RESUMEN

Transitioning to adulthood is a complex and challenging process for youth with complex communication needs (CCN) and/or who use augmentative and alternative communication (AAC). This scoping review examined and consolidated available evidence documenting transition barriers and facilitators. Eight databases were searched systematically using complex communications needs/augmentative and alternative communication, transition programs, and adulthood as key terms. Participants aged 14-35 years and interventions focused on transition to occupations, including education, employment, leisure pursuits, or socializing/relationships. The search yielded 3459 records, which were screened by three independent raters. Twenty-three articles met the inclusion criteria. Studies focused primarily on employment (n =18), postsecondary education (n = 10), and socializing/relationships (n = 13). Programs experience and outcomes varied. Enabling factors included organizations, transition-focused programs, and social networks. Barriers included low expectations, lack of programs/supports, and limited literacy skills. Future studies must include richer descriptions of programs/services and participants, while more work is required to explore long-term outcomes.

A scoping review of existing research documenting the transition to adulthood for individuals with complex communication needsThis scoping review examined and consolidated available evidence on the transition to adulthood occupations for youth with complex communication needs and those who use augmentative and alternative communication (AAC). Factors enabling successful transition included organizational support, transition-focused programs, and social support networks. Barriers included low expectations, lack of supportive programs, and limited literacy skills. This review highlights the need for future studies to focus on programs and services supporting occupational participation and exploring long-term outcomes.