Meeting Your Needs

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To help us meet your dietary, sensory, and accessibility needs at events, fill in the form below.

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We realize this is sensitive information.

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  • Here is our privacy policy.

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Please read the data collection and privacy disclosure below the form before submitting your information. We disclose where your information is stored and what we do to keep it safe.

Making SPACE

When describing your needs in the form below, consider these two tables from “Autistic SPACE: a novel framework for meeting the needs of autistic people in healthcare settings | British Journal of Hospital Medicine

Autistic sensory differences
SensationConsiderations
SightVisual sensitivities are common. Bright lighting (particularly fluorescent) is a common challenge. Visual stimuli which may go unnoticed by non-autistic people, such as the flickering of fluorescent lighting or computer screens, an overhead rotary fan, or highly patterned surfaces, may all cause sensory stress
SoundAutistic people experience auditory sensitivities and auditory processing differences. Environmental noise can cause intense distress, particularly when sudden or unexpected. Sounds unnoticed by non-autistic people, such as the humming of electrical equipment, may be perceived by autistic people without ‘fade’ (where inconsequential sounds are no longer noticed over time). Autistic people may not filter out environmental sounds and therefore may struggle to hear a conversation in a noisy room
SmellAutistic people are often highly sensitive to smell and may perceive olfactory stimuli that others do not. Common and usually inoffensive smells may be perceived as highly noxious. In contrast, some autistic people are hyposensitive to smell and may enjoy smelling pungent objects
TasteAutistic people may be hypo- or hyper-sensitive to taste, needing either highly flavoured or very bland food. Food texture is important, as is predictability (see below). Autistic people commonly enjoy colloquially termed ‘same foods’, which may explain a limited diet and negative reactions to a change of brand or recipe for a known brand of food
TouchTactile sensitivities range from inability to tolerate the sensation of certain fabrics to an inability to be touched, particularly by strangers. This leads to predictable challenges in a medical consultation where physical examination is required. Knowing the tactile sensitivity profile of a patient is helpful because difficulties commonly arise with light touch, whereas a strong deep touch may be more acceptable
TemperatureThermal sensitivity is common and may lead to apparently inappropriate or out of season clothing. The range of tolerated temperatures is likely to be person-specific
ProprioceptionProprioception appears different for autistic people. Some may need lots of proprioceptive input leading to a tendency to climb, swing, rock or jump. Others will avoid such movements and may experience balance difficulties during day-to-day activities
Interoception and painA particular challenge for some autistic people is accurately interpreting internal bodily sensations. This can lead to difficulties noticing hunger, thirst, tiredness, or a need to urinate or defaecate. Difficulties with pain perception can lead to unrecognised injuries but it must be emphasised that while reduced pain sensitivity occurs for some, others experience increased pain sensitivity, and this should never result in under-treatment of pain for autistic patients
Table 1. Autistic sensory differences
Recommendations for supporting Autistic SPACE in practice

The authors’ aim was to create a simple framework promoting accessibility without adding to current clinical burdens. This is called ‘Autistic SPACE’, shown in Figure 1:

  • Sensory needs.
  • Predictability.
  • Acceptance.
  • Communication.
  • Empathy.
Autistic SPACE: a novel framework for meeting the needs of autistic people in healthcare settings | British Journal of Hospital Medicine
SPACE framework aspectRecommendations for implementation
SensorySightTurn off or turn down artificial lights
Remove flickering or oscillating environmental features
Avoid highly stimulating decor
Promote the use of sunglasses
SoundConsider environmental sounds
Reduce auditory clutter
Avoid conversation in noisy environment
Promote the use of noise-cancelling headphones and/or ear plugs
SmellAvoid wearing perfume or highly scented cosmetics or toiletries
Avoid aerosols or chemical ‘air fresheners’
Avoid highly scented cleaning products
Consider ventilation, open windows where possible
TasteRespect sensory preferences when considering nutrition
Consider taste and texture of medications
Consider non-standard medication formulations where necessary
TouchAscertain tactile preferences and modify examination technique
Avoid casual touch
Promote sensory-friendly clothing choices
Sensory aids such as weighted blankets may be helpful
TemperatureConsider environmental temperature
Adjust temperature where required
ProprioceptionUnderstand the need for proprioceptive input
Avoid making inferences from unusual body posture
Interoception and painAsk directly about internal sensations but understand that answering may be difficult
Pay attention to verbal reports of pain where possible
Be aware that non-verbal expression of pain may be different
Consider the need for adapted pain scales
PredictabilityGive realistic information in advance
Ensure clear and accurate directional signage in physical spaces
Provide photographs or videos of the physical environment and staff
Allow waiting in a familiar environment (eg a patient’s own car or outside)
Ensure care is provided by staff familiar to the patient where possible
AcceptanceNeurodiversity-affirmative approach beneficial
Understand autistic stimming and monotropic thinking patterns
Facilitate need for detailed factual information
Understand distress behaviour
CommunicationUnderstand autistic verbal and non-verbal communication differences
Know that communication ability is reduced by anxiety and sensory stress
Clear unambiguous communication required
Avoid phone-based appointment systems
Promote use of augmentative and alternative communication (AAC)
EmpathyRecognise that autistic people feel empathy but may display it differently
Empathy towards autistic patients may be more challenging for non-autistic healthcare providers
Physical spaceExpect a need for increased personal space
Avoid proximity to other people where possible
Temporal spaceAllow increased time to respond to questions
Allow increased time for decision making
Emotional spaceExpect differences in emotional expression
Allow restorative solitude to recover (without additional input) if distressed
Table 2. Recommendations for supporting Autistic SPACE in practice

The Form

Check all that apply or skip if not associated with any of these groups.
If you described your food allergies above, briefly mention them here again for good measure.

What Information Do We Collect?

🔐 About Us and What We Do With Your Information

Chelsea, Inna, and Ryan are at the other end of our contact form. Get to know us on our About page. Alas, we can’t usually move at the speed of emergencies, and sometimes we take a week or two off for self-care. We get lots of spam and sometimes miss your requests in the noise. If you don’t hear from us within a week, feel free to contact us again.

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Ethical Principles and Code of Conduct

At Stimpunks, we have sensitive conversations about trauma and mental health with our clients. We hold ourselves to the ethical principles and code of conduct of psychologists.

https://www.apa.org/ethics/code

Talking about clients to other clients, for example, is not okay.

When someone tells you the intimate details of their life, and you go and tell a bunch of strangers about it, you have done something wrong. It is perhaps only because this practice is so entrenched that we tend to forget this.

Mental Health and the Invasion of Privacy | Psychology Today

Further Reading

We have several resources on perceptual worlds and access. Are your needs addressed by them? Help us maintain these resources.