Employment First is failing Level 3 adults, and nobody’s tracking the outcomes Thirty-one states passed Employment First legislation. The national competitive integrated employment rate for people served by state disability...
Crisis communication card for non-speaking adults Your non-speaking adult cannot tell the ER doctor that she has a peanut allergy or that flashing lights trigger seizures. The card in her...
Crisis decision tree: 988 vs 911 vs mobile crisis vs ER Four doors. Three of them are not the ER. Knowing which door to open in the worst hour of...
Customized employment: is it a real option for your high-support-needs adult? It is promoted specifically for people most affected by disability. A 2023 review found eighteen studies and zero randomized...
Dental Care for Autistic Adults: The Crisis Nobody Talks About A toothache doesn’t announce itself politely in an adult who can’t easily say where it hurts. It shows up as...
Co-Occurring Mental Health Conditions: When It’s Not ‘Just Autism’ A clinician who attributes every symptom to autism isn’t being thorough. They’re skipping the exam. This single diagnostic habit causes more...
Constipation as a Medical Emergency: The GI Crisis Hiding in Plain Sight For a Level 2 or 3 adult, chronic untreated constipation is one of the most common causes of...
Creating sustainable daily structure for high-support adults Boredom is not a mood. For a high-support adult with long unstructured stretches, it is a predictable risk factor for the exact behaviors...
Building natural supports and community inclusion Seventy percent of autistic adults report loneliness. The intervention is not another program. It is two named community members who know his story and...
Adult elopement and wandering: safety that respects autonomy When your autistic adult walks away, the goal is not a locked door. It is a layered plan that keeps them alive...
