In the 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 (TUH’s) ED is pioneering efforts to address these challenges, setting a standard for neurodiversity-friendly care.

Recognising the diverse needs of neurodivergent patients, TUH have recently implemented innovative strategies to support their ED experience. They have also overseen 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 they enter the ED.

Sensory room

One significant development has been 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. 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, explains that their 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, explains that she was “delighted to visit this room with my son and give the team feedback on the development. I think the hospital’s 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 committed 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, TUH Chief Executive, outlined how “in the journey toward a more equitable healthcare system, initiatives like these - implemented by my colleagues in the ED - serve as beacons of progress. They illuminate a path towards 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.”

Positive feedback

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 underscores the importance of prioritising neurodiversity in healthcare settings.

The team involved in implementing this change included 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 ADON and James Power, GP Liaison Nurse.