International Neuropsychiatric Disease Journal

This study examines how vocational rehabilitation (VR) counseling can be strategically restructured to improve sustainable digital employment outcomes for young adults with Autism Spectrum Disorder (ASD) in the United States. Drawing on nationally representative RSA-911 administrative data and the National Longitudinal Transition Study–2012, the study applies advanced multivariate and causal modeling techniques to assess employment attainment, quality, and stability. Results indicate that technology-integrated VR counseling significantly increases access to professional or technical occupations, yielding employment gains of over 13 percentage points and average weekly earnings increases of approximately $150. Distinct digitally integrated service profiles also demonstrate superior outcomes, with competitive employment rates exceeding 68% and job retention above 78%. Pathway analyses further reveal that technology support enhances employment stability indirectly through improvements in self-advocacy and digital career readiness. As one of the first large-scale investigations to empirically link vocational rehabilitation counseling to digital workforce engagement among autistic young adults, this study advances neurodiversity-affirming employment research and extends VR counseling theory into digitally mediated labor contexts. The findings recommends embedding technology services within core counseling practice, strengthening counselor digital competencies, expanding remote service delivery, and extending transition supports to promote long-term participation in the digital workforce.