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Assessing School-Based Speech-Language Pathologists' Perspectives on Neurodiversity-Affirming Practices for Autistic
Kelsey H DeMonte1,2, Mirza J Lugo-Neris1, Bridget J Perry1
1MGH Institute of Health Professions, Boston, MA.
Language, Speech, and Hearing Services in Schools
|May 29, 2026
Summary
Most school-based speech-language pathologists (SLPs) are aware of the neurodiversity movement but lack confidence in applying neurodiversity-affirming (ND-affirming) practices. Further education is recommended for SLPs to align their practices with ND-affirming approaches for autistic students.
Area of Science:
- Speech-language pathology
- Developmental psychology
- Education
Background:
- The neurodiversity movement advocates for viewing autism and other neurological differences as natural variations.
- There is a growing need to understand how educational professionals, particularly speech-language pathologists (SLPs), integrate neurodiversity-affirming (ND-affirming) practices into their work with autistic students.
Purpose of the Study:
- To investigate school-based SLPs' understanding and application of ND-affirming practices for autistic students.
- To assess the alignment between current clinical practices of school-based SLPs and ND-affirming principles.
Main Methods:
- An online survey was administered to 150 school-based SLPs.
- The survey included Likert scale and multiple-choice questions assessing beliefs and perspectives on ND-affirming practices.
- Participants' responses were analyzed to determine alignment with ND-affirming goal areas and therapy approaches versus the medical model.
Main Results:
- Nearly 92% of SLPs surveyed were aware of the neurodiversity movement.
- However, 54% lacked confidence in implementing ND-affirming goals and therapy for autistic students.
- A significant gap was observed, with only 2-3% of participants demonstrating full alignment with ND-affirming goal writing and therapy approaches.
Conclusions:
- Most school-based SLPs' current practices do not fully align with ND-affirming principles in goal writing and treatment.
- Social media emerged as a primary source of information regarding the neurodiversity movement.
- There is a clear need for enhanced professional development and training for SLPs to effectively implement ND-affirming strategies.
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