Abstract:Individuals with autism represent a sizeable share of the U.S. population (almost 2%), and nearly half of those with autism have average to high levels of intelligence. However, available research shows that adults with autism have a much more difficult time becoming employed and living independently compared to both typically developing adults and adults with disabilities. This study reviews the available literature on the magnitude of challenges to driving and accessing essential opportunities for adults with autism, and the potential of autonomous vehicles to address those challenges. This study is unique in that it identifies the specific driving challenges and needs faced by those with autism. The study makes the following recommendations: (1) Occupational therapists certified for driving rehabilitation should evaluate the driving abilities of those with autism and provide enhanced driver training, with and without autonomous vehicle technologies (i.e., warning systems, steering, acceleration/deceleration, and braking systems) to address any driving challenges; (2) If autonomous vehicle technology is shown in (1) to be necessary to allow for safe driving, then public funding should be made available to help with its purchase, just as funding is currently made available for those with physical disabilities to modify vehicles with adaptive equipment; (3) More tests of high automation should be conducted to affordably expand transit access; however, in the interim, public funding should be made available to subsidize ride-hailing services when transit is not a feasible travel option for those with autism; and (4) More research is needed to evaluate the effectiveness of autonomous vehicle technology interventions for driving (in 1) and expanding transit access (in 3).