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ACC_16AchievingAccess and Flexibility

Neurodivergent-inclusive access and experience

Summary

Proactively identify and address barriers to access for neurodivergent patients by creating practice environments and systems that are flexible, predictable, and accepting of different needs.

Supporting information

Healthcare environments designed for neurotypical patients can be overwhelming or inaccessible for neurodivergent people, including autistic people and those with ADHD. Creating neuroaffirmative, neurodivergent-inclusive practices, using frameworks such as Autistic SPACE, improves access for an often invisible population. Approaches to implementation: - Sensory: Conduct environmental audits to identify and modify sensory barriers (lighting, noise, smells), creating a sensory map for the practice - Predictability: Provide clear, visual information about what to expect during visits and appointment processes - Acceptance: Create a culture that accepts stimming, different communication styles, and movement needs - Communication: Train staff in neuroaffirmative communication approaches. Offer multiple communication methods and adjust pace/style to individual preferences - Empathy: Train staff to understand neurodivergent experiences without making assumptions - Offer alternatives to busy waiting rooms (direct to room, wait in car with text alert). Offer adjustments like quiet waiting spaces, first/last appointments, or direct room access - Record and share individual adjustments that help specific patients Key benefits: Removes barriers that prevent neurodivergent patients accessing healthcare, reduces distress and shutdown during healthcare interactions, and creates more flexible environments that may benefit patients beyond those with diagnosed neurodivergence.

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