Abstract

The article concerns the life paths and the complex situations of autism in Île-de-France (France). It is based on a participative research with professionals and beneficiaries of the Complex Situations of Autism Device (SCATED). The method is organized in 3 phases: 1°- analysis of the context of autism in Île-de-France through the exploitation of the national survey called “ES 2014”; 2°- co-construction between the research team and the professionals of the device of an updated database specific to the device, based on the 2 100 complex autism situations monitored from 2010 to 2018, and the exploitation by the researchers of 452 situations extracted from this database; 3°- analysis of 11 diversified situations (32 interviews). The research offers a critical reading of behavioral disorders and analyzes the seven dimensions that participate in a process of reinforcing vulnerabilities in complex situations of autism. It makes a certain number of recommendations which are taken up by the Île-de-France Regional Agency as part of its strategic health plan.