Screening for Autism Spectrum Condition Through Inner City Homeless Services in the Republic of Ireland

J Autism Dev Disord. 2023 Oct;53(10):3987-3998. doi: 10.1007/s10803-022-05669-x. Epub 2022 Aug 10.

Abstract

Homeless service users were screened for autism spectrum disorder through one of Ireland's leading not for profit service providers. Keyworkers acted as proxy informants; their caseloads were screened using the DSM-5-Autistic Traits in the Homeless Interview (DATHI). Client current and historical health and behaviour data was collated. A representative sample of 106 eligible keyworkers caseloads were screened, identifying 3% "present" and 9% "possibly present" for autistic traits with the DATHI. These findings suggest a high estimate of autism prevalence and support emerging evidence that, people with autism are overrepresented in the homeless population, compared to housed populations. Autism may be a risk factor for entry into homelessness and a challenge to exiting homeless and engaging with relevant services.

Keywords: Autism spectrum Condition; Epidemiology; Homelessness; Screening.

MeSH terms

  • Autism Spectrum Disorder* / diagnosis
  • Autism Spectrum Disorder* / epidemiology
  • Autistic Disorder* / diagnosis
  • Humans
  • Ill-Housed Persons*
  • Ireland / epidemiology
  • Prevalence