ABSTRACT

As is evident from previous chapters, the outcome for people with autism or Asperger syndrome is extremely variable. Some may spend all their lives in educational and residential accommodation with other autistic individuals; others continue to live a life of isolation and exclusion; still others go through university, find jobs, marry and raise families of their own. Innate linguistic and cognitive skills are major factors in influencing outcome, with good intellectual and language abilities being crucial predictors of outcome. However, these alone are not enough. In order to maximise opportunities for people with autism appropriate support structures are required to circumvent problems related to social and communication difficulties, to reduce the negative impact of ritualistic behaviours, and to enhance the potential value of special skills or interests. Recent research has identified strategies that can be used to improve functioning in these areas, and also provides evidence on how occupational and educational facilities can be improved in order to optimise assets and modify deficits.