Your new experience awaits. Try the new design now and help us make it even better

ORIGINAL RESEARCH article

Front. Public Health

Sec. Public Health Policy

Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1612509

This article is part of the Research TopicNeurodevelopmental Disabilities in Childhood and Adolescence: Innovative Policy and ProgramsView all 6 articles

Service Access for Youth with Neurodevelopmental Disabilities Transitioning to Adulthood: Service Providers' and Decision-Makers' Perspectives on Barriers, Facilitators and Policy Recommendations

Provisionally accepted
  • 1University of Calgary, Calgary, Canada
  • 2Mathison Centre for Mental Health Research & Education, University of Calgary, Calgary, Alberta, Canada

The final, formatted version of the article will be published soon.

Youth with Neurodevelopmental Disabilities (NDD) who are transitioning to adulthood often struggle with accessing services. This limited access can result in poorer health, reduced ability to perform daily activities and engage in independent living and decreased levels of participation in society. Despite Canada’s commitment to the UN Convention on the Rights of Persons with Disabilities, British Columbia (BC) youth with NDD face additional barriers. This study investigated service providers’ and decision-makers’ perspectives on barriers and facilitators for accessing BC’s health, education and disability services for youth with NDD. We conducted a qualitative descriptive study with 15 semi-structured interviews. We conducted inductive thematic coding to generate themes, which we then organized and interpreted using Bronfenbrenner’s ecological model. The analysis identified barriers, facilitators and policy recommendations. Findings revealed that organizational complexity, insufficient funding and stigma impede service access, while coordinated interagency collaboration and early intervention may improve outcomes. Targeted policy reforms at multiple ecological levels are crucial to reducing disparities and enhancing support for youth with NDD.

Keywords: neurodevelopment1, transition2, access3, disability4, stakeholders5, barriers6, facilitators7

Received: 15 Apr 2025; Accepted: 20 Oct 2025.

Copyright: © 2025 Senevirathna, Basualto, Seth, Dimitropoulos and Zwicker. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Jennifer D. Zwicker, zwicker1@ucalgary.ca

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.