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HEALTHCARE

  • Research consistently shows that neurodivergent adults face elevated health risks and poorer care outcomes compared to non-neurodivergent peers.

    • Autistic adults have significantly higher rates of chronic physical health conditions, including gastrointestinal disorders, epilepsy, cardiovascular disease, and autoimmune conditions.

    • Neurodivergent people experience substantially higher rates of anxiety, depression, PTSD, suicidality, and early mortality.

    • Diagnostic overshadowing is common, with physical symptoms misattributed to autism or ADHD rather than properly investigated.

    • Communication barriers, sensory-hostile environments, and time-limited appointments reduce access to safe and effective care.

    • Many clinicians receive little to no formal training in neurodiversity-affirming practice, resulting in misunderstanding, stigma, and preventable harm.

    As a result, neurodivergent adults are more likely to delay care, avoid healthcare settings altogether, or experience medical trauma.scription text goes here

  • Autistic people have higher rates of unmet healthcare needs and are more vulnerable to chronic conditions compared with the general population, compounding disparities in long-term health outcomes.

    Nicolaidis, C., Raymaker, D., McDonald, K., Dern, S., Boisclair, W. C., Ashkenazy, E., & Baggs, A. (2013). Comparison of healthcare experiences in autistic and non-autistic adults: A cross-sectional online survey facilitated by an academic–community partnershipJournal of General Internal Medicine, 28(6), 761–769. https://doi.org/10.1007/s11606-012-2262-7

  • Research identifies multiple barriers to accessing appropriate healthcare for autistic individuals across the lifespan — including inadequate provider training, inaccessible environments, sensory overload in clinical settings, and fragmented services.

    Mason, D., Ingham, B., Urbanowicz, A., Michael, C., Birtles, H., Woodbury-Smith, M., … Parr, J. R. (2019). A systematic review of what barriers and facilitators prevent and enable physical healthcare services access for autistic adultsJournal of Autism and Developmental Disorders, 49(8), 3387–3400. https://doi.org/10.1007/s10803-019-04049-2

EMPLOYMENT

  • Employment and Economic Disparities

    Despite high levels of skill, education, and innovation, neurodivergent adults experience some of the highest unemployment and underemployment rates of any disability group.

    • Autistic adults face unemployment or severe underemployment rates estimated between 50–80%, depending on jurisdiction.

    • Neurodivergent workers are more likely to experience workplace discrimination, job insecurity, and exclusion from advancement opportunities.

    • Many workplaces lack effective accommodation processes, relying on informal disclosure or placing the burden on individuals to self-advocate.

    • Hiring practices often prioritize social performance, eye contact, and behavioural norms unrelated to job performance, systematically excluding neurodivergent candidates.

    • Employment instability contributes directly to poorer health outcomes, housing insecurity, and reduced access to care.

  • Disparities are compounded for neurodivergent people who are also racialized, Indigenous, LGBTQIA+, immigrants, or living with multiple disabilities.

    • Racialized and gender-diverse neurodivergent people are more likely to be misdiagnosed, diagnosed later in life, or denied services altogether.

    • Structural racism, colonial systems, and gender bias intersect with ableism, further limiting access to healthcare, employment, and justice.

    • These inequities are reflected in worse health outcomes, higher rates of system involvement, and reduced economic security.

  • Autistic adults are more than twice as likely to report contact with police compared with non-autistic adults, largely due to misunderstandings, crisis situations, and lack of reasonable adjustments.

    Weiss, J. A., Isaacs, B., Diepstra, H., Wilton, A. S., Brown, H. K., McGarry, C., & Lunsky, Y. (2018). Health concerns and health service utilization in a population cohort of young adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 48(1), 36–44

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Coming Feb 2026

CareSafer: Neuroinclusion in Primary Care