The many forms of difference. Adaptive Behavior Assessment (ABAS-3), Adult ADHD Self-report Scale (ASRS-v1.1), and Behavior Rating Inventory Executive Function (BRIEF 2) forms spread across a wooden table

Accommodations: Individualized Responses to Structural Design Problems

The accommodations for natural human variation should be mutual.

@laurenancona

Yet on a programmatic basis, disability policy and other social programs remain enmeshed, even at their best, in accommodation models, where specific proven needs or deficits generate specific individualized responses. What might it look like to shift our framing of the social safety net to a universal model? 

I Shouldn’t Have to Dehumanize My Son to Get Him Support | The Nation

This captures an aspect of accommodation models that really frustrate us. They encourage individualized responses to structural design problems.

Structural Redesign

We do not need more after-the-fact accommodations awkwardly bolted on exclusionary systems.

Inclusion Must Be Global, Decolonized, Culturally and Linguistically Diverse, and Anti-Normative

Systems built for the most complex communicators are not niche solutions—they are blueprints for broad accessibility, exposing what existing systems routinely ignore (Hamraie 2017). We do not need more after-the-fact accommodations awkwardly bolted on exclusionary systems. What is required is radical redesign: systems that begin at the margins and work inward, rather than centering an imagined “average” user (Costanza-Chock 2020; Srinivasan 2025a). This means building from the outset for people with intersecting sensory, motor, and communication needs, as well as for those excluded by language, geography, or normative assumptions (Peña 2019; Srinivasan 2025a; Bal et al. 2016)

This has not been a call for one-size-fits-all designs but for adaptive systems that are customizable, flexible, and co-created with the very communities they claim to include. Structural redesign is not about eliminating all accommodations, but embedding them so deeply that they become expected rather than exceptional. For the most marginalized, inclusion will not come from incremental adjustments but from radical solutions and systemic overhauls. It requires collective commitment to radical acceptance—to presuming competence, to trusting diverse ways of knowing and being, to valuing both independence and interdependence, and to designing environments that recognize all people as having dignity and deserving to belong. As disability justice movements have long shown, design that starts at the edges moves everyone forward (Berne 2015; Hamraie 2017; Pineda 2020).

Inclusion Must Be Global, Decolonized, Culturally and Linguistically Diverse, and Anti-Normative

Instead of designing by default for “proven needs” well-known in disability and neurodiversity communities, accommodations models require individual episodes of forced intimacy, repeated over and over and over for the rest of your life. We should treat each episode of forced intimacy as a stress case that puts our designs to the test of real life.

Edge Cases and Stress Cases

Embodied experience isn’t an edge case. It’s a blueprint.

What Sickle Cell Taught Me About Life & Systems! – YouTube

Instead of treating stress situations as fringe concerns, it’s time we move them to the center of our conversations-to start with our most vulnerable, distracted, and stressed-out users, and then work our way outward. The reasoning is simple: when we make things for people at their worst, they’ll work that much better when people are at their best.

Design for Real Life

School IEPs are a treasure trove of stress cases and structural problems currently treated individually. Let’s design for pluralism instead of putting us through a soul-chipping accommodations process that, at best, patches over bad design driven by “artificial economies of scarcity”.

Artificial Economies of Scarcity

Disability systems rely on artificial economies of scarcity. Programs are underfunded, so caregivers, teachers, social workers, and disabled people themselves are all pushed to project their needs as necessary and virtuous.

I Shouldn’t Have to Dehumanize My Son to Get Him Support
The many forms of difference. Adaptive Behavior Assessment (ABAS-3), Adult ADHD Self-report Scale (ASRS-v1.1), and Behavior Rating Inventory Executive Function (BRIEF 2) forms spread across a wooden table
The many forms of difference. Adaptive Behavior Assessment (ABAS-3), Adult ADHD Self-report Scale (ASRS-v1.1), and Behavior Rating Inventory Executive Function (BRIEF 2) forms spread across a wooden table

What you can’t know unless you have is how all the paperwork chips away at your soul. Every box you tick, every sentence about your “impairment” and “needs” becomes part of the narrative of your identity…

Gill Loomes-Quinn on Twitter

Bascom tells me that experiences like ours happen because disability service systems are never designed to support people with disabilities but are “about managing access to scarce resources. We start with the assumption that these resources are limited, so you have to prove over and over again that you need them more than anyone else. If we as a society invested more resources in supporting people with disabilities, we could redesign our systems accordingly.”

I Shouldn’t Have to Dehumanize My Son to Get Him Support | The Nation

The accommodations for natural human variation should be mutual.

Accessibility is a collective process! Invest in care, and design for real life. “The accommodations for natural human variation should be mutual.”

oh, there it is: neurodivergent people shouldn’t have to apply for ‘reasonable’ accommodations when the accommodations for natural human variation should be mutual

@laurenancona

The medical model is essentially individualist.

The medical model is essentially individualist.

The prevalence of deficit-based thinking has the further consequence of focusing attention directly on the individual and away from social and environmental factors that might in fact play a significant role in shaping autistic lives (Engel, 1977).

Annual Research Review: Shifting from ‘normal science’ to neurodiversity in autism science

Instead of designing for our undeniable interdependence and mutuality, we are suffocated by a medical model steeped in deficit model thinking.

Terzi (2005, p.446), for example, is of the view that the medical model as played out in educational environments results in ‘perspectives emphasising individual limitations’ rather than the ways in which the organisation and design of schools might create those very difficulties in the first instance.

Wood, Rebecca. Inclusive Education for Autistic Children (p. 38). Jessica Kingsley Publishers. Kindle Edition.

Investigation and Humiliation

Y’all know the file, right? This has been the thing that had been following me since I started special education. Those things are thick and deep. KGB got nothing on special ed.

The Gift: LD/ADHD Reframed

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