Workplace Accommodations and Employment Outcomes Among Employees With Autism: A Systematic Review

Individuals with autism often face challenges in achieving and maintaining meaningful employment, but workplace accommodations can bridge these gaps by enabling inclusion, satisfaction, and productivity. The goal of this review was to systematically evaluate and synthesize the existing evidence base on workplace accommodations for adults with autism. After conducting a systematic search of numerous databases, ten empirical studies published between 2010 and 2025, including randomized controlled trials, cohort studies, surveys, and qualitative studies, were included. The quality of studies was assessed using the Critical Appraisal Skills Programme (CASP), the Joanna Briggs Institute (JBI), and Risk-of-Bias (RoB) instruments, with the majority of studies being assessed as moderate-to-high quality but having small sample sizes and relying on self-report. Accommodation reports fall into four groups: assistive technology; organizational, sensory, and environmental adaptations; supervisory and relational support; and skills and psychosocial support. In general, the evidence indicated that accommodations were linked to better job acquisition, stability, satisfaction, and productivity, albeit with variability in effectiveness based on relational quality, disclosure practice, and organizational culture. Consistent results highlighted the value of individually tailored support and respectful supervisory relationships, while variations indicated lingering barriers to stigma, ignorance, and uneven policy implementation. However, the heterogeneity of methods and the exclusion of broader autism groups limit the generalizability of findings in these studies. Longitudinal and intervention studies, participatory approaches to design, and representation of underrepresented groups are essential priorities for future research to further develop evidence-based practice and guide employer training and policy.