Understanding the Impact of the COVID-19 Pandemic on Autistic People

This thesis investigated the impact of the COVID-19 pandemic on autistic people. Focusing specifically on the mental health impact of the pandemic, access to service support and experiences of telehealth delivery. Part One: Scoping Review. The literature review examined the research conducted during the COVID-19 pandemic relating to telehealth delivery of health and social care to autistic people. Following a rigorous systematic search of databases, 28 sources of published and grey literature were included. Sources were synthesised into two themes pertaining to the nature of the shift to telehealth and its effects of autistic people and services evaluated during the pandemic. Results revealed that large disruptions had been felt across services and experiences of telehealth support were variable. Some areas of progression in the evidence-based are identified, alongside key areas warranting future research. Part Two: Empirical Study. The empirical study sought to gain a deeper understanding of any changes in the mental health of autistic adults over the COVID-19 pandemic and the nature of support services available. Using an online survey, qualitative and quantitative data were gathered from 133 autistic adults in the United Kingdom about their experiences of the pandemic in relation to their mental health. Results revealed the mental health impact had been variable. While a sizeable minority experienced mental health improvements, most participants described an overall decline in their mental health. Based on findings, recommendations are outlined for how autistic people can be supported as the pandemic persists and once normality returns. Part three: Critical Appraisal. The critical appraisal provides professional and personal reflections on completing the thesis. Considerations are given to the impact of the pandemic, undertaking the analysis and wider limitations