How can we support adults with neurodiversity?  

How can we support adults with neurodiversity?  

Neurodiversity is increasingly talked about in care, especially when it comes to meeting emotional needs. And whilst it’s so good to see this happening, sometimes older adults are left out of the conversation. Focus tends to be on children, particularly for school support and early diagnosis.  

When it comes to our residents, we recognise how they grew up in a time with less awareness. Many older adults have lived their whole lives without knowing they’re neurodivergent, which means their needs could go misunderstood.  

At Birchwood, we believe in person-centred care. This means taking the time to truly know our residents, and to see differences as a celebration, not an obstacle.  

Why should we celebrate neurodiversity? 

Understanding that everyone’s brain works differently allows people to feel respected and valued. And in environments where inclusion is essential (such as a school or a care home), it’s something we must all play a part in championing.  

Currently, greater awareness of neurodivergence (such as autism) has made support widely available. Assessments have improved, and autism is so widely recognised that many neurodivergent people can now be diagnosed in childhood.  

But for older adults, these diagnoses aren’t as available, and they’re at risk of staying unsupported. Research has shown that 90% of autistic people aged over 50 in Britain are either undiagnosed or misdiagnosed, which can greatly impact different aspects of their lives.  

Why are these conversations important? 

Whilst diagnosis is not the only way to support older adults, encouraging open conversations can help residents receive support that actually fulfils their needs.  

For the elderly in particular, it’s so important to understand how neurodivergence can overlap with health conditions. Autism and dementia can both affect similar areas, such as communication, decision-making and behaviour. As Dementia UK explains, this can make it hard to tell whether symptoms and changes are due to autism, dementia or both.  

There is no one-size-fits-all approach to either of these conditions, meaning collaboration is so important. Working alongside the person and including the person in decisions about their care offers more autonomy and independence.  

How can we apply this at Birchwood?  

All care homes have a responsibility to support neurodiverse residents, diagnosed or not. This starts with education, and it’s important for our team to be appropriately trained in accommodating neurodivergence. This could mean different communication strategies, whether this be written, verbal or visual aids.  

It also encourages different ways of working. It may be that a resident prefers a more flexible schedule, such as eating times or activity choices, and so moving away from a rigid schedule can help reduce anxiety. However, for those who really value routine, we can set their day accordingly and make sure they are comfortable if any sudden changes happen.  

Some neurodiverse people have ‘special interests’, or certain things they are deeply passionate about. We always want to encourage this, and we tailor activities to something they can really enjoy and engage with.  

Whilst it’s great to see more awareness and acceptance of neurodiversity, it’s important to recognise those in other generations who haven’t had those conversations. Older adults deserve to be seen and understood for who they are, and neurodiversity helps us appreciate our unique strengths and talents.  

Recognising neurodiversity goes beyond meeting our residents’ care needs. We want to create a home where people truly belong, and our differences are celebrated.  

To know more about how we can support your loved one, please get in touch.  

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