The state of North Carolina has had a longstanding concern and com­ mitment to the understanding and treatment of autistic, communications­ handicapped children and their families. This commitment found expres­ sion in the only comprehensive statewide program for families confronted with this disability, Division for the Treatment and Education of Autistic and related Communication handicapped CHildren (Division TEACCH). Our program staff has been privileged to respond to this commitment by developing and providing the needed services, and to engage in research informed by our clinical experience. Although many of the problems con­ cerning these developmentally disabled children remain to be solved, substantial progress has been made during this past decade of collabo­ ration among professionals, parents, and their government representa­ tives. The TEACCH staff has resolved to mark the effectiveness of this collaboration by holding a series of annual conferences focused on the several major issues confronting these children and their families. The conferences are held in order to bring together the best research knowl­ edge available to us from throughout the country, and to encourage par­ ticipation by the different professional disciplines and concerned parents. In addition these annual meetings form the basis for a series of books based on the conference theme. These books are, however, not merely the published proceedings of the presented papers: some chapters are expanded from conference presentations and many others were solicited from experts in the related areas of research and their service application.

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I: Overview Chapter.- Chapter1 Introduction: Can an Adolescent or Adult Have Autism?.- 2 A Developmental Perspective of Adolescence.- 3 Current Perspectives and Issues in Autism and Adolescence.- II: Individual Needs.- 4 Language and Communication Needs of Adolescents with Autism.- 5 The Education Needs of the Autistic Adolescent.- 6 Recreation and Leisure Needs: A Community Integration Approach.- 7 School Doesn't Last Forever; Then What? Some Vocational Alternatives.- 8 Medical Needs of the Autistic Adolescent.- 9 Sex Education at Benhaven.- 10 The Management of Aggressive Behavior.- III: Family Perspectives.- 11 Family Needs of the Autistic Adolescent.- 12 Stress and Coping in Families of Autistic Adolescents.- 13 Growing out of Autism.- 14 Parental Perspective of Needs.- 15 Legal Needs.- IV: Social and Community Programs.- 16 Social and Interpersonal Needs.- 17 Benhaven.- 18 The Jay Nolan Center: A Community-Based Program.- 19 Service Development for Adolescents and Adults in North Carolina's Teacch Program.