(June 18th 2024) In the ever-evolving landscape of healthcare, ensuring inclusivity and accessibility for all patients is paramount. For neurodivergent individuals, navigating the high-stress environment of an Emergency Department (ED) can be particularly challenging. However, Tallaght University Hospital's ED is pioneering efforts to address these challenges head-on, setting a standard for neurodiversity-friendly care.
Recognising the diverse needs of neurodivergent patients, the ED in TUH has implemented innovative strategies to support their experience. Central to this initiative is the development of comprehensive guidelines for staff, equipping them with the necessary tools to effectively communicate with patients who identify as neurodivergent. These guidelines encompass a range of communication strategies tailored to individual needs, fostering a supportive and understanding environment from the moment patients enter the ED.
One significant step taken by the ED is the establishment of a dedicated sensory room. Sensory challenges, such as sensitivity to light and noise, can exacerbate stress and anxiety for neurodivergent individuals in busy ED environments. The sensory room provides a calming space, offering a respite from overwhelming stimuli and promoting relaxation. This innovative approach not only demonstrates a commitment to accommodating diverse sensory needs but also underscores the Hospital's dedication to enhancing the overall patient experience.
Dr. Aileen McCabe, Consultant in Emergency Medicine at TUH, emphasises the significance of these initiatives: "Our goal is to ensure that every patient receives the highest quality of care, tailored to their individual needs. By fostering a neurodiversity-friendly environment, we are not only improving patient outcomes but also promoting inclusivity and understanding within our healthcare system."
Indeed, the importance of enabling a neurodiversity-friendly environment extends beyond the realm of individual patient care. It signifies a broader commitment to equity and social responsibility, challenging traditional notions of healthcare delivery and advocating for the rights of neurodivergent individuals.
Fran Kane, a mother of a neurodivergent adult and member of the Hospital’s Patient Community Advisory Council said “I was delighted to visit this room with my son and give the team feedback on its development. I think the Hospitals proactive approach is to be welcomed and I hope it will serve as a model for other healthcare institutions. This approach should be widespread to better serve the diverse patient populations across the country.
Looking ahead, the Hospital remains steadfast in its commitment to advancing neurodiversity-friendly practices within the ED and beyond. By prioritising education, training, and ongoing evaluation, the Hospital aims to continually refine its approach and ensure that every patient receives the compassionate and inclusive care they deserve.
Commenting on the initiative spearheaded by Dr. McCabe, Lucy Nugent, Chief Executive of TUH said “In the journey toward a more equitable healthcare system, initiatives like this implemented by my colleagues in the ED serve as beacons of progress, illuminating a path toward greater understanding, acceptance, and support for neurodivergent individuals. As the healthcare landscape continues to evolve, embracing neurodiversity is not just a choice—it's a necessity. Tallaght University Hospital is leading this charge.
A recent survey conducted within the ED revealed overwhelmingly positive feedback from patients, indicating a notable increase in satisfaction levels since the implementation of neurodiversity-friendly initiatives. Patients reported feeling more understood and supported during their time in the ED, highlighting the tangible impact of creating an inclusive environment. This enhanced patient experience speaks volumes about the efficacy of the Hospital's approach and underscores the importance of prioritising neurodiversity in healthcare settings.
The Team involved in implementing this change include: Lee Harte, ED Receptionist; Loreto Brady, ED Administrator; Yvette Hudson and Mark Daly, ED Patient Liaison Officers; Suzanne Kennedy, Acute Intellectual Disability Liaison Nurse; Dr. Mairead Reidy, NCHD; Frank Neylon, Project Manager, Facilities; April Walsh, ED CNM III; Mary Byrne, Acute floor ADON and James Power, GP Liaison Nurse.
The project was completed with the generous support of Tallaght University Hospital Foundation.
Editors Notes:
This development at TUH is an extension of previous initiatives to promote awareness of neurodivergent people and making it easier for them to access healthcare. Previous initiatives include an educational video on autism. Produced in conjunction with AsIAm, the video provides evidence based knowledge about autism for healthcare professionals interacting with autistic children and adults in an acute hospital setting.
The Hospital has also produced a podcast in their Let’s Talk series entitled Let’s Talk About Down Syndrome which is targeted at individuals with Down syndrome, their families, carers, health & social care staff and anybody who has an interest in the health needs of adults with Down syndrome in Ireland.
