Transitioning to adulthood for people with profound autism often feels like falling off a cliff once school services end. In this episode, Mike Carr shares his wake-up call and the need for early planning, especially with Texas’ 20-year Medicaid waiver waitlist. He stresses teaching daily living skills—like hygiene, dressing, and laundry—and calls for day programs that offer real community integration. Mike highlights Austin’s recreational and vocational options, from sensory-friendly parks to adaptive gyms and supported jobs, and explains why his family founded the J13 program: a mix of outings, skill-building, and work that helps severely autistic adults live purposeful, joyful lives.