Advancing the Quality of Health Care Transition for Black Autistic Adolescent Girls

Initially funded by the WITH Foundation (March 2023 – July 2024)
Ongoing work supported by a strategic partnership with WITH Foundation (2025-2027)

Project goal

This project started by engaging Black women self-advocates and family advocates to develop and disseminate educational materials about barriers to diagnostic supports for Black girls and women with autism, as well as recommendations to address the unique needs of this intersectional population across the lifespan, with a focus on the transition from pediatric to adult health care.

What we know

  • Girls are less likely than boys to receive a timely diagnosis of autism.
  • Black children are more likely to experience misdiagnosis and extremely delayed autism diagnosis.
  • Autistic Black girls, at the intersection of these disparities, experience the impact of both.
  • The challenges of getting a diagnosis can exist through late adolescence and young adulthood, often leading to negative educational, medical, and employment outcomes, high anxiety, low self-esteem, and suicidal ideation.
  • Even with the knowledge of emotional and physical risk faced by Black autistic girls and women, the literature is disturbingly silent on their experiences and needs.

Constantino, 2020; Maenner et al., 2021; Lovelace et al., 2018; Purtway & Johnson, 2005

What we learned

In this project, we held roundtable discussions and learned about the health care experiences of Black autistic girls and women, including those who are self-diagnosed, to inform recommendations and strategies for health care providers to improve engagement and access to equitable health care. 

What we developed

The staff and product development team, composed of 5 Black autistic women and two caregivers, worked together to develop multi-modal tools for primary care providers and families to better understand the health care and health care transition (HCT) needs of Black autistic adolescent girls. The tools can be found at Resources | Center for Transition to Adult Health Care for Youth with Disabilities – Family Voices.

    What’s next?

    The EmpowerHER Community Leaders Program at Family Voices is funded by the WITH Foundation and was developed by and for Black autistic women. The program begins in June 2026. The program is designed to:

    • Train, and sustain a community of Black autistic women who are prepared to lead community education about autism and the transition to adulthood
    • Center and uplift the experiences of Black autistic girls and women
    • Increase access to culturally responsive autism information and resources in Black communities

    Family Voices is recruiting Black autistic women* to join our EmpowerHER Community Leaders Program and support autism education and acceptance in their local communities. EmpowerHER Community Leaders will receive training and resources about autism and how to do successful community outreach. The program runs for 8 months. EmpowerHER Community Leaders will share resources, host conversations, and strengthen community connections and be paid for their time and leadership.

    We are looking for: 

    • Black autistic women (18+) *as well as non-binary, autigender, trans and gender-expansive autistic people
    • Individuals connected to their community, schools, faith groups, nonprofits, or grassroots networks
    • No formal experience is required; lived experience and community connection matter most.

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    Our Vision

    All children, youth, and families, especially those with special health care needs and disabilities, experience their best health and quality of life.

    Our Mission

    Family Voices is a family-led organization that transforms systems of care to work better for all children and youth, especially those with special health care needs or disabilities. By putting families at the forefront and centering their leadership and lived expertise, we build a culture that includes everyone and fosters equitable outcomes.

    Donate by mail

    To donate by mail, your check payable to Family Voices can be mailed to us at:
    Family Voices
    P.O. Box 3162
    South Attleboro, MA 02730

    In honor of
    The Close the Gap campaign is funded by Dr. David Nichols and Mayme Boyd.
    Visit familyvoices.org/closethegap to learn more.