Letter: ‘Deep concern’ over cuts to city council’s inclusion services

Dear Editor

As a coalition of organisations that support vulnerable children and young people, we are deeply concerned in relation to proposed budget cuts to City of Edinburgh Council’s inclusion services.

There has been a massive increase in the number of pupils in Scotland’s schools identified with additional support needs (ASN), such as autism, dyslexia and mental health problems. In Edinburgh, this has seen the number of pupils with ASN almost treble in number between 2013 and 2023.

It has been estimated that over 40 per cent of primary school and over half of secondary school pupils in the capital now have an ASN.

Unfortunately, the necessary resourcing required for this group has not increased. For example, the number of ASN teachers in Edinburgh’s schools has declined by four over the period 2013 to 2023, from 170 to 166, despite the massive increase in the number of pupils with ASN.

Any further axing in staff, who are already overstretched and under-resourced, in supporting these pupils will prove absolutely devastating.

This will impact not only them, but also fellow pupils who will face reduced teaching time given the need to support those with ASN, as well as putting even more pressure on teachers and support staff.

We would urge City of Edinburgh Council to reconsider its approach, as this sticking plaster solution of budget cuts will simply lead to reduced life chances for these individuals, with the resultant impact on society and the economy.

Yours faithfully

The Scottish Children’s Services Coalition:

Kenny Graham, Falkland House School

Lynn Bell, LOVE Learning

Stephen McGhee, Spark of Genius

Niall Kelly, Young Foundations

42 Charlotte Square

Edinburgh EH2 4HQ

Tel: 0131 603 8996

Teen inspires autism awareness in new BBC ALBA documentary

17-year-old Nuala has spent much of her life fighting for the support she needs as someone on the autism spectrum. BBC ALBA followed Nuala on her mission to pave the way for change, starting in her hometown in the north-west Highlands of Scotland.

Nuala’s push for change was inspired by a trip to Canada’s first autism friendly town in Channel-Port aux Basques, Newfoundland. The simple changes adopted by the town to make life easier for people with autism inspired Nuala to help her own community in Ullapool, and the surrounding area, become autism friendly.

Produced by MacTV this new 30-minute documentary, Saoghal Nuala / Nuala’s World – #MyAutismFriendlyVillage, explores how autism impacts the way people communicate and process the world around them; and follows Nuala working with schools, businesses and organisations to implement small changes to improve the lives of people with autism.

Nuala said: “Initially, before my diagnosis, I thought that I was odd and stupid and couldn’t understand it… It was a relief to get the diagnosis. It was good to see that I wasn’t just… that I was still sane but just in a different way. This also opened a lot of doors for me.

“Everyone was more willing to help me. The teachers were given extra training. There was extra support there and that was so beneficial for me.”

More than one in 100 people in Scotland have autism – all with skills, talents and ambitions. However, many don’t understand autism which is why Nuala wants to create change so that other youngsters don’t face the same difficulties.

Encouraged by the pioneering work of Joan Chaisson – a retired special education teacher and co-founder of the support group Autism Involves Me (AIM) – with schools, hotels, shops, and the hairdresser in Channel-Port aux Basques’, Nuala’s mum said: “They had drawn attention to how people with autism feel and their daily life.

“It was fascinating … It was clear that the whole town supported her plans. Nuala was so inspired by this. We realised that the same could be done in Ullapool.”

Offering viewers a better understanding of the unique perspectives that she and others on the autistic spectrum experience, and in turn, learning what we can all do as a society to make our communities more inclusive, and accommodating for all, Nuala explains: “I want the local businesses to be better informed about autism and also for the community to be autism friendly.

“People with autism will feel more comfortable here and that includes me… You should be proud of yourself and your capabilities.”

Sharing an insight into her skills, from her photographic memory to her understanding of rhythm which helped her win a bronze medal at the 2022 St Ayles Skiff World Championships, she says: “Lots of people ask me if I would rather not have autism. I tell them that I like having autism because I have these superpowers now and I like that. I’m so proud of myself and of my superpowers.

“I would like people on the spectrum to walk with their head held high. That’s very important. I want to be like that and to create a new stereotype. I look forward to that.”

Saoghal Nuala / Nuala’s World – #MyAutismFriendlyVillage, premiers on BBC iPlayer and BBC ALBA and on Monday 5 August at 9pm (in Gaelic with English subtitles).Watch live or on demand: https://www.bbc.co.uk/programmes/m0021swp

Landmark review calls on employers to boost support for autistic people

A bold new government-backed review has set out a vision for workplace culture changes to support autistic people to start and stay in work

  • Review sets out 19 recommendations to support more autistic people to start, stay and succeed in work.
  • Despite most autistic people wanting to work, just 3 in 10 are currently in employment due to stigma and lack of understanding of their needs.
  • More neuro-inclusivity in the workplace can help fill vacancies and grow the economy by unlocking the potential of thousands more people.

A bold new government-backed review has set out a vision for workplace culture changes to support autistic people to start and stay in work.   

DWP figures show only around 30 percent of working age autistic people are in employment, compared with half of all disabled people and 8 in 10 non-disabled people, despite the majority saying they would like to be employed.   

Commissioned by Secretary of State for Work and Pensions Mel Stride and led by Sir Robert Buckland KC, the Review’s 19 recommendations for businesses and government include:  

  • signing up for the Autistica Neurodiversity Employers Index to access guidance on designing inclusive processes and procedures
  • encouraging career progression by developing packages of training focused on autistic staff
  • improving recruitment by ensuring careers advisers can provide appropriate advice to autistic jobseekers
  • supporting autistic people who are already in the workplace by producing “autism design guides” to create appropriate premises, furnishings and equipment
  • working with software suppliers to develop IT systems that meet autistic people’s needs.

The Buckland Review of Autism Employment was supported by charity Autistica and includes the views of hundreds of employers and autistic people.   

It sets out how businesses and government can work together over the next five years – whether that is showcasing the successes of autism employment, developing pilot programmes in national and multinational companies, or providing tailored support for autistic staff at work.  

Secretary of State for Work and Pensions, Mel Stride MP, said: “I want autistic people to have every opportunity to benefit from work, and recognise that businesses and government must come together if we are to create the cultural change needed to move the dial. 

“Backed by the extra employment support provided through our £2.5 billion Back to Work Plan, this report provides employers with practical and inexpensive steps to open up workplaces to autistic people, boost employment rates and, above all, change autistic people’s lives.”

Sir Robert Buckland KC MP said: “It has been a tremendous privilege to compile this report, and to hear from hundreds of autistic people about their experiences. This is all about them, and we couldn’t have done it without their help.

“The review can make a truly radical difference to the lives of autistic people and their families. I call on employers and government to lead this change and make these recommendations a reality.”

It is all part of the Government’s long-term plan to build a stronger economy – which has seen unemployment compared to 2010 decline, with four million additional people in work. 

The Government has already succeeded in getting one million more disabled people into employment by 2027, five years ahead of schedule, with tailored support helping claimants realise their potential.  

Access to Work grants worth up to £66,000 made working easier for nearly 50,000 people last year. The Government’s flagship Universal Support programme is set to provide up to 25,000 people with highly personalised employment support, working closely with employers to navigate any workplace adjustments required to accommodate individual needs.  

Minister for Disabled People, Health and Work, Mims Davies MP, said: “There are so many benefits and positives autistic people can bring to the workplace, and this is matched by what employment can bring to them. We must make sure they get the work opportunities they want and deserve. 

“This welcome and important review will help ensure autistic people can thrive and progress in the labour market. I am keen employers get behind these recommendations, and partner with us to truly make our workforce more inclusive and welcoming.”

Minister for Social Care, Helen Whately MP, said: “We want autistic people to have equal opportunities to flourish in society and contribute to the economy.

“For too long there have been too many barriers for them in the workplace; this review is a major step to changing that. 

“This builds on our five-year autism strategy and shows our continued commitment to helping autistic people are able to lead happier, healthier and more fulfilling lives.”

The review is the latest milestone in the Government’s mission to make the UK the most accessible place in the world, following the publication of the Disability Action Plan earlier this month, the launch of the Lilac Review, which will investigate the barriers disabled entrepreneurs face, and the longer-term National Disability Strategy, which will transform disabled people’s everyday lives for the better.  

It also builds on the Government’s employment and welfare reforms – including the new £2.5 billion Back to Work Plan which will help thousands more disabled people and people with health conditions to start and thrive in work.

Projects welcome backing from Autistic Adult Support Fund

The £500,000 Autistic Adult Support Fund has announced the 16 charities across Scotland which will provide more vital support for autistic adults and their families to understand what neurodivergence means for them and improve their wellbeing.   

Delivered by Inspiring Scotland, and funded by the Scottish Government, successful charities will receive grants of between £15,000 – £75,000 each to deliver a range of projects including:  

  • Hope for Autism will deliver post diagnostic support groups around developing an understanding of autism and identity; practical life skills; and learning to self-advocate. Support sessions and training will also be provided to the entire family. 
  • Autism Initiatives will deliver a National Remote Late Diagnosis programme (LDG) online and in-person in locations including Edinburgh, Scottish Borders, Tayside, Highland, and West Lothian.  
  • Networking Key Service Limited will focus support for autistic people and their families in South Asian communities.  
  • The National Autistic Society (in partnership with Autistic Knowledge Development) will create an autistic-led digital suite of short films to provide a positive, easily accessible introduction to the world of autism support in Scotland. They will also run a series of six post diagnostic group sessions, with a mix of in person and online delivery.  

Two Edinburgh projects, and one national project based in the capital, have received funding.

Speaking on the need for the fund, Rob Holland, Director of National Autistic Society Scotland said: “Sadly, there is often little in the way of support for adults following a diagnosis of autism meaning that they are left on their own to interpret what that means with little idea of where to turn to for much needed support.

“I am therefore delighted that we have been successful in receiving this award from Inspiring Scotland. 

“We have partnered with Autistic Knowledge Development to develop an incredible programme of free to access support for autistic adults across Scotland. The programme will allow participants to deepen their understanding as to what their diagnosis means as well as to connect and share strategies with each other.

“It will also provide a safe space for participants to share with each other the challenges as well as the joys of being autistic. We hope that these connections will last beyond the lifetime of the programme.” 

Highland based Lochaber Hope, will deliver online workshops on Autism, ADHD and a Neurodivergent Group for Women and Non-Binary People in the area.  

 Executive Manager at Lochaber Hope, Alyson Smith said: “We are delighted to have received funds from Autistic Adults Support Fund, this will allow us to support the increasing number of adults whose needs are specific and are currently not being met in our community, we can help change the quality of the lives of people living with autism.” 

Erica Judge, Director of Funds at Inspiring Scotland said: “We received a large number of high-quality applications to this Autistic Adult Support Fund demonstrating the need for this work and the commitment from organisations across Scotland to provide what we know can be life changing support. 

“We are looking forward to working alongside and supporting the 16 charities selected to provide vital support to autistic people and their families and carers to better understand what their diagnosis means for them and help ensure they are able to live happy and healthy lives.”

Find out more about the successful Autistic Adult Support Fund projects.  

New review to boost employment prospects of autistic people

A new review designed to boost the employment prospects of autistic people hasUKtoday been launched by the UK Government

  • Sir Robert Buckland KC MP to lead new Autism Employment Review
  • Focus on supporting employers to recruit and retain autistic people and reap benefits of a neurodiverse workforce
  • Recommendations for change to be brought to Government later this year

A new review designed to boost the employment prospects of autistic people has been launched by the Government to spread opportunity, close the employment gap and grow the economy.

The Secretary of State for Work and Pensions, Mel Stride MP, has appointed Sir Robert Buckland KC MP to lead the review, which will consider how the Government can work with employers to help more autistic people realise their potential and get into work.

People with autism have particularly low employment rates – with fewer than three in 10 in work – but the Buckland Review of Autism Employment, supported by charity Autistica and the Department for Work and Pensions (DWP), is aiming to change that.

The Review will ask businesses, employment organisations, specialist support groups and autistic people to help identify the barriers to securing and retaining work and progressing with their careers.

The Minister for Disabled People, Health and Work, Tom Pursglove MP said: “We know autistic people can face barriers moving into employment and staying there. This is often down to the employers themselves not having the tools to support autistic people, or truly understanding the value of a neurodiverse workforce.

“This important review will provide us with vital information to remove these barriers and help more autistic people start, stay and succeed in work by ensuring more employers provide truly inclusive places to work. I look forward to seeing the recommendations from the review.”

Rt Hon Sir Robert Buckland KC MP said: “I am delighted to have been asked to lead this important Review. Our workplaces and businesses would benefit so much from the huge potential that autistic people represent.

“If we close the employment gap for autistic people, it will not just mean individual fulfilment but a significant boost to employment and productivity for our country.”

The Buckland Review of Autism Employment will consider issues including:

  • how employers identify and better support autistic staff already in their workforce;
  • what more could be done to prepare autistic people effectively for beginning or returning to a career;
  • and working practices or initiatives to reduce stigma and improve the productivity of autistic employees.

It will focus specifically on autistic people, and aim to develop solutions that:

  • will be acceptable to autistic people.
  • will be effective at improving autistic people’s outcomes.
  • will be feasible for employers or public services to deliver.

The Review will also look at employers who are benefitting from a neurodiverse workforce, like London manufacturer KwickScreen. The innovative company provides transparent screens to every UK hospital and played a pivotal role in the NHS’s response to the Covid pandemic.

On a recent visit to their Lewisham base, the Minister and Sir Robert discovered many of the breakthrough initiatives in the company came from the neurodiverse members of the team.

Dr James Cusack, Chief Executive of the UK autism research and campaigning charity, Autistica said: “The benefits for autistic people and society will be huge if we can give autistic people the opportunity to work and thrive in employment. That’s why as a charity we want to see a doubling of the employment rate for autistic people by 2030.

“We are delighted to support the government on this vital review which will enable us to move from awareness to evidence-based action. This will help us to rethink how we approach autistic people’s access to work and perhaps drive a wider rethink around how we accommodate everyone in work, as we all think differently with unique strengths, challenges and needs.”

As part of the review, many of the adjustments and initiatives that would benefit autistic people could also benefit a wider group of people who think differently, including those with other neurodevelopmental conditions such as ADHD, dyslexia and dyspraxia.

Report calls for Autism Commissioner to hold government to account

A report by National Autistic Society Scotland and Scottish Autism found that 96% of people surveyed support a commissioner to promote and protect the rights of autistic people.

The organisations surveyed 1,215 autistic people, family carers and professionals working with autistic individuals.

The report urges the Scottish Government to move forward on its commitment to establish a Commissioner “sooner rather than later”, with public consultation now delayed until late 2023.

The survey asked respondents to rank priorities for a commissioner; the majority indicated that the commissioner should hold local authorities, service providers and the Scottish Government to account in providing adequate support to autistic people and their families.

Fifty-eight percent of survey respondents indicate that they need mental health support for themselves or for an autistic person they support, and 49% said they need support in education. Yet first person accounts from autistic people and families in the report show that too many are struggling to get the support they desperately need from public services.

Read the report here.

Nicola Cameron, the parent of Alex who is autistic, said: “Our experience has been prolonged, frustrating, and confusing. After six years we are finally getting some clarity on Alex’s support needs.

“But it is upsetting to have lost critical years that could have been used to make his school experience easier. We have been left to navigate the system on our own, learning as we go and funding everything ourselves. And still we have not heard from CAMHS.

“It is clear resources are stretched and children like Alex are being failed by the services that are meant to help them. Support for young autistic people involves different professions and, because each autistic person is individual, the journey cannot ever be linear.

“But it can be easier. We feel that a commissioner for autistic people could help to create a more joined up system that prioritises individuals’ needs, and fights for recognition of the autistic community.”

Rob Holland, Director of the National Autistic Society Scotland said: “The commitment to establish a Commissioner for autistic people and people with a learning disability was an SNP manifesto commitment at the last election, but we’ve only inched forward and now with the delay in the Public Consultation until the end of this year there’s a very real concern that this important work is simply not being prioritised.

“The longer the delay the longer diagnosis waiting lists grow, the longer people go without the care and support they need, the longer people are stuck in hospital, and the longer children wait for support in school.”

Charlene Tait, Deputy Chief Executive of Scottish Autism said: “Every day we encounter individuals and families whose human rights are being breached as a result of a lack of accountability within the system.

 “All too often it feels like the system works against autistic people and their families, when it should be working for them. They need a Commissioner in their corner.

 “We consider that the creation of a Commissioner is a necessity, and we call on the Scottish Government to develop a sense of urgency on this issue.”

Concerns raised as record high of Scottish pupils identified with additional support needs while statutory support falls

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist care and education to vulnerable children and young people, has raised concerns over an increase in the number of pupils identified with additional support needs (ASN), against a backdrop of a lack of support and proposed budget cuts.

It has also voiced similar concerns over a declining number of those with complex needs receiving a co-ordinated support plan (CSP), the only education plans that are legal documents. This is despite a Scottish Government promise that there would be no decline in the numbers of those receiving them.

The figures were released yesterday (13th December) in the Scottish Government’s annual census of pupils and teachers in publicly funded schools.

These figures show that the number of pupils with ASN, such as autism, dyslexia and mental health problems in 2022 has reached a record high of 241,639. Of this total 57.2% are boys. This represents 34.2% of the pupil population, rising from 118,011 in 2012, and a more than doubling (104.8%) in numbers from that year.

An increase in demand is however set against a backdrop of proposed budget cuts and a lack of specialist ASN teachers, support staff and the resources needed to support this. This is also exacerbated by the ongoing impacts of Covid-19 lockdowns and the cost-of-living crisis, with those with ASN drawn proportionately from the poorest backgrounds, as well as an increase in those experiencing mental health problems.

The SCSC has also raised concerns over a decline in the number of those receiving a CSP. These are statutory education plans prepared by local authorities to identify and ensure the provision of services for children and young people with complex or multiple ASN.

The only education plans that are legal documents, CSPs require services such as education, health and social work to work together to give a child or young person the support they need. This provides some guarantees of entitlement to additional resources and legal redress, placing statutory duties on local authorities to review and ensure the provisions contained within it are being met.

Despite a Scottish Government promise that there would be no reduction in the proportion of pupils receiving them since their introduction in 2004, there has been a significant fall in the number of pupils with a CSP. Declining from 3,448 in 2012 3 to 1,401 in 2022, this amounts to a drop of 59.4%. This is a reduction from 2.9% to 0.6% of those with ASN.

A spokesperson for the SCSC commented: “While more children and young people are being identified as having ASN, this is against the increasingly challenging backdrop of a lack of specialist teachers, support staff and the resources needed to support them. This clearly has an impact not only on the individuals concerned but also on their peers and teachers.

“Such support is critical, especially post the Covid-19 pandemic and the damaging impact this has had on many of our children and young people, exacerbated by the cost-of-living crisis, which is hitting the poorest hardest.

“We are also concerned that despite an increase in the numbers of those with ASN we are experiencing a decline in the use of CSPs, which are designed to support those with the most complex needs.

“The Scottish Government and local authorities need to work in collaboration with the private and third sectors to provide the necessary resourcing and support to address the needs of children and young people with ASN. They must also work together to ensure that those who are entitled to a CSP receive one.

“With those with ASN drawn disproportionately from poorer neighbourhoods, if we are to genuinely close the educational attainment gap they must get the care and support they need when they need it.”

From Waste to Wall: new exhibition at Leith’s Image Collective Gallery

From reinterpreting autism to reimagining single-use products – how one artist is changing perspectives in Edinburgh this summer

Leith’s Image Collective Gallery launches thought-provoking new exhibition
‘From Waste to Wall’ with an opportunity to meet the artist

Diagnosed with autism at the age of three, art has played an important role throughout James Owen Thomas’ life as a means of communication and expression. Now aged 21, the multi award-winning artist views his autism not as a disability, but as a different kind of ability. And it is because of James’ unique ability to change perspectives that his latest exhibition, From Waste to Wall, is sure to attract attention. 

Debuting at Edinburgh’s Image Collective Gallery, From Waste to Wall features a range of thought-provoking collages, each one created using unwanted single-use products such as discarded lottery tickets. The artworks are intricately detailed – embodying James’ ethos that something genuinely beautiful can be created from items that others may deem as useless.

Speaking ahead of the exhibition opening, the North Yorkshire artist commented; “By creating collages from thousands of tiny pieces of discarded materials, I aim to make a positive statement about recycling.

“I have been exhibiting my unique style of environmental art since the age of 15 and I’m delighted to be displaying my art for the first time in Scotland this summer.”

The exhibition is being brought to Edinburgh thanks to the Image Collective Gallery owner, Sara Thomson, who first met James when they were both selected by PM Boris Johnson to become a COP26 One Step Greener Ambassador in 2021. 

Explaining her appreciation of James’ work, Sara said; “When I saw James’ work displayed at COP26 I was immediately struck by how intricate and beautiful each collage is.

“I was also moved by the powerful message he is putting out there – the idea that we need to change our attitudes, behaviour, perceptions, and perspectives if we’re going to save the planet.” 

The From Waste to Wall exhibition opens to the public on Tuesday 2nd August at The Image Collective Gallery and runs until Friday 30th September. The exhibition is free to view.

James Owen Thomas will be working on a live piece of art at The Image Collective Gallery on Tuesday 2nd August, 10am – 3pm, during which all are welcome to come and meet the artist.

Call for greater resourcing from new Scottish councils as spending to support vulnerable children is slashed

  • Spending cut of £874 per pupil to support those identified with ASN since 2012/13
  • ‘Postcode lottery’ of spending between local authorities on ASN
  • Near doubling in the number of pupils with ASN since 2012
  • Cut in the number of ASN teachers

An alliance of leading providers of children’s services, the Scottish Children’s Services Coalition (SCSC), has called for greater resourcing to support children and young people with additional support needs (ASN), such as autism, dyslexia and mental health problems.

The call which comes as new council administrations are being formed, comes as new figures contained in a parliamentary answer to the Cabinet Secretary for Education and Skills, Shirley-Anne Somerville MSP.

This reveals that spend supporting those pupils with ASN has slumped dramatically. IIt comes against a backdrop of the number of pupils with ASN increasing and the number of specialist teachers supporting them dropping to a new low.

The SCSC is calling on incoming town hall administrations to put the needs of vulnerable children and young people at the very heart of policy and funding commitments.

The figures highlight that average spend per pupil on additional support for learning by councils in Scotland (primary, secondary and special education) has fallen from £4,276 in the 2012/13 financial year [1] to £3,402 in 2020/21 [2] (in cash terms). This amounts to an overall cut in spending of £874 per pupil, representing a 20.4% drop.

Spend per pupil ranges from £2,210 in the Scottish Borders to £5,901 in the Shetland Islands, pointing to a ‘postcode lottery’ in spend across local councils (see Notes to Editors for figures by council). 

This fall is against the backdrop of a 92.2 per cent increase since 2012 in the number of pupils identified with ASN, from 118,011 to 226,838 in 2020, amounting to 108,827 individuals. Those with ASNcurrently represent just under a third of all pupils (32.3 per cent).3

Between 2012 and 2020 the number of full-time equivalent ASN teachers (publicly funded primary, secondary, special and centrally employed) has fallen from 3,389 to all-time low of 2,860, a decrease of 529 teachers, representing a cut in numbers of 15.6 per cent.4

Against the background of Covid-19 and its disproportionate impact on those with ASN, the SCSC has called for greater resourcing from both the Scottish Government and councils to ensure that those with ASN in Scotland’s schools receive the care and support they need

A spokesperson for the SCSC commented: ““It is vital that those with ASN get the care and support they need, when they need it, especially as we come out of the current Covid-19 crisis.

“This is also key if we are to genuinely close the educational attainment gap as we know that those with ASN are disproportionately drawn from poorer neighbourhoods.

“Given this, it is disappointing to note cuts in spending supporting those with ASN and we would urge Scotland’s newly elected councils to put the needs of vulnerable children and young people at the very heart of policy and funding commitments.

“Councils and the Scottish Government must work together to provide the necessary resourcing to address the needs of those children and young people with ASN, who represent some of the most vulnerable individuals in our society.”

New report breaks stigma around autism and periods this Autism Awarness Month

Although a discussion about neurotypical people’s period cycles has started in recent years, the same can’t be said for those on the autism spectrum.

Many feel unheard and uninformed, with almost half (49%) of autistic people reported not understanding their period, a third (30%) said it takes as long as four-to-five years to learn to manage it, over half (59%) aren’t comfortable enough to talk about it and 16% had to teach themselves about the cycle.

Intimate wellness brand, INTIMINA, has released a report which aims to breakdown the stigma around autism and periods. Whilst empowering and informing people about the challenges that those on the autism spectrum face and offering advice from experts, Psychotherapist Steph Jones (MBACP) andConsultant Obstetrician and Gynaecologist Dr Shree Datta, on how to cope.

On average it takes four-to-five years for almost a third (30%) of autistic people to learn how to manage their period, compared to just one year for a massive 38% of neurotypical people.

Reasons for this do vary but this new research shows that it could be down to autistic people having different experiences when it comes to their senses, mental health, physical effects, communication, and knowledge of the reproductive system and period products.  

Sensory 

Hyper or hyporeactivity to sensory input or unusual interest in sensory aspects of the environment, such as smelling or touching of objects is something that most autistic people experience. When asked if they notice the scents in menstrual products like tampons, menstrual cups and pads, 70% said yes, 66% said that it bothers them and 26% flagged odours as one of the main issues when they are on their period.

Mental Health & Physical Effects  

Most people with periods struggle with a whole range of mental and physical issues during the cycle, including bloating, depression, anxiety, headaches, back pain, cramps, cravings, tender and swollen breasts, fatigue and insomnia[1].

Almost all participants (96%) said that they experience emotional changes during a period, with over a third (38%) confirming that mood changes were in their top three worries that they had before their period.   

Alongside mood changes, 42% of autistic participants said that they were concerned about heavy bleeding during their period and 42% said they were most worried about period cramps.  

One of the autistic people who contributed a comment in the report went as far as to say that they suffered with “waves of depression, climbing anxiety, panic attacks and random crying outbursts” during their period.

Communication

The findings show that 41% of autistic people don’t feel confident talking to close friends or family about their period with another 18% feeling very unconfident. This is in contrast to the neurotypical sample where 74% said they felt either confident or very confident. Perhaps a struggle with communication is what has led 16% of autistic people to teaching themselves about periods.

Knowledge of the female reproductive system

Almost half (49%) of autistic people don’t understand their period cycle completely and when asked to identify the cervix on an image of the female reproductive system, a massive 39% of people on the autism spectrum failed to identify it correctly.

Using period products

Four out of five (83%) autistic people find period products difficult to use, with a third (34%) citing using sanitary products as the third biggest concern when it comes to their period. However almost a quarter (24%) of autistic people said that they prefer to use menstrual cups.

Psychotherapist, Steph Jones (MBACP), said: “Those on the autism spectrum, like myself, might struggle to talk about periods because they feel ashamed, or it might be connected to the social challenges experienced by many autistic people. For example, not asking for help because it leaves individuals open to the possibility of being dismissed, humiliated or invalidated.

“It’s also extremely common to experience some feelings of depression and anxiety just before a period starts. To help with this I would recommend keeping track of moods to determine whether they seem related to hormonal changes or reveal an underlying issue. Tracking will also help reduce the anxiety of not knowing when you are due to start your period. An easy way to track is to note it down in a journal or use an app to follow your cycle.”

Consultant Obstetrician and Gynaecologist for INTIMINA, Dr Shree Datta, adds: “Periods are the most natural thing in the world, with most people experiencing them, so always ask for advice because periods are part of our health cycle, not something anyone should feel embarrassed about.

“Don’t be shy to approach a doctor if simple measures such as hot water bottles, gentle exercise and pain relief do not help manage period pains. The next step may be being referred to a gynaecologist but remember that doctors help people who have heavy or painful periods every day of the week, so go and see them early if there’s a problem.”

Danela Zagar from INTIMINA, the brand behind the report, comments: “We’re on a mission to offer advice and support to everyone, no matter your background.

“As part of this, we have commissioned this research to help the voices of those on the autism spectrum be heard, help to understand the challenges that they face and overcome the stigma around this subject.

“We really hope that the report and advice within it helps many people on the autism spectrum and their families.”

As part of INTIMINA’s mission to break the taboo when it comes to talking about issues surrounding autism, the brand has made a donation to the National Autistic Society, which is the UK’s leading charity for autistic people and their families. They’ve spent decades working to provide support, guidance and advice to help create a society that works for autistic people.