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Purpose: Navigating the postsecondary landscape is a complex and daunting journey for many autistic students due to widespread misconceptions about autism among nonautistic peers and educators. Additionally, barriers to self-advocacy limit students' academic and social integration, ultimately compromising their ability to graduate. Despite these challenges, there remains inadequate support for this population with social communication, executive functioning, and self-advocacy. Speech-language pathologists (SLPs) are well positioned to reduce existing barriers and provide support to autistic students and their postsecondary communities in these needed areas. This clinical focus article highlights the pivotal role SLPs could play in establishing personalized supports for autistic college students and describes how SLPs can leverage their unique skills to fulfill this role.
Method: Drawing from existing literature, clinical expertise, the neurodiversity framework, and lived experiences of autistic college students, we offer guidelines for the indirect and direct supports that SLPs can provide. In addition, we provide a case example and personalized support plan to illustrate the application of direct supports.
Conclusions: Targeted direct and indirect supports are crucial to autistic students' retention, success, and graduation rates and to building a welcoming postsecondary community. This article emphasizes how SLP supports for autistic college students fall within the scope of practice and how these supports can be operationalized through the concrete examples provided.
Supplemental Material: https://doi.org/10.23641/asha.29496335.
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http://dx.doi.org/10.1044/2025_AJSLP-24-00467 | DOI Listing |
Aust Occup Ther J
October 2025
Department of Occupational Therapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Peninsula Campus, Frankston, Victoria, Australia.
Introduction: Standardised assessments are necessary for autistic children and are part of the process of gathering information to develop intervention plans, to monitor progress and gain funding. Due to behavioural characteristics that may be displayed by autistic children, the required structure and demands of standardised assessments can lead to inaccurate results of a child's skills and abilities, impacting outcomes. The Occupational Therapy Observation Tool-Adjustment Support Details (OTOT-ASD) is a descriptive companion tool to be utilised alongside standardised assessment, to enhance accurate assessment of a child's true skills and abilities.
View Article and Find Full Text PDFJ Int Soc Prev Community Dent
June 2025
Department of Pediatric and Preventive Dentistry, M A Rangoonawala Dental College, Pune, Maharashtra, India.
Aim: The prevalence of autism spectrum disorder (ASD) and early childhood caries (ECC) is increasing globally. The association between ASD and ECC remains unclear. This study aimed to evaluate risk factors for ECC in children with ASD in Kazakhstan and Ukraine.
View Article and Find Full Text PDFSchool Ment Health
September 2024
Department of Child and Family Development, San Diego State University, San Diego, CA, USA.
Research indicates inadequate evidence-based practice (EBP) implementation for autistic adolescents in schools, despite schools being the most accessed service system by autistic youth. It is critical for school personnel to have a systematic approach to select and adopt autism EBPs. The Autism Community Toolkit: Systems to Measure and Adopt Research-based Treatments (ACT SMART) is a packaged implementation process tool designed to facilitate autism EBP adoption and uptake in community agencies, with promising feasibility, utility, and effectiveness.
View Article and Find Full Text PDFSci Rep
August 2025
Faculty of Artificial Intelligence in Education, Central China Normal University, Wuhan, 430079, China.
This study investigated the effectiveness of daily living skills intervention training for children with autism in a virtual campus setting. First, six children with autism (age M = 10.50, SD = 2.
View Article and Find Full Text PDFJ Autism Dev Disord
August 2025
Autism Centre of Excellence, Griffith Institute for Educational Research, Brisbane, Australia.
Recent research has shown that autistic children are reported to have lower school attendance than non-autistic students. School non-attendance can occur for multiple reasons, including attendance at medical/health appointments and school refusal/emotionally based school avoidance. Providing support to improve autistic children's school attendance requires an understanding of the factors that potentially lead to or influence specific types of school non-attendance.
View Article and Find Full Text PDF