The Mental Health Toll Of Some Inaccessible Disability Services

NeuroNavDan28
NeuroNavDan28 Community Member Posts: 11 Connected

I am not looking for toxic positivity or to be told how I should feel. Please do not redirect me to focus on my strengths. I just want my experience to be validated and acknowledged.


The Failure Of The Standard Model

I have been using a supported living, move-on service that claims to be disability-specific. However, it applies a neurotypical standard of support and expectations onto residents rather than a collaborative, neuro-affirming curriculum of support. Their version of 'independence' is fundamentally inaccessible to an autistic person.

I mentioned that the model is unaccommodating to the manager and she asked what they should do to accommodate me. I was effectively asked to design a specialised support model for a service that should already be accessible by default. So, I have been forced to use a model that does not account for my differences throughout most of my time with the service. This has made move-out preparation difficult.


The Impact Of Executive Function Barriers

The framework assumes residents have the same executive function and processing to complete packing and cleaning simultaneously, can go to the office whenever help is needed, and can easily verbalise struggles. There is a risk that they will let the resident lead the support and then they will follow their steps, which is a form of abandonment for a vulnerable adult.

The Mental Health Toll Of Inaccessibility

This inaccessible support has impacted my mental health severely, especially as I move out today. It has made me question how I am going to cope with the unaccommodating world in the future, leading to the thought of ending of my life as a result of being unable to cope with navigating the system any longer.

It reminded me of a BBC story about an autistic boy who lost his life due to the failures of the mental health support system after constantly shouting for support and being ignored on the waiting list. Even with his mother’s intervention, nothing changed.

My support worker did not ensure I had all my items ready for my new property. I was initially told that I would be getting some of my items from a furniture project and then later told I may not get them. Now I am in a state of environmental instability. I have to be thinking about what to have for breakfast when I do not have a cooker and my fridge is not working because the staff did not check it before asking them to collect it. I have also been thinking about how I am going to hang my clothes without wardrobe. They failed is a result of my former support worker’s failure to provide neuro-affirming preparation. As a result, I have been feeling stressed, abandoned, and low.

The Assumption Of “Choosing” Not To Seek Help

The majority of mental health services is not inclusive. I have been anticipating being asked if I am getting mental health support which assumes that I am choosing not to seek help. This ignores the barriers people with disabilities face and the fact that the support offered is often inaccessible by design.

The Cycle Of Standard Support

I discovered that one of the personal independence workers at a social group is part of a service that I was referred to by my service. I have been anxious that I may receive standard support from her too, perpetuating the cycle. It is a protective thought rather than a catastrophic one. It is an assessment based on the pattern of systemic failure I have experienced.

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Comments

  • Adrian_Scope
    Adrian_Scope Posts: 14,427 Online Community Programme Lead

    Hi @NeuroNavDan28,

    I’m really sorry this has been your experience.

    Being expected to fit into a system that doesn’t work for you while you’re already under pressure must be really tough and I think it's fair to say that being left without the right support while moving, and having to deal with basic living things not being in place, would be overwhelming for anyone.

    I think it's completely understandable that this has affected your mental health and the way you’ve been supported sounds inconsistent and inaccessible.

    I'm going to send you a quick email to see if there's anything we can support you with, so please look out for it. In the meantime, thank you for sharing this here.

  • NeuroNavDan28
    NeuroNavDan28 Community Member Posts: 11 Connected
    edited May 20

    I know it was not something I created. I already stated in my post that my situation was a result of the service’s failure to provide neuro-affirming preparation. So, they are clearly responsible for my problem.

    It is a definitely a pattern. I have also experienced inaccessibility at places like at university. I was expected to manage my time and communicate in writing in the same way as other students. My differences in these skills were viewed as difficulties that many students had which can be overcome with support rather than permanent neurological differences that need accommodating. It is only natural that my mind is trying to protect me from further system failures I have had to experience.


    The service’s actions is continuing to significantly impact my well-being. I have been feeling resentment towards them, as my family and I have been left to resolve a crisis we did not cause.

  • NeuroNavDan28
    NeuroNavDan28 Community Member Posts: 11 Connected
    edited May 20

    Hello @Adrian_Scope,


    Any experience like this is expected to impact someone’s mental health.

    It is definitely tough to be expected to fit into a system that does not work for many neurodivergent individuals. The systemic barriers are essentially being ignored and we are being asked to change our neurological differences when they are our biological reality.

    Advice on a section of the website given to people with disabilities as if they are neurotypical. It mentions that it can help to write down a few things you want to discuss on paper or your phone and bringing notes with you to the appointment so you can make sure you cover what you want to say. It does not account for their processing, communication, and executive function differences. Identifying what your needs can be a barrier to writing things down which is a task in itself because before they can write down what they want to say, they have to perform additional labour invisible to others.

    I do not like that the page said there are things you can do to speak up for yourselves when seeing GPs, hospital doctors and other medical professionals because it suggests that self advocating is the barrier to getting support rather than the inaccessible systems. It implies that the system is fine and people with disabilities have to adjust to fit within it. A neurodivergent citizen cannot advocate for themselves within an inaccessible system. Many professionals do not have the training in autism so will be unable to understand their needs. We do not even get listened to when we do share our disability.

    Thank you for the email with the support options. I will have a look at them.

  • dolfrog
    dolfrog Posts: 625 Trailblazing

    Hi @NeuroNavDan28, and @Adrian_Scope,

    Adrian already knows that I have Auditory Processing Disorder the listening disability my neurological difference.

    Auditory Processing Disorder can be one of the multiple issues that can combine to be part of an individuals autism.

    I can have problems processing and understanding what my ears hear, especially rapid speech, and after a conversation has finished my auditory memory can sometimes forget all of what had been discussed. I am not able to understand multiple verbal instructions

    I need to have accommodations provided by those in the system to match my alternative compensating skills and abilities I have developed using my cognitive strengths to work around my lifelong cognitive limitations.

    After my clinical diagnosis of Auditory Processing Disorder in my late 40s, I found out online that I had become a Visual Spatial Learner using my Visual cognitive strengths to work around my lifelong auditory limitations. This explains that I think in pictures, diagrams, charts, and practical demonstrations. So for instance from a meeting with my GP, I need a written summary of of our discussion, possibly sent by email.

    So those working in the system need to understand the multiple types of neurological limitations an individual may have, and more importantly be able to identify the possible alternative compensating skills and abilities each individual may develop to work around their lifelong limitations using their personal cognitive strengths. And they need to be able to accommodate each individual's support needs.

  • NeuroNavDan28
    NeuroNavDan28 Community Member Posts: 11 Connected

    Hello @dolfrog,

    Thank you for sharing your disability. It was interesting to learn about your visual-spatial processing. I appreciate you relating it to my own experience.

    I completely agree with your point about accommodations. Many organisations need to understand that these needs are not problems to be fixed or temporary hurdles, but permanent aspects of a person’s neurological makeup.

  • NeuroNavDan28
    NeuroNavDan28 Community Member Posts: 11 Connected

    I am not looking for toxic positivity or to be told how I should feel. Please do not redirect me to focus on my strengths. I just want my experience to be validated and acknowledged.

    Hello all,

    I have been struggling to cope with living without a fridge, cooker, and wardrobe. It has been continuing to impact my mental health. I have to be thinking how I am going to eat breakfast and the cost of getting a taxi to my parents if I were going to eat it there. I have been thinking about how I have to go out whenever I need lunch because I cannot store it anywhere and the expenses of having to buy unhealthy foods. It feels like there is no progression with getting the missing items. It feels like we are not getting anywhere even though I have made my decision.

    My new housing provider’s wellbeing and tenancy officer found a service that supports with white goods but you have to fill out an application. I told that her that I appreciate her sending me the service as an option but I do not think I will apply through them at this time and will stick to my original plan since I need the household items urgently.

    I updated my mum and dad about the grant. My mum asked me if I have asked the officer how soon I would get the items and it could save me some money. My dad asked me if I heard anything from the officer and I said I did and passed on the same update to him. I expressed that I do not want to be filling out the form and he said to me but it will save me money. I thought they both prioritised saving money over the impact of my living situation. He did not consider that I am not going to feel like doing extra work to get the furniture when I have been struggling to live with the lack of furniture and working hard already to solve it. My financial well-being seems to be treated as more important than the impact a further delay has on my mental health.

    When I updated my mum about the timeline for the grant, she said that is long and that it is up to me if I want to spend some of my savings and buy the items required myself or buy the more urgent ones like cooker and fridge/ freezer and wait for two weeks for the other item. She also said it is worth a thought.

    Hearing that it is up to me shifts the previous housing privider’s responsibility onto me. It removes accountability from the service and ignores the fact that I should not be fixing their failures. It suggests that the missing items are now a choice I am making rather than as a result of the housing provider’s failure to provide neuro-affirming preparation for my move. It makes me feel betrayed and blamed for their failure. The comment it is up to me can feel cold and dismissive of the complexity of a decision. It also feels isolating when imagining that others will also say the same thing. I have also been thinking about how people will say it is up to you but criticise you for the decision you have made afterwards.

    I have been having thoughts that others particularly former friend telling me to calm down and smiling amongst themselves, confirming my blame, and making me feel invalidated, small, more isolated. I have been anticipating others focusing on my parents perspective and ignoring mine. So, I have been feeling invisible, unimportant, and invalidated.

    I have been anticipating others telling me that I am not acknowledging that my parents are concerned about my financial well-being, even though I have worked hard to. Society often views parents as the objective, rational parties and children (even young adults) as difficult or emotional. This can feel subordinating and condescending as it creates a power imbalance where my lived experience is treated as less valid than their financial advice.