Autism Services: Where and How to Find Support

Approximately 1 in 36 children in the U.S. is diagnosed with an autism spectrum disorder (ASD), according to the Centers for Disease Control and Prevention. A complex neurodevelopmental spectrum disorder, autism impacts each individual differently. Some people with autism live independently with little to no support, others require select services and support, and some require significant help in their daily activities. This blog will explore how individuals with autism and their families can access the services, opportunities, and support they need to live full, independent, and rich lives – no matter what their age or level of need.

Families navigating an autism diagnosis often face an overwhelming number of options. This guide explains how to find autism support services in Maryland, including therapies, educational resources, the Community Pathways Waiver, and community-based support for children and adults.

What services are available for individuals with autism?

Finding support for your loved one with autism might seem overwhelming, but there are a number of  services and supports available to help. Together with your child’s healthcare professional, you can decide the combination of therapies and supports that are best suited for your loved one. Some may include:

Therapy Services for Autism

• Behavioral therapies, such as Applied Behavior Analysis (ABA), focus on reinforcing positive behaviors and reducing challenging behaviors through systematic techniques. Other behavioral therapies include Cognitive Behavioral Therapy (CBT) and Social Skills Training.
• Speech and language therapy help improve communication skills, including nonverbal communication.
• Occupational therapy helps with developing independent living skills, including self-care, fine motor, and sensory integration.
• Support groups and counseling help people with autism and their families to connect, share experiences, and provide mutual support.

Special Education Services

• Schools work with families to develop individualized education plans (IEPs), which meet the specific needs of each student with autism.

Community Integration

• These programs help individuals get out in the community via social, recreational, and educational opportunities.

Employment-related support

• Assisting with career development and progression, employment-related support might consist of job training, resumé development, interview skills, and ongoing on-the-job support.

Respite Care

• Respite care offers a break from daily routines for individuals with autism, their families, and primary caregivers.

Services for children with autism

When an individual with autism or their family comes to Bello Machre for support and services, the first thing we look at is age. In Maryland, the Autism Waiver provides community-based, long-term, person-centered therapeutic services and support to eligible children and youth with autism up until age 21. However, because there aren’t enough staff to support them, many minors who receive the Autism Waiver end up on months- to years-long waitlists for certain services.

For this reason, families may also consider applying for Maryland Developmental Disabilities Administration (DDA) services through the Community Pathways Waiver. This waiver unlocks access to autism support services from any provider in the state who offers them. And, it provides people with access to more support and services than the Autism Waiver.

As an example, a teen with autism might benefit from services that support the transition to greater independence, including structured community experiences and employment-focused opportunities. Through Maryland’s Division of Rehabilitation Services (DORS), individuals ages 14-21 can partner with Bello Machre’s Employment Services to build workplace skills, gain hands-on experience, and prepare for life after school.

Services for adults with autism

For youth with autism transitioning to adulthood, or for individuals age 21 and over, the first step is to apply through the Developmental Disabilities Administration (DDA) for a waiver. Some services may begin as early as age 18 for individuals who have graduated high school.

In Maryland, waiver services are offered through the Community Pathways Waiver, which combines the former Family Supports and Community Supports waivers into one comprehensive program.

Community Pathways Waiver

Provides access to a full range of supports designed to promote independence and community living. Services include:

• Both self-directed and traditional agency-based service models
• Employment and Community Development Services, which may begin as early as age 18 for individuals who have graduated high school
• Residential Services, available for individuals age 21 and over

This waiver is designed to support individuals in living as independently as possible at home and within their communities.

Employment services

• Employment services support individuals in finding and maintaining meaningful work in their communities. At Bello Machre, we focus on building skills, confidence, and independence through job development, job coaching, and ongoing support, helping each person reach their personal and professional goals.

Community development services

• Community Development Services provide opportunities for individuals to stay active and engaged in their communities. At Bello Machre, individuals work alongside a direct support professional in small groups to plan their own monthly activities. This may include volunteering, visiting local attractions, participating in recreational activities, and building important life and social skills.

Residential services

• Residential services provide individuals with a safe, supportive place to call home. At Bello Machre, our community homes offer a family-style setting, with small groups and dedicated staff who support each person in their daily routines, personal growth, and independence.

Local organizations and services for autism

Autism impacts each individual and their family differently. Many services and supports are available to meet your specific needs. Once you’ve received enrollment in the Community Pathways Waiver (or the Autism Waiver for those under 21), your CCS will connect you with local organizations that can help. 

Contact Bello Machre for more information on how to find the right support and services to help your loved one with autism live their best life.