Blog: When Patients Give Up on Healthcare

Mel Houser, M.D., Executive Director, All Brains Belong VT (10/10/2023)

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Look anywhere on social media today and one trend is clear: Autistic adults have largely given up on healthcare.

Why? Because they don’t get their needs met… AND the negative experiences are too significant, including the quantity of “spoons” required to navigate The System. The risk/benefit ratio leans in favor of healthcare avoidance. At best, they leave a healthcare encounter feeling misunderstood. At worst, they leave feeling dismissed, invalidated, and traumatized.

And here’s the problem. Not only do 67-69% of Autistic adults have untreated health conditions1 but this directly lowers our life expectancy. The life expectancy for an Autistic adult is 36-54 years.2-3 Not dying from autism. Dying from premature cardiovascular disease and suicide.3-4

Advice for patients who have given up on healthcare

When I do trainings for healthcare providers, I am often asked what people can “do” to be more neuroinclusive. While I appreciate the sentiment behind question, I think neuroinclusivity is more of a mindset than a set of techniques or practices. it starts with the way one sees the world. (We’re pretty good at helping professionals work on that.)

And in the meantime, what can patients do?

P.S. If you’d like to support our work to improve the health of neurodivergent people, please consider a tax-deductible gift of any size.

References

  1. Doherty M, Neilson S, O’Sullivan J, Carravallah L, Johnson M, Collen W, Shaw S. Barriers to healthcare and self-reported adverse outcomes for autistic adults: a cross-sectional study. BMJ Open 2022;12:e056904
  2. Guan J, Li G. Injury mortality in individuals with autism. American Journal of Public Health. 2017;107(5):791-793. 
  3. Hirvikoski T, Mittendorfer-Rutz E, Boman M, Larsson H, Lichtenstein P, Bölte S. Premature mortality in autism spectrum disorder. British Journal of Psychiatry. 2016;208(3):232-8.
  4. South M, Costa AP, McMorris C. Death by suicide among people with autism: beyond zebrafish. 2021;4(1):e2034018.