OpenAlex OpenCitations
  13. Marie Elwin , Agneta Schröder , Lena Ek , Tuula Wallsten , Lars Kjellin (2017). Sensory Clusters of Adults With and Without Autism Spectrum Conditions . Journal of Autism and Developmental Disorders, 47(3), 579-589. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  14. Lena Nylander , Anna Axmon , Petra Björne , Gerd Ahlström , Christopher Gillberg (2018). Older Adults with Autism Spectrum Disorders in Sweden: A Register Study of Diagnoses, Psychiatric Care Utilization and Psychotropic Medication of 601 Individuals . Journal of Autism and Developmental Disorders, 48(9), 3076-3085. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  15. Nathan J. Wilson , Ashley Stevens , Preeyaporn Srasuebkul , Michelle Kersten , Zhen Lin , Julian Trollor et al. (2021). Exploring the relationship between community mobility and quality of life, employment and completing further education for autistic adults . Journal of Transport & Health, 22, 101117. Elsevier BV.
    Crossref OpenAlex OpenCitations
  16. González Moreno, Andrés Santiago (2013). Diagnostic and Statistical Manual of Mental Disorders . American Psychiatric Association.
    Crossref OpenAlex OpenCitations
  17. Stephanie J. Wilson (2017). How is counselling experienced by people with Asperger's syndrome?: A qualitative study . UWE Research Repository (UWE Bristol).
    Type: Dissertation OpenAlex: https://openalex.org/W2592952701
    OpenAlex
  18. Venus W. S. Tse , Jiedi Lei , Jason Crabtree , Will Mandy , Joshua Stott (2022). Characteristics of Older Autistic Adults: a Systematic Review of Literature . Review Journal of Autism and Developmental Disorders, 9(2), 184-207. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  19. Silvana Unigwe , Carole Buckley , Laura Crane , Lorcan Kenny , Anna Remington , Elizabeth Pellicano (2017). GPs’ confidence in caring for their patients on the autism spectrum: an online self-report study . British Journal of General Practice, 67(659), e445-e452. Royal College of General Practitioners.
    Crossref OpenAlex OpenCitations
  20. (n.d.). Office of National Statistics (2024, August 22). Office of National Statistics Outcomes for Disabled People in the UK, Available online: https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/disability/articles/outcomesfordisabledpeopleintheuk/2020 .
    Type: Other
    Crossref
  21. (n.d.). Paradiz, V. (2024, August 21). Autism, Identity and Employment, Transcending the Obstacles of the Working World. Autism Advocate, 1st ed. Available online: https://www.rwjbh.org/documents/csh/kohls/autism-identity-employment.pdf .
    Type: Other
    Crossref
  22. Jonathan Weiss , Michelle A. Fardella (2018). Victimization and Perpetration Experiences of Adults With Autism . Frontiers in Psychiatry, 9(May), 203. Frontiers Media SA.
    Crossref OpenAlex OpenCitations
  23. Milton, D., Ridout, S., Martin, N., Mills, R., and Murray, D. (2020). Accessing services and social interaction: Strategies used by autistic people. Neurodiversity Reader, Pavilion Publishing. Chapter 27.
    Type: Other
    Crossref
  24. 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 OpenCitations
  25. PARC (Undated) (2024, July 30). Participatory Autism Research Collective. Available online: https://participatoryautismresearch.wordpress.com/ .
    Type: Other
    Crossref
  26. Milton, D., Ridout, S., Martin, N., Mills, R., and Murray, D. (2020). Neurodiversity Reader, Pavilion Publishing.
    Type: Other
    Crossref
  27. Annuska Zolyomi , Andrew Begel , Jennifer Frances Waldern , John Tang , Michael Barnett , Edward Cutrell et al. (2019). Managing Stress . Proceedings of the ACM on Human-Computer Interaction, 3(CSCW), 1-29. Association for Computing Machinery (ACM).
    Type: Article DOI: 10.1145/3359236 OpenAlex: https://openalex.org/W2970436446
    Crossref OpenAlex OpenCitations
  28. (n.d.). AASPIRE (2024, July 30). Academic Autism Partnership in Research and Education. Available online: https://aaspire.org/ .
    Type: Other
    Crossref
  29. Portland State University , Heidi Morgan (2019). Connections Between Sensory Sensitivities in Autism; the Importance of Sensory Friendly Environments for Accessibility and Increased Quality of Life for the Neurodivergent Autistic Minority . PSU McNair Scholars Online Journal, 13(1), 11. Portland State University Library.
    Crossref OpenAlex
  30. Marion Hersh *Autistic author. Learn more… , Sharon Elley , Zyggy Banks , Panda Mery *Autistic author. Learn more… , Michael Dawson *Autistic author. Learn more… , David Cowan et al. (2020). Accessing services and social interaction: strategies used by autistic people . ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam).
    Type: Article OpenAlex: https://openalex.org/W3000033757
    OpenAlex
  31. Philippa L Howard , Felicity Sedgewick (2021). ‘Anything but the phone!’: Communication mode preferences in the autism community . Autism, 25(8), 2265-2278. SAGE Publications.
    Crossref OpenAlex OpenCitations
  32. Beth Pfeiffer , Wei Song , Amber Davidson , Mark Salzer , Cecilia Feeley , Lindsey Shea (2024). Transportation Use and Barriers for Employed and Unemployed Autistic Adults . Autism in Adulthood, 6(2), 241-246. SAGE Publications.
    Crossref OpenAlex OpenCitations
  33. (n.d.). Westminster Commission on Autism (2024, October 10). A Spectrum of Obstacles: An Inquiry into Access to Healthcare for Autistic People. Available online: https://westminsterautismcommission.files.wordpress.com/2016/03/ar1011_ncg-autism-report-july-2016.pdf .
    Type: Other
    Crossref
  34. Wilson, S. (2017). How Is Counselling Experienced by People with Asperger’s Syndrome?: A Qualitative Study. [Doctoral Dissertation, University of the West of England].
    Type: Other
    Crossref
  35. Rebecca A. Charlton , Goldie A. McQuaid , Gregory L. Wallace (2024). Exploring the effects of age and sex on sensory sensitivities in middle and older aged autistic adults . Research in Autism Spectrum Disorders, 117, 102460. Elsevier BV.
    Crossref OpenAlex OpenCitations
  36. Simpson (2020). Creating accessible healthcare environments for people with autism . Nurs. Times, 116, 48.
    Type: Other
    Crossref
  37. (n.d.). (2023, August 14). Office for National Statistics (ONS) Released 3 April 2023, ONS Website, Article, Profile of the Older Population Living in England and Wales in 2021 and Changes Since 2011, Available online: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/ageing/articles/profileoftheolderpopulationlivinginenglandandwalesin2021andchangessince2011/2023-04-03 .
    Type: Other
    Crossref
  38. Anon (Undated) (2024, July 24). How Often Are Quiet Coaches Actually Quiet. Available online: https://www.railforums.co.uk/threads/how-often-are-quiet-coaches-actually-quiet . 245317/.
    Type: Other
    Crossref