Implementing a Multistep Network Model for Adult Autism Care: Evidence from the Piedmont Region

Introduction: Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that requires lifelong support and significantly impacts social and occupational functioning. To promote effective inclusion, interventions must be both individualized and environmentally adaptive. This study aimed to examine the implementation of the Life Project (LF) within the Piedmont Region (Italy), a personalized plan focused on autonomy and decision-making support. The approach involved creating multidisciplinary teams with autism-specific expertise, ensuring continuity of care from childhood to adulthood, and employing standardized diagnostic tools for consistent assessment. Services were designed to prioritize community-based and home-centered interventions, with longterm residential care considered only when strictly necessary. The Turin Adult Autism Centre acted as a coordinating hub, integrating local services and promoting interdisciplinary collaboration. Methods: A structured survey was conducted across 13 Local Health Units (ASLs), with 10 providing complete data, covering 1,664 adults with ASD. The questionnaire, distributed by the Regional Health Department to adult autism centers (NDPSA), explored organizational development, service provision, interagency collaboration, clinical assessments, and interventions. Results: Findings demonstrated a widespread network of services across the territory, suggesting the feasibility and scalability of the LF model. Nevertheless, areas needing improvement were identified, particularly in the standardization of care practices and service delivery. Discussion: These findings align with existing literature emphasizing the importance of continuity of care, person-centered planning, and community-based support in ASD. The LF model shows promise in addressing complex needs across the lifespan. However, limitations include variability in implementation and potential gaps in professional training. Further research is needed to refine protocols and assess long-term outcomes. Conclusion: The Life Project model represents a promising approach to ASD care, emphasizing autonomy, multidisciplinary coordination, and territorial integration, though further efforts are needed to enhance the standardization and quality of services.