A Pilot Randomized Controlled Trial of the Autism Mentorship Program

While mentoring programs have many positive social-emotional outcomes for youth, the benefits of mentoring are not yet well understood for autistic youth, a population that frequently seeks social and mental health supports. The current pilot randomized clinical trial study aims to examine (1) the acceptability of the Autism Mentorship Program (AMP) and (2) the preliminary effectiveness of AMP in improving mentees' well-being and reducing symptoms of mental health problems.

Participants included 24 autistic youth, 24 caregivers of autistic youth, and 12 autistic adults. Youth (ages 14-18) were randomized to AMP or services-as-usual (SAU), with 13 randomized into AMP. AMP included 23 weekly online mentoring sessions during which autistic mentors and autistic adolescents met in 1-to-1 meetings and discussed topics related to social-emotional learning or shared interests or engaged in an activity of their choosing. Youth, caregivers and autistic mentors completed pre- and post-program assessments related to satisfaction, mental health, and psychosocial outcomes. Analyses focused on descriptive trends and effect sizes due to limited power.

Participants in AMP reported high program satisfaction and strong mentoring relationships. Compared to youth in SAU, AMP youth showed improvements in self-esteem, satisfaction with self, perceived social support, and engagement, with small to moderate effect sizes. Mentees also reported trends toward reduced anxiety and depression.

AMP is a feasible, acceptable, and potentially effective identity-affirming program for autistic adolescents. Findings support further evaluation in larger trials to establish its utility as a scalable, community-based mental health support within autistic communities.