Assessing School-Based Speech-Language Pathologists' Perspectives on Neurodiversity-Affirming Practices for Autistic...

The purpose of this study was to examine current school-based speech-language pathologists' (SLPs') perspectives on neurodiversity-affirming (ND-affirming) practices for autistic students and how their current clinical practices align with ND-affirming practices.

A total of 150 school-based SLPs completed an original online survey in its entirety. The survey contained 5-point Likert scale items (ranging from strongly disagree to strongly agree) as well as multiple-choice questions. Survey items were used to determine school-based SLP beliefs in the purpose of speech-language therapy services for autistic students and their perspectives on ND-affirming practices for this population.

Although almost 92% of participants reported awareness of the neurodiversity movement, a majority of participants (54%) reported a lack of confidence in writing goals and providing therapy to autistic students in an ND-affirming way. Participants reported social media as the most popular source of information related to the neurodiversity movement. When presented with goal areas and therapy approaches that were either ND-affirming or based on the medical model of disability, only 2% of participants responded to all of the goal area statements in a way that aligned with ND-affirming practices, and just under 3% of participants responded to all of the therapy approach statements in a way that aligned with ND-affirming practices.

Based on participant responses to statements related to the practical implementation of ND-affirming practices, most school-based SLPs did not demonstrate alignment with goal writing and treatment approaches that are ND-affirming. This suggests that school-based SLPs may benefit from further education on ND-affirming practices in order to successfully implement these strategies in their workplaces.