Creating Neuro-Accessible Environments to Support Communication in ABI
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The environment in which communication takes place has a significant impact on understanding after acquired brain injury. Noise, lighting, visual clutter and distractions can overwhelm cognitive processing. Commissioners and inspectors expect ABI services to consider environmental factors as part of communication accessibility.
This article explores how ABI providers can create neuro-accessible environments that support communication. It should be read alongside Cognition, Behaviour & Executive Function Support and Quality, Safety & Governance.
What neuro-accessibility means in practice
Neuro-accessibility involves designing environments that reduce cognitive load and sensory overload.
Environmental barriers to communication
Background noise, busy spaces and poor lighting can all impair comprehension.
Commissioner and inspector expectations
Expectation 1: Environmental consideration. Inspectors expect services to identify and mitigate environmental barriers.
Expectation 2: Reasonable adjustments. Commissioners expect proportionate environmental adaptations.
Operational example 1: Quiet communication spaces
An ABI provider created designated low-stimulus areas for important conversations.
Managing sensory overload
Reducing sensory input supports focus and regulation.
Operational example 2: Sensory audits
Services conducted audits to identify sources of overload.
Embedding environmental awareness
Staff awareness is essential for consistency.
Operational example 3: Environmental guidance for staff
Providers developed guidance on choosing appropriate settings for communication.
Evidencing neuro-accessible environments
Providers should evidence:
- Environmental adjustments
- Staff awareness and training
- Improved engagement and reduced distress
Why environment matters
Neuro-accessible environments underpin safe, effective communication.
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