ANCHOR Glossary

Plain meaning

A school access plan for a student with a disability who needs accommodations.

Professional meaning

A Section 504 plan documents accommodations and access supports for students with disabilities who may not need special education under IDEA.

What this can look like in real life

A 504 Plan may provide access supports such as extra time, reduced sensory exposure, written instructions, breaks, accessible materials, or medical accommodations.

First support actions

• Describe the barrier.
• Name the accommodation.
• Explain where and when it applies.
• Review whether the support actually works.

Use this word carefully

A 504 Plan is about access, not a favor or optional kindness.

What it is not

It is not the same as an IEP.

Why it matters

A student can need disability accommodations even without special education services.

What helps

List specific barriers and supports for classroom, testing, attendance, communication, health, and sensory access.

Use it in a sentence

“504 Plan" should be used to explain the support need, barrier, or access issue clearly.

Related terms

IEP, Accommodation, FAPE, Section 504

Spanish support note

Plan escolar de adaptaciones bajo la Sección 504 para estudiantes con discapacidad que necesitan acceso justo.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Tools or methods that help someone communicate when speech is not enough or not reliable.

Professional meaning

Augmentative and alternative communication can include picture boards, text, speech-generating devices, gestures, apps, cards, typing, or partner-assisted communication.

What this can look like in real life

AAC can be a device, app, picture card, text message, communication board, gesture, written note, or any other reliable communication method.

First support actions

• Wait while the person uses AAC.
• Address the person directly, not only the support person.
• Do not remove or block AAC access.
• Accept typed, pointed, or selected messages as real communication.

Use this word carefully

Speech is not the only valid form of communication.

What it is not

AAC is not only for people who never speak.

Why it matters

Speech can become unreliable during stress, overload, pain, shutdown, or medical appointments.

What helps

Accept AAC as real communication. Do not force speech when another method works better.

Use it in a sentence

“AAC is real communication. Please wait while the person uses their device or card.”

What can make it worse

Taking away AAC or demanding speech can remove the person’s ability to communicate.

Related terms

Communication Access, Speech Reliability, Written-First Communication, Selective Mutism

Spanish support note

Herramientas o métodos que ayudan a una persona a comunicarse cuando el habla no es suficiente o no es confiable.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Bias, rules, or systems that treat disabled people as less valuable, less credible, or less capable.

Professional meaning

Ableism includes individual prejudice and structural barriers that disadvantage disabled people or require disabled people to perform nondisabled norms to receive respect.

What this can look like in real life

Ableism is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not only open insults. It can appear in policies, forms, timelines, school discipline, hiring, healthcare, and public spaces.

Why it matters

Naming ableism helps shift the focus from blaming a person to identifying the barrier or assumption.

What helps

Use disability access, accommodations, plain language, flexible processes, and disabled community review when designing services.

Use it in a sentence

“The issue is not effort; the process may include ableist assumptions about communication and timing.”

Related terms

Disability, Accessibility, Accommodation, Disability Discrimination

Spanish support note

Traducción completa pendiente. Término en español: Capacitismo.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Anything that makes a service, place, form, conversation, or process harder or unsafe to use.

Professional meaning

A barrier created by design, policy, environment, communication, cost, transportation, timing, or assumptions that limits equal access.

What this can look like in real life

Access Barrier is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not a personal failure by the person facing the barrier.

Why it matters

Naming the barrier moves the focus from blame to repair.

What helps

Ask what part of the process is blocking access and change the process before blaming the person.

Use it in a sentence

“The problem is an access barrier, not a lack of effort.”

What can make it worse

Treating a barrier as a behavior problem can delay support and increase crisis risk.

Related terms

Accessibility, Accommodation, Barrier Removal, Communication Access

Spanish support note

Traducción completa pendiente. Término en español: Barrera de acceso.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Exhaustion from repeatedly explaining, proving, requesting, and defending access needs.

Professional meaning

Access fatigue can build when disabled or neurodivergent people must manage repeated disclosure, paperwork, resistance, delays, or disbelief.

What this can look like in real life

Access Fatigue is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not being dramatic or difficult.

Why it matters

People may stop asking for help when every request becomes another burden.

What helps

Keep records, reuse access notes, accept prior documentation when possible, and reduce repeated explanations.

Use it in a sentence

“Access Fatigue" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Access Need, Accommodation, Disclosure, Documentation Barrier

Spanish support note

Traducción completa pendiente. Término en español: Fatiga de acceso.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Something a person needs in order to understand, communicate, participate, stay regulated, or safely use a service.

Professional meaning

A practical support, format, environmental adjustment, communication method, or process change that removes a barrier.

What this can look like in real life

Access Need is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not special treatment, manipulation, weakness, or a reward.

Why it matters

Naming the need clearly helps people respond with support instead of judgment.

What helps

Ask what would make the situation easier or safer. Offer written steps, quiet space, extra time, AAC, or a support person.

Use it in a sentence

“Access Need" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Accommodation, Accessibility, Support Needs, Communication Access

Spanish support note

Algo que una persona necesita para entender, comunicarse, participar, mantenerse regulada o usar un servicio de forma segura.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A voluntary ANCHOR tool that helps a person explain communication, sensory, support, and emergency needs.

Professional meaning

A non-diagnostic profile that can summarize preferences, access needs, accommodations, emergency notes, and support instructions for selected situations.

What this can look like in real life

The Access Passport helps a person explain communication preferences, sensory needs, what helps, what harms, and emergency support information without repeating everything from scratch.

First support actions

• Keep it voluntary.
• Let the person control what they share.
• Use it to support communication, not to label or diagnose.
• Keep emergency information concise.

Use this word carefully

The Passport must not become a surveillance, eligibility, or gatekeeping tool.

What it is not

It is not a diagnosis, eligibility decision, or public requirement.

Why it matters

It helps people communicate needs before a situation becomes a crisis.

What helps

Keep it voluntary, private, editable, and shareable only by choice.

Use it in a sentence

“Access Passport" should be used to explain the support need, barrier, or access issue clearly.

Related terms

ANCHOR CARD, Communication Access, Support Needs, Appointment Packet

Spanish support note

Perfil voluntario de acceso que resume necesidades de comunicación, sensoriales, apoyo, seguridad y preferencias.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

How easy and safe it is for people with different bodies, brains, senses, and communication needs to use something.

Professional meaning

The design of spaces, services, technology, communication, and procedures so disabled people can access them without unnecessary barriers.

What this can look like in real life

Accessibility is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not only ramps or wheelchair access.

Why it matters

Digital, sensory, language, cognitive, and communication access matter too.

What helps

Build access into the design before someone has to ask for help.

Use it in a sentence

“Accessibility" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Universal Design, Plain Language, Communication Access, Accommodation

Spanish support note

Qué tan fácil y seguro es usar un espacio, servicio, tecnología o información para personas con diferentes cuerpos, cerebros, sentidos y formas de comunicación.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

An event designed so people with different access needs can participate safely and meaningfully.

Professional meaning

Accessible events may include sensory information, quiet space, captions, plain-language materials, wheelchair access, virtual access, predictable schedule, and communication supports.

What this can look like in real life

Accessible Event is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not only a ramp at the door.

Why it matters

People need to know what to expect before they decide whether they can attend.

What helps

Publish access details, offer contact options, reduce sensory barriers, and provide written schedules.

Use it in a sentence

“Accessible Event" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Accessibility, Quiet Space, Communication Access, Universal Design

Spanish support note

Traducción completa pendiente. Término en español: Evento accesible.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A change that helps a disabled or neurodivergent person access something fairly.

Professional meaning

A reasonable adjustment to a rule, setting, process, schedule, communication method, or environment so a person can participate.

What this can look like in real life

Accommodation is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not lowering standards or giving an unfair advantage.

Why it matters

Accommodations remove barriers that are not related to a person's ability or worth.

What helps

Use written instructions, reduced sensory exposure, flexible timing, captions, plain-language forms, or quiet waiting areas.

Use it in a sentence

“This is an accommodation request because the current process creates an access barrier.”

What can make it worse

Calling it special treatment can shame people away from support they are legally or practically entitled to request.

Related terms

ADA, Access Need, Modification, Universal Design

Spanish support note

Un cambio que ayuda a una persona discapacitada o neurodivergente a acceder algo de manera justa.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A United States civil rights law that protects disabled people from discrimination.

Professional meaning

The Americans with Disabilities Act requires many employers, public services, and public accommodations to provide equal access and reasonable accommodations.

What this can look like in real life

ADA is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not a diagnosis system or a guarantee of every requested service.

Why it matters

It helps explain why access is a right, not a favor.

What helps

Use ADA language when requesting reasonable accommodations or effective communication.

Use it in a sentence

“ADA" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Reasonable Accommodation, Effective Communication, Public Accommodation, Disability Rights

Spanish support note

Ley federal de derechos civiles de Estados Unidos que protege a las personas discapacitadas contra la discriminación.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A neurodevelopmental difference that can affect attention, impulsivity, energy, emotion, time, memory, and task control.

Professional meaning

Attention-deficit/hyperactivity disorder involves differences in executive functioning, regulation, motivation, and attention systems.

What this can look like in real life

In real life, ADHD should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not laziness, lack of discipline, or simply being distracted.

Why it matters

ADHD barriers are often mistaken for attitude problems.

What helps

Use external structure, visual steps, timers, body doubling, flexible movement, reminders, and reduced task friction.

Use it in a sentence

“ADHD" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Executive Dysfunction, Time Blindness, Task Initiation, Hyperfocus

Spanish support note

Una diferencia del desarrollo neurológico que puede afectar atención, impulsividad, energía, emoción, tiempo, memoria e inicio de tareas.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

The paperwork, calls, forms, portals, deadlines, and follow-up required to get help.

Professional meaning

Administrative burden is the load created by systems when people must navigate complex processes to access services or rights.

What this can look like in real life

Administrative Burden is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not the same thing as the person being disorganized.

Why it matters

High administrative burden can block access for people with executive-function, language, trauma, poverty, or transportation barriers.

What helps

Use plain steps, written checklists, warm handoffs, form help, reminders, and one clear contact point.

Use it in a sentence

“Administrative Burden" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Executive Dysfunction, System Navigation, Care Coordination, Warm Handoff

Spanish support note

Traducción completa pendiente. Término en español: Carga administrativa.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A structured autism assessment tool used by trained clinicians as one part of an evaluation.

Professional meaning

The Autism Diagnostic Observation Schedule is an assessment instrument used with developmental history, interviews, records, and clinical judgment.

What this can look like in real life

ADOS may show up during appointments, intake forms, waiting rooms, treatment instructions, or medical notes. Clear communication and written next steps often matter as much as the appointment itself.

First support actions

• Offer written instructions and next steps.
• Ask about communication, sensory, timing, cost, transportation, and executive-function barriers.
• Allow support people when requested.
• Do not treat distress or communication differences as lack of credibility.

Use this word carefully

Avoid using this term in a way that dismisses symptoms, pain, distress, or communication barriers.

What it is not

It is not the only way to understand autism, and one tool by itself should not erase lived experience or support needs.

Why it matters

Families and adults may hear this term during evaluation and need to know it is only part of the process.

What helps

Ask what tools will be used, how masking is considered, whether adult/late-identified presentations are understood, and how results will be explained in plain language.

Use it in a sentence

“ADOS" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Autism Evaluation, Neuropsychological Evaluation, Adult Diagnosis, Masking

Spanish support note

Traducción completa pendiente. Término en español: ADOS.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Identification of autism, ADHD, or another neurodevelopmental difference after childhood.

Professional meaning

Adult diagnosis may involve reviewing developmental history, current functioning, masking, trauma history, sensory profile, executive function, and differential diagnosis.

What this can look like in real life

In real life, Adult Diagnosis should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not proof that the person suddenly became autistic or ADHD as an adult.

Why it matters

Many adults were missed because they masked, had limited access to evaluation, or did not match stereotypes.

What helps

Respect self-knowledge, use written history, allow support people, and avoid dismissing late identification.

Use it in a sentence

“Adult Diagnosis" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Late-Identified, Masking, Autism, ADHD

Spanish support note

Traducción completa pendiente. Término en español: Diagnóstico en la adultez.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A person who helps someone understand options, communicate needs, and ask for fair support.

Professional meaning

An advocate may be a family member, peer, professional, navigator, attorney, or support person depending on the setting.

What this can look like in real life

In real life, Advocate should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

An advocate should not erase the person’s voice or make choices without consent.

Why it matters

Advocacy can reduce power imbalance in schools, healthcare, agencies, workplaces, and crisis situations.

What helps

Ask the person how they want the advocate involved and what information may be shared.

Use it in a sentence

“Advocate" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Self-Advocacy, Supported Decision-Making, Consent, Navigator

Spanish support note

Traducción completa pendiente. Término en español: Defensor/a o acompañante.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Finding the right public office, program, form, contact, or next step.

Professional meaning

Agency navigation includes helping people move through DHS, ADH, schools, Medicaid, VR, transportation, and related service systems.

What this can look like in real life

In real life, Agency Navigation should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not the same as eligibility approval.

Why it matters

People often lose access because the system is hard to understand, not because the need is absent.

What helps

Use a navigator, warm handoff, checklist, written summary, and follow-up plan.

Use it in a sentence

“Agency Navigation" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Navigator, Arkansas DHS, Arkansas Department of Health, Care Coordination

Spanish support note

Traducción completa pendiente. Término en español: Navegación de agencias.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Difficulty noticing, naming, or explaining emotions and body signals.

Professional meaning

Alexithymia can involve reduced emotional awareness, difficulty linking body sensations to feelings, and trouble putting internal states into words.

What this can look like in real life

Alexithymia may show up when speech, listening, processing, reading, writing, or social interpretation is harder than expected.

First support actions

• Offer writing, AAC, visuals, extra processing time, and yes/no options.
• Do not require fast speech.
• Confirm understanding without shaming.
• Accept communication in the format that works.

Use this word carefully

Do not treat speech, eye contact, or fast answers as the only proof of understanding.

What it is not

It is not having no feelings or not caring.

Why it matters

A person may be distressed but unable to explain what is wrong in the moment.

What helps

Offer emotion lists, body maps, yes/no choices, rating scales, time to process, and written options.

Use it in a sentence

“Alexithymia" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Interoception, Communication Access, Shutdown, Dysregulation

Spanish support note

Traducción completa pendiente. Término en español: Alexitimia.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A person who is not autistic.

Professional meaning

Allistic is a community term used to describe non-autistic people, whether neurotypical or neurodivergent in another way.

What this can look like in real life

In real life, Allistic should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It does not mean neurotypical in every case.

Why it matters

It helps distinguish autistic from non-autistic without treating autistic as the default problem.

What helps

Use when a clear contrast between autistic and non-autistic communication or experience is needed.

Use it in a sentence

“Allistic" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Autistic, Neurotypical, Neurodivergent, Neurotype

Spanish support note

Traducción completa pendiente. Término en español: Alístico/a.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A support response that does not begin with punishment, force, or escalation.

Professional meaning

Alternative response may include trained civilian support, crisis co-response, communication access, family contact, peer support, or referral instead of default enforcement.

What this can look like in real life

Alternative Response may show up during stress, crisis, transport, front-desk contact, public safety response, or confusion in a public place. Slow support usually works better than pressure.

First support actions

• Create space and lower stimulation.
• Use calm, short, concrete language.
• Ask one question at a time.
• Avoid touch, crowding, threats, sarcasm, or forced eye contact unless immediate safety requires action.

Use this word carefully

Avoid turning a support need into suspicion, threat language, or escalation language.

What it is not

It is not ignoring safety.

Why it matters

Some situations are made worse when distress is treated as defiance or threat without checking access needs.

What helps

Start with safety, space, calm communication, and access support before enforcement when possible.

Use it in a sentence

“Alternative Response" should be used to explain the support need, barrier, or access issue clearly.

Related terms

De-escalation, Communication Access, ANCHOR CARD, Crisis Plan

Spanish support note

Traducción completa pendiente. Término en español: Respuesta alternativa.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A communication support card or deck used to quickly explain needs, safety steps, and support instructions.

Professional meaning

A public communication-access tool for crisis prevention, responder support, self-advocacy, and accommodation requests.

What this can look like in real life

The ANCHOR CARD gives quick access language during public contact, stress, shutdown, sensory overload, or communication difficulty.

First support actions

• Read the card before escalating.
• Respect communication preferences.
• Use the card as a support prompt.
• Give space, time, and clear next steps.

Use this word carefully

A card should not be treated as fake, suspicious, or optional when the person is asking for communication access.

What it is not

It is not a legal ID, diagnosis card, or permission to ignore safety.

Why it matters

Cards help when speech or processing is unreliable.

What helps

Point, show, support: see the card, read the card, respect the card.

Use it in a sentence

“ANCHOR CARD" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Access Passport, Communication Access, Meltdown, Public Safety

Spanish support note

Tarjeta de comunicación y respuesta que ayuda a explicar necesidades de acceso durante estrés, sobrecarga o contacto con servicios.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Little or no ability to create mental pictures on purpose.

Professional meaning

Aphantasia is a variation in mental imagery where a person may not voluntarily visualize images, faces, scenes, or imagined objects.

What this can look like in real life

In real life, Aphantasia should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not a lack of imagination, intelligence, memory, or creativity.

Why it matters

Some instructions assume people can “picture it in your mind,” which may not work for everyone.

What helps

Use concrete examples, written lists, diagrams, physical references, photos, step-by-step instructions, and external memory supports.

Use it in a sentence

“Please show me an example instead of asking me to picture it.”

Related terms

Learning Difference, Visual Supports, Processing Difference

Spanish support note

Traducción completa pendiente. Término en español: Afantasia.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

The supports someone needs to schedule, attend, understand, and follow up after an appointment.

Professional meaning

Appointment access includes communication format, sensory environment, transportation, forms, reminder systems, support person policies, and written next steps.

What this can look like in real life

Appointment Access may show up during appointments, intake forms, waiting rooms, treatment instructions, or medical notes. Clear communication and written next steps often matter as much as the appointment itself.

First support actions

• Offer written instructions and next steps.
• Ask about communication, sensory, timing, cost, transportation, and executive-function barriers.
• Allow support people when requested.
• Do not treat distress or communication differences as lack of credibility.

Use this word carefully

Avoid using this term in a way that dismisses symptoms, pain, distress, or communication barriers.

What it is not

It is not only getting an appointment slot.

Why it matters

A person can technically have an appointment and still be unable to use it safely or effectively.

What helps

Offer written scheduling, quiet waiting options, forms ahead of time, extra processing time, and after-visit summaries.

Use it in a sentence

“Appointment Access" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Healthcare Access, Appointment Packet, Waiting Room Barrier, Written Summary

Spanish support note

Traducción completa pendiente. Término en español: Acceso a citas.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A prepared set of information someone can bring to an appointment to explain needs, concerns, history, and supports.

Professional meaning

An appointment packet can include communication preferences, access needs, questions, medication list, sensory needs, symptoms, documents, and requested next steps.

What this can look like in real life

Appointment Packet is part of the ANCHOR Arkansas support system. It should be explained in plain language so public users know what it does and what it does not do.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not a diagnosis or legal decision.

Why it matters

Appointments often move too fast for people to explain everything verbally.

What helps

Prepare the packet ahead of time, keep it short, and ask providers to read it before rapid questioning.

Use it in a sentence

“Appointment Packet" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Access Passport, Communication Access, Healthcare, Written-First Communication

Spanish support note

Paquete preparado antes de una cita para explicar necesidades, preguntas, síntomas, barreras y próximos pasos.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Difficulty planning or coordinating purposeful movement, including speech movement for some people.

Professional meaning

Apraxia is a motor-planning difference that can affect speech, gestures, daily tasks, and reliable movement despite understanding the task.

What this can look like in real life

Apraxia may show up when speech, listening, processing, reading, writing, or social interpretation is harder than expected.

First support actions

• Offer writing, AAC, visuals, extra processing time, and yes/no options.
• Do not require fast speech.
• Confirm understanding without shaming.
• Accept communication in the format that works.

Use this word carefully

Do not treat speech, eye contact, or fast answers as the only proof of understanding.

What it is not

It is not stubbornness or lack of comprehension.

Why it matters

A person may know what they want to do but be unable to make the movement happen reliably.

What helps

Allow extra time, model steps, reduce pressure, use AAC, and avoid assuming refusal.

Use it in a sentence

“Apraxia" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Dyspraxia, AAC, Speech Reliability, Motor Planning

Spanish support note

Traducción completa pendiente. Término en español: Apraxia.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

The ANCHOR directory for autism, neurodivergence, health, community, and support information.

Professional meaning

Autism Research & Community Health Information Exchange: a searchable resource directory and information exchange concept for providers, services, supports, and community resources.

What this can look like in real life

ARCHIE is part of the ANCHOR Arkansas support system. It should be explained in plain language so public users know what it does and what it does not do.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not a guarantee that a provider is available, endorsed, or currently accepting clients.

Why it matters

People need organized, accessible routes to support.

What helps

Use filters, access notes, correction forms, and clear resource categories.

Use it in a sentence

“ARCHIE" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Resource Map, Navigator, Regional Dock, Research Lab

Spanish support note

Traducción completa pendiente. Término en español: ARCHIE.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

The proposed public-facing authority name for the ANCHOR Arkansas support ecosystem.

Professional meaning

A governance and coordination concept for statewide access, training, navigation, public education, research, and support infrastructure.

What this can look like in real life

Arkansas Anchor Authority is part of the ANCHOR Arkansas support system. It should be explained in plain language so public users know what it does and what it does not do.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not a diagnosis program, law enforcement program, or special education eligibility decision-maker.

Why it matters

A clear authority name helps task force, agency, public, and legislative readers understand the system as more than a website.

What helps

Use the term when discussing official structure, coordination, governance, and public accountability.

Use it in a sentence

“Arkansas Anchor Authority" should be used to explain the support need, barrier, or access issue clearly.

Related terms

ANCHOR Arkansas, Regional Dock, Access Passport, Data Governance

Spanish support note

Traducción completa pendiente. Término en español: Autoridad ANCHOR de Arkansas.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A state public health agency with local health units and public health services across Arkansas.

Professional meaning

ADH may connect to immunizations, public health clinics, records, maternal and child health, health education, and local public health infrastructure.

What this can look like in real life

Arkansas Department of Health is part of the ANCHOR Arkansas support system. It should be explained in plain language so public users know what it does and what it does not do.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not the same as every hospital or private clinic.

Why it matters

Local health units may be important access points for rural public health support.

What helps

Provide county-specific contact information, hours, accessibility notes, and written appointment preparation.

Use it in a sentence

“Arkansas Department of Health" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Regional Dock, Healthcare, Care Coordination, Resource Map

Spanish support note

Traducción completa pendiente. Término en español: Departamento de Salud de Arkansas.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Arkansas Department of Human Services, a state agency connected to many public benefits and support programs.

Professional meaning

DHS-related services may involve Medicaid, developmental disability services, SNAP, child welfare, aging services, behavioral health, and other public supports depending on program rules.

What this can look like in real life

Arkansas DHS is part of the ANCHOR Arkansas support system. It should be explained in plain language so public users know what it does and what it does not do.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not one single service or one single office.

Why it matters

People often need plain explanations of which DHS office or program fits their need.

What helps

Use clear program names, county office information, written next steps, and navigator support when available.

Use it in a sentence

“Arkansas DHS" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Medicaid, Care Coordination, Navigator, Regional Dock

Spanish support note

Traducción completa pendiente. Término en español: DHS de Arkansas.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Exhaustion from repeated evaluations, forms, interviews, testing, and retelling personal history.

Professional meaning

Assessment fatigue can occur when people must repeatedly prove disability, trauma, support needs, or eligibility across systems.

What this can look like in real life

Assessment Fatigue may show up during appointments, intake forms, waiting rooms, treatment instructions, or medical notes. Clear communication and written next steps often matter as much as the appointment itself.

First support actions

• Offer written instructions and next steps.
• Ask about communication, sensory, timing, cost, transportation, and executive-function barriers.
• Allow support people when requested.
• Do not treat distress or communication differences as lack of credibility.

Use this word carefully

Avoid using this term in a way that dismisses symptoms, pain, distress, or communication barriers.

What it is not

It is not refusal to cooperate.

Why it matters

Repeated assessment can become a barrier, especially for people with trauma, burnout, communication needs, or executive dysfunction.

What helps

Reuse existing records where appropriate, explain why each question is needed, allow breaks, and provide written questions ahead of time.

Use it in a sentence

“Assessment Fatigue" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Autism Evaluation, Neuropsychological Evaluation, Documentation Barrier, Trauma-Informed Care

Spanish support note

Traducción completa pendiente. Término en español: Fatiga de evaluación.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A shorthand some people use when they are both autistic and ADHD.

Professional meaning

AuDHD describes co-occurring autistic and ADHD traits, needs, and experiences. It is a community term, not a separate formal diagnosis.

What this can look like in real life

In real life, AuDHD should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not a replacement for autism or ADHD diagnosis language when clinical paperwork requires specific terms.

Why it matters

Autism and ADHD can interact in ways that affect attention, sensory needs, routines, motivation, burnout, and communication.

What helps

Ask about both predictability needs and novelty/movement needs. Supports may need to reduce overload while also supporting task initiation and stimulation.

Use it in a sentence

“AuDHD" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Autism, ADHD, Executive Dysfunction, Sensory Overload

Spanish support note

Traducción completa pendiente. Término en español: Autismo y TDAH.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A lifelong neurodevelopmental difference that can affect communication, sensory processing, social energy, routines, interests, movement, and regulation.

Professional meaning

Autism spectrum disorder is a neurodevelopmental diagnosis involving differences in social communication and restricted or repetitive patterns of behavior, interests, sensory responses, or routines.

What this can look like in real life

In real life, Autism should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not a disease to catch, a parenting failure, or one single personality type.

Why it matters

Autistic people can have very different strengths, needs, communication styles, and support profiles.

What helps

Ask the person what support works for them instead of relying on stereotypes.

Use it in a sentence

“Autism" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Autistic, Neurodivergent, Sensory Processing, Masking

Spanish support note

Una neurodiferencia del desarrollo que puede afectar comunicación, procesamiento sensorial, rutinas, intereses, energía social y necesidad de predictibilidad.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A process used to understand whether someone meets criteria for autism and what supports they need.

Professional meaning

An autism evaluation may include developmental history, interviews, standardized tools, observation, records review, adaptive functioning, communication profile, sensory history, and differential diagnosis.

What this can look like in real life

Autism Evaluation may show up during appointments, intake forms, waiting rooms, treatment instructions, or medical notes. Clear communication and written next steps often matter as much as the appointment itself.

First support actions

• Offer written instructions and next steps.
• Ask about communication, sensory, timing, cost, transportation, and executive-function barriers.
• Allow support people when requested.
• Do not treat distress or communication differences as lack of credibility.

Use this word carefully

Avoid using this term in a way that dismisses symptoms, pain, distress, or communication barriers.

What it is not

It should not be only a quick checklist or a judgment based on eye contact, speech, or stereotypes.

Why it matters

A good evaluation can support access to services, accommodations, self-understanding, and care planning.

What helps

Bring written history, examples of masking, sensory needs, school/work records, communication needs, and questions about support recommendations.

Use it in a sentence

“Autism Evaluation" should be used to explain the support need, barrier, or access issue clearly.

Related terms

ADOS, Adult Diagnosis, Late-Identified, Neuropsychological Evaluation

Spanish support note

Traducción completa pendiente. Término en español: Evaluación de autismo.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A person whose brain and body process the world in autistic ways.

Professional meaning

Autistic is an identity-first term many autistic people prefer; some individuals prefer person-first language, such as person with autism.

What this can look like in real life

In real life, Autistic should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not an insult or a complete description of a person.

Why it matters

Respecting a person's chosen language is part of communication access.

What helps

Use the person's preference. When unknown, use respectful, neutral language.

Use it in a sentence

“Autistic" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Autism, Identity-First Language, Person-First Language, Allistic

Spanish support note

Una persona autista tiene un neurotipo autista. Muchas personas prefieren “persona autista”; otras prefieren “persona con autismo”. Respete la preferencia individual.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A serious state of exhaustion that can happen after long periods of masking, stress, sensory overload, and unsupported demands.

Professional meaning

Autistic burnout can include reduced capacity, loss of skills, increased sensory sensitivity, executive dysfunction, communication difficulty, and need for reduced demands.

What this can look like in real life

Burnout may involve loss of skills, lower speech capacity, severe exhaustion, increased sensory sensitivity, reduced tolerance for change, and inability to keep up with normal routines.

First support actions

• Reduce demands where possible.
• Prioritize rest, sensory safety, and predictable routines.
• Help with meals, appointments, forms, and basic tasks.
• Avoid shame-based motivation.

Use this word carefully

Do not treat burnout as a character flaw or simple refusal to participate.

What it is not

It is not laziness, immaturity, or lack of motivation.

Why it matters

Pushing harder can make burnout worse.

What helps

Reduce demands, protect rest, lower sensory load, simplify tasks, and rebuild capacity gradually.

Use it in a sentence

“Autistic Burnout" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Masking, Shutdown, Sensory Overload, Executive Dysfunction

Spanish support note

Agotamiento intenso que puede ocurrir después de mucho tiempo de enmascarar, soportar sobrecarga y funcionar sin apoyos adecuados.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Changing a system so people can use it without unnecessary obstacles.

Professional meaning

Barrier removal can include plain-language forms, alternate communication, accessible transportation, sensory changes, scheduling options, and staff training.

What this can look like in real life

Barrier Removal is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not a favor or optional kindness when access is required.

Why it matters

Barrier removal prevents people from needing to fight for every basic step.

What helps

Design the service so access is built in before someone has to ask.

Use it in a sentence

“Barrier Removal" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Access Barrier, Universal Design, Accessibility, Reasonable Accommodation

Spanish support note

Traducción completa pendiente. Término en español: Eliminación de barreras.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Behavior can show that a person has an unmet need, barrier, pain, fear, overload, or communication difficulty.

Professional meaning

A support approach that interprets behavior as information about context, needs, access barriers, and regulation rather than as willful misconduct alone.

What this can look like in real life

In real life, Behavior as Communication should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It does not mean every behavior is acceptable or should be ignored.

Why it matters

The goal is to understand the need before escalating punishment.

What helps

Ask what happened before, what barrier exists, and what support would prevent recurrence.

Use it in a sentence

“Behavior as Communication" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Dysregulation, Meltdown, Support Needs, Noncompliance

Spanish support note

La conducta puede mostrar una necesidad, barrera, dolor, miedo, confusión o sobrecarga cuando las palabras no son suficientes.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A person’s right to control what happens to their body.

Professional meaning

Body autonomy includes consent around touch, medical care, restraint, personal space, hygiene support, sensory tools, and physical assistance.

What this can look like in real life

Body Autonomy is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It does not disappear because someone is disabled or communicates differently.

Why it matters

Forced touch or rushed physical prompting can cause panic, trauma, shutdown, or escalation.

What helps

Ask before touching, explain what will happen, wait for consent when possible, and offer alternatives.

Use it in a sentence

“Please ask before touching. Body autonomy still matters during support.”

What can make it worse

Ignoring body autonomy can turn support into harm.

Related terms

Consent, Informed Consent, Restraint, Trauma-Informed Care

Spanish support note

Traducción completa pendiente. Término en español: Autonomía corporal.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Doing a task while another person is present, which can make starting or staying with the task easier.

Professional meaning

A practical executive-function support where the presence of another person provides structure, accountability, rhythm, or co-regulation.

What this can look like in real life

In real life, Body Doubling should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not babysitting or weakness.

Why it matters

Some brains start tasks more easily with external structure.

What helps

Use quiet co-working, virtual check-ins, or a shared timer without shaming the person.

Use it in a sentence

“Body Doubling" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Task Initiation, Executive Dysfunction, Co-Regulation, ADHD

Spanish support note

Traducción completa pendiente. Término en español: Acompañamiento de presencia.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A clear limit about what someone can do, tolerate, share, or accept.

Professional meaning

Boundaries may relate to time, touch, sensory input, conversation, privacy, relationships, workload, or support roles.

What this can look like in real life

Boundary may show up when speech, listening, processing, reading, writing, or social interpretation is harder than expected.

First support actions

• Offer writing, AAC, visuals, extra processing time, and yes/no options.
• Do not require fast speech.
• Confirm understanding without shaming.
• Accept communication in the format that works.

Use this word carefully

Do not treat speech, eye contact, or fast answers as the only proof of understanding.

What it is not

A boundary is not automatically rude or selfish.

Why it matters

Many neurodivergent people are pressured to override boundaries to seem polite or compliant.

What helps

Respect the boundary and offer another way to complete the task or conversation.

Use it in a sentence

“Boundary" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Consent, Self-Advocacy, Masking, Emotional Safety

Spanish support note

Traducción completa pendiente. Término en español: Límite personal.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

The process of reducing demands and rebuilding capacity after burnout.

Professional meaning

Burnout recovery often requires rest, sensory safety, lower demands, predictable routines, reduced masking, practical support, and time.

What this can look like in real life

In real life, Burnout Recovery should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not solved by motivation speeches or punishment.

Why it matters

Without recovery, capacity may continue to decline and daily tasks may become harder.

What helps

Lower demands, protect sleep, reduce sensory load, create simple routines, and avoid unnecessary social performance.

Use it in a sentence

“Burnout Recovery" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Autistic Burnout, Access Fatigue, Capacity, Unmasking

Spanish support note

Traducción completa pendiente. Término en español: Recuperación del agotamiento.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

How much energy, processing, emotion, sensory input, and task load a person can handle right now.

Professional meaning

Capacity can fluctuate by stress, sleep, pain, sensory load, trauma, hormones, illness, medication, and accumulated demands.

What this can look like in real life

Capacity is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not fixed ability or character.

Why it matters

A person may be capable one day and unable the next without faking.

What helps

Ask what capacity is available now and reduce demands when needed.

Use it in a sentence

“Capacity" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Fluctuating Capacity, Burnout Recovery, Support Needs, Dysregulation

Spanish support note

Traducción completa pendiente. Término en español: Capacidad disponible.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Text that shows spoken words and important sounds in video, live meetings, or media.

Professional meaning

Captioning supports deaf, hard-of-hearing, auditory processing, language, attention, and noisy-environment access.

What this can look like in real life

Captioning may show up when speech, listening, processing, reading, writing, or social interpretation is harder than expected.

First support actions

• Offer writing, AAC, visuals, extra processing time, and yes/no options.
• Do not require fast speech.
• Confirm understanding without shaming.
• Accept communication in the format that works.

Use this word carefully

Do not treat speech, eye contact, or fast answers as the only proof of understanding.

What it is not

It is not only for deaf people.

Why it matters

Captions make information easier to access for many users.

What helps

Provide accurate captions, transcripts, and plain summaries when possible.

Use it in a sentence

“Captioning" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Communication Access, Effective Communication, Accessibility, Plain Language

Spanish support note

Traducción completa pendiente. Término en español: Subtítulos.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Helping people connect services, appointments, paperwork, providers, and follow-up steps.

Professional meaning

Care coordination supports continuity across healthcare, behavioral health, education, disability services, transportation, insurance, and family support.

What this can look like in real life

Care Coordination may show up during appointments, intake forms, waiting rooms, treatment instructions, or medical notes. Clear communication and written next steps often matter as much as the appointment itself.

First support actions

• Offer written instructions and next steps.
• Ask about communication, sensory, timing, cost, transportation, and executive-function barriers.
• Allow support people when requested.
• Do not treat distress or communication differences as lack of credibility.

Use this word carefully

Avoid using this term in a way that dismisses symptoms, pain, distress, or communication barriers.

What it is not

It is not the same as one appointment or one referral.

Why it matters

People often fall through gaps between systems.

What helps

Track next steps, confirm responsibilities, share access needs, and keep written summaries.

Use it in a sentence

“Care Coordination" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Navigator, Referral, Intake, Appointment Packet

Spanish support note

Traducción completa pendiente. Término en español: Coordinación de cuidado.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A written plan for support, treatment, routines, safety, communication, and follow-up.

Professional meaning

A care plan can coordinate healthcare, behavioral health, school, family, agency, and community supports around agreed goals and access needs.

What this can look like in real life

Care Plan may show up during appointments, intake forms, waiting rooms, treatment instructions, or medical notes. Clear communication and written next steps often matter as much as the appointment itself.

First support actions

• Offer written instructions and next steps.
• Ask about communication, sensory, timing, cost, transportation, and executive-function barriers.
• Allow support people when requested.
• Do not treat distress or communication differences as lack of credibility.

Use this word carefully

Avoid using this term in a way that dismisses symptoms, pain, distress, or communication barriers.

What it is not

It is not useful if the person cannot understand or use it.

Why it matters

Written plans help prevent confusion and repeated crisis response.

What helps

Use plain language, contact names, next steps, warning signs, accommodations, and review dates.

Use it in a sentence

“Care Plan" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Care Coordination, Crisis Plan, Written Summary, Appointment Packet

Spanish support note

Traducción completa pendiente. Término en español: Plan de atención.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Exhaustion that can happen when a caregiver has too many demands and not enough support.

Professional meaning

Caregiver burnout may involve emotional depletion, reduced capacity, stress, health effects, resentment, isolation, and difficulty maintaining care routines.

What this can look like in real life

In real life, Caregiver Burnout should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not proof that the caregiver does not care.

Why it matters

Unsupported caregivers can unintentionally escalate stress for the disabled person and themselves.

What helps

Offer respite, practical help, clear service navigation, crisis prevention planning, peer support, and lower-demand routines.

Use it in a sentence

“Caregiver Burnout" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Respite, Care Coordination, Support Needs, Burnout

Spanish support note

Traducción completa pendiente. Término en español: Agotamiento del cuidador.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Help coordinating services, paperwork, referrals, appointments, and follow-up.

Professional meaning

Case management supports people in navigating complex systems and connecting with services across agencies, healthcare, benefits, housing, education, or community support.

What this can look like in real life

In real life, Case Management should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not the same as therapy or eligibility approval.

Why it matters

Good case management reduces dropped referrals and repeated retelling.

What helps

Use clear goals, follow-up dates, release forms, and a written contact plan.

Use it in a sentence

“Case Management" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Care Coordination, Service Coordination, Navigator, Warm Handoff

Spanish support note

Traducción completa pendiente. Término en español: Manejo de casos.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

The people, tools, places, and steps that help someone stay safe and supported.

Professional meaning

A chain of support can include self-advocacy, family, peers, navigators, healthcare, schools, employers, agencies, transportation, and emergency contacts.

What this can look like in real life

In real life, Chain of Support should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not one person carrying everything alone.

Why it matters

When one link fails, people may fall into crisis even when help exists somewhere else.

What helps

Write down backup contacts, support roles, access needs, and handoff steps.

Use it in a sentence

“Chain of Support" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Care Coordination, Warm Handoff, Support Plan, Navigator

Spanish support note

Traducción completa pendiente. Término en español: Cadena de apoyo.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Using calm support from another person or environment to help someone regain regulation.

Professional meaning

A relational regulation strategy where tone, pace, safety, predictability, sensory adjustments, and supportive presence help stabilize a stressed nervous system.

What this can look like in real life

In real life, Co-Regulation should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not controlling someone or forcing calm.

Why it matters

People often regulate better with safety than with pressure.

What helps

Lower your voice, slow down, reduce demands, offer space, and provide clear next steps.

Use it in a sentence

“Co-Regulation" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Dysregulation, De-escalation, Meltdown, Shutdown

Spanish support note

Traducción completa pendiente. Término en español: Co-regulación.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Design that makes information easier to understand, remember, navigate, and use.

Professional meaning

Cognitive accessibility includes plain language, clear layout, predictable navigation, visual cues, reduced memory load, and step-by-step instructions.

What this can look like in real life

Cognitive Accessibility is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not dumbing things down.

Why it matters

Complex systems can exclude people even when the building or website is technically open.

What helps

Use headings, short steps, examples, visible choices, plain words, and consistent layouts.

Use it in a sentence

“Cognitive Accessibility" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Plain Language, Universal Design, Executive Dysfunction, Accessibility

Spanish support note

Traducción completa pendiente. Término en español: Accesibilidad cognitiva.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

The support a person needs to understand others and be understood.

Professional meaning

Tools, methods, timing, formats, and environmental supports that allow reliable communication, including speech, writing, AAC, visuals, captions, plain language, or extra processing time.

What this can look like in real life

A person may need writing, extra time, visuals, AAC, captions, simple language, interpreter support, or a quiet place to communicate reliably.

First support actions

• Ask how the person communicates best.
• Offer written options.
• Use one question at a time.
• Do not force eye contact or fast verbal answers.

Use this word carefully

Communication access is not only for people who never speak.

What it is not

It is not limited to people who cannot speak.

Why it matters

Without communication access, people may be mislabeled as rude, noncompliant, confused, aggressive, or incapable.

What helps

Offer written options, AAC, simple questions, extra time, captions, and confirmation of understanding.

Use it in a sentence

“They need communication access, so written instructions and extra response time should be provided.”

What can make it worse

Assuming speech equals full access can hide real communication barriers.

Related terms

AAC, Processing Delay, Written-First Communication, Plain Language

Spanish support note

Apoyos que permiten que una persona entienda y sea entendida.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A group that helps review whether a program is useful, respectful, accessible, and accountable to the community.

Professional meaning

A community advisory board may include autistic people, families, professionals, rural representatives, Spanish-language reviewers, and disability advocates.

What this can look like in real life

Community Advisory Board is part of the ANCHOR Arkansas support system. It should be explained in plain language so public users know what it does and what it does not do.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not symbolic if it has real review power and follow-through.

Why it matters

Programs can drift away from lived experience without community review.

What helps

Include disabled and neurodivergent people in decisions from the beginning, not only after launch.

Use it in a sentence

“Community Advisory Board" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Data Governance, Public Language Standard, Self-Advocacy, Peer Support

Spanish support note

Traducción completa pendiente. Término en español: Junta asesora comunitaria.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A trusted community-based support worker who helps people connect with health and social resources.

Professional meaning

Community health workers can provide outreach, education, navigation, follow-up, and connection between communities and formal systems.

What this can look like in real life

In real life, Community Health Worker should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

They are not a replacement for every clinical or legal role.

Why it matters

They can reduce access gaps, especially in rural areas and communities with distrust of systems.

What helps

Use them for outreach, follow-up, language support, and practical navigation where appropriate.

Use it in a sentence

“Community Health Worker" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Navigator, Outreach, Care Coordination, Rural Access

Spanish support note

Traducción completa pendiente. Término en español: Trabajador/a de salud comunitaria.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Clear permission for something to happen.

Professional meaning

Consent should be informed, voluntary, specific, and able to be withdrawn when possible. Communication support may be needed for consent to be meaningful.

What this can look like in real life

Consent is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

Consent is not silence, fear, freezing, or being pressured.

Why it matters

Disabled people may be denied real consent when others assume they cannot decide or must comply.

What helps

Explain choices clearly, use accessible communication, allow time, and respect no.

Use it in a sentence

“Consent" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Informed Consent, Body Autonomy, Supported Decision-Making, Communication Access

Spanish support note

Traducción completa pendiente. Término en español: Consentimiento.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A written plan for what to do before, during, and after a crisis.

Professional meaning

A crisis plan may include warning signs, communication needs, sensory supports, safe contacts, medication information, what helps, what harms, and emergency steps.

What this can look like in real life

In real life, Crisis Plan should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not a punishment plan.

Why it matters

A good crisis plan prevents escalation and reduces harmful responses.

What helps

Create it when calm, review it regularly, and include the person’s own words whenever possible.

Use it in a sentence

“Crisis Plan" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Safety Plan, Traffic Light Plan, De-escalation, ANCHOR CARD

Spanish support note

Traducción completa pendiente. Término en español: Plan de crisis.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Rules for how information is collected, used, protected, shared, corrected, and reviewed.

Professional meaning

Data governance includes privacy, consent, security, access controls, retention, deidentification, accountability, correction processes, and ethical review.

What this can look like in real life

Data Governance is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not just storing data in a system.

Why it matters

Access tools can help people, but they must not become surveillance, coercion, or uncontrolled data sharing.

What helps

Use clear consent, minimum necessary information, user control, audit trails, privacy review, and plain-language data notices.

Use it in a sentence

“Data Governance" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Privacy, Consent, Access Passport, Trust Center

Spanish support note

Traducción completa pendiente. Término en español: Gobernanza de datos.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Actions that lower stress, danger, confusion, or overwhelm before a situation gets worse.

Professional meaning

De-escalation includes reducing demands, slowing communication, creating space, lowering sensory input, and using nonthreatening support.

What this can look like in real life

De-escalation may show up during stress, crisis, transport, front-desk contact, public safety response, or confusion in a public place. Slow support usually works better than pressure.

First support actions

• Create space and lower stimulation.
• Use calm, short, concrete language.
• Ask one question at a time.
• Avoid touch, crowding, threats, sarcasm, or forced eye contact unless immediate safety requires action.

Use this word carefully

Avoid turning a support need into suspicion, threat language, or escalation language.

What it is not

It is not winning an argument or forcing immediate compliance.

Why it matters

Many crises worsen when people add pressure instead of removing barriers.

What helps

Lower voice, step back, offer choices, pause questions, and use clear concrete language.

Use it in a sentence

“De-escalation" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Co-Regulation, Meltdown, Public Safety, Communication Access

Spanish support note

Traducción completa pendiente. Término en español: Desescalada.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A strong stress response to demands, expectations, or loss of control.

Professional meaning

Demand avoidance can reflect anxiety, nervous-system threat response, executive-function barriers, trauma history, sensory overwhelm, or need for autonomy.

What this can look like in real life

In real life, Demand Avoidance should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not automatically manipulation or defiance.

Why it matters

More pressure can increase threat response and reduce capacity.

What helps

Offer choices, reduce urgency, explain the reason, use collaborative language, and lower the demand load.

Use it in a sentence

“Demand Avoidance" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Executive Dysfunction, Dysregulation, Autistic Burnout, Task Initiation

Spanish support note

Dificultad intensa para responder a demandas, especialmente cuando el sistema nervioso siente pérdida de control, presión o amenaza.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

When too many requests, decisions, transitions, or expectations exceed current capacity.

Professional meaning

Demand overload can involve cognitive, sensory, emotional, social, time, and executive-function demands stacking together.

What this can look like in real life

In real life, Demand Overload should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not laziness or refusal.

Why it matters

A person may collapse, shut down, melt down, avoid, or freeze when demands exceed capacity.

What helps

Reduce steps, remove nonessential demands, offer choices carefully, and give recovery time.

Use it in a sentence

“Demand Overload" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Demand Avoidance, Executive Dysfunction, Shutdown, Meltdown

Spanish support note

Traducción completa pendiente. Término en español: Sobrecarga de demandas.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

When a real health concern is dismissed or misread because a person already has a disability, mental health label, or autism diagnosis.

Professional meaning

Diagnostic overshadowing occurs when clinicians attribute symptoms to an existing diagnosis instead of adequately assessing new or separate medical concerns.

What this can look like in real life

Diagnostic Overshadowing may show up during appointments, intake forms, waiting rooms, treatment instructions, or medical notes. Clear communication and written next steps often matter as much as the appointment itself.

First support actions

• Offer written instructions and next steps.
• Ask about communication, sensory, timing, cost, transportation, and executive-function barriers.
• Allow support people when requested.
• Do not treat distress or communication differences as lack of credibility.

Use this word carefully

Avoid using this term in a way that dismisses symptoms, pain, distress, or communication barriers.

What it is not

It is not careful differential diagnosis.

Why it matters

It can delay care, worsen medical trauma, and make patients afraid to seek help.

What helps

Document symptoms clearly, ask what else has been ruled out, request plain next steps, and bring an appointment packet or support person when useful.

Use it in a sentence

“Diagnostic Overshadowing" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Medical Gaslighting, Medical Trauma, Informed Consent, Healthcare Access

Spanish support note

Traducción completa pendiente. Término en español: Sombra diagnóstica.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Making websites, apps, documents, forms, and media usable by disabled people.

Professional meaning

Digital accessibility includes keyboard access, captions, alt text, contrast, readable layout, clear labels, plain language, reduced motion, and screen-reader support.

What this can look like in real life

Digital Accessibility is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not just making text bigger.

Why it matters

People can be excluded from services when digital systems are inaccessible.

What helps

Test with keyboard, mobile, screen readers, high contrast, low literacy, and reduced-motion settings.

Use it in a sentence

“Digital Accessibility" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Accessibility, Cognitive Accessibility, Plain Language, Captioning

Spanish support note

Traducción completa pendiente. Término en español: Accesibilidad digital.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A worker who helps disabled people with daily living, community access, routines, safety, or independence.

Professional meaning

A direct support professional may provide practical support in home, work, school, community, or service settings depending on the person’s needs.

What this can look like in real life

In real life, Direct Support Professional should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

They should not control the person’s life or replace consent.

Why it matters

Good support can increase independence, safety, and participation.

What helps

Use person-centered support, respect communication, and follow the person’s preferences and rights.

Use it in a sentence

“Direct Support Professional" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Person-Centered Planning, Support Needs, Body Autonomy, Self-Determination

Spanish support note

Traducción completa pendiente. Término en español: Profesional de apoyo directo.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Choosing whether to share a disability, diagnosis, or support need with another person or system.

Professional meaning

Disclosure can be full, partial, situational, written, verbal, or withheld depending on safety, purpose, and legal context.

What this can look like in real life

Disclosure is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not required in every situation to deserve respect.

Why it matters

People may need accommodations but also face stigma, retaliation, or disbelief.

What helps

Ask only what is needed to provide access. Protect privacy and document preferences clearly.

Use it in a sentence

“Disclosure" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Accommodation, Privacy, Reasonable Accommodation, Access Need

Spanish support note

Traducción completa pendiente. Término en español: Divulgación de una discapacidad o necesidad.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Feeling disconnected from your body, surroundings, feelings, memory, or sense of reality.

Professional meaning

A nervous-system response that can occur during trauma activation, overwhelm, pain, fear, or severe stress.

What this can look like in real life

In real life, Dissociation should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not pretending, ignoring, or being dramatic.

Why it matters

Dissociation can affect communication, memory, consent, and safety.

What helps

Use grounding, reduce demands, speak calmly, orient to place and time, and avoid sudden touch.

Use it in a sentence

“Dissociation" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Shutdown, Panic Attack, Trauma-Informed Care, Grounding

Spanish support note

Traducción completa pendiente. Término en español: Disociación.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A problem caused when proof, forms, records, or paperwork requirements block support.

Professional meaning

Documentation barriers include missing records, hard-to-access portals, repeated forms, costly evaluations, narrow definitions, or unclear proof standards.

What this can look like in real life

Documentation Barrier is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not proof the person has no need.

Why it matters

People may be excluded because they cannot produce the exact document a system wants.

What helps

Accept multiple forms of documentation where possible and help the person obtain records.

Use it in a sentence

“Documentation Barrier" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Administrative Burden, Assessment Fatigue, Eligibility, Referral

Spanish support note

Traducción completa pendiente. Término en español: Barrera de documentación.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Misunderstanding can happen both ways between autistic and non-autistic people.

Professional meaning

The double empathy problem describes mutual communication mismatch across neurotypes rather than assuming autistic people alone lack social understanding.

What this can look like in real life

In real life, Double Empathy Problem should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not a claim that communication differences never cause problems.

Why it matters

It shifts focus from blaming one person to improving shared communication access.

What helps

Use explicit language, check understanding, avoid hidden rules, and respect different communication styles.

Use it in a sentence

“Double Empathy Problem" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Autistic Communication, Eye Contact, Literal Language, Communication Access

Spanish support note

Traducción completa pendiente. Término en español: Problema de doble empatía.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

The responsibility of a covered setting to make reasonable access changes when needed.

Professional meaning

Depending on the setting, employers, schools, public services, and public accommodations may have legal duties to provide reasonable accommodations or effective communication.

What this can look like in real life

Duty to Accommodate is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It does not mean every requested change is automatically required.

Why it matters

It frames access as a responsibility, not a favor.

What helps

Use a clear request, document the barrier, and discuss practical options.

Use it in a sentence

“Duty to Accommodate" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Reasonable Accommodation, ADA, Effective Communication, Public Accommodation

Spanish support note

Traducción completa pendiente. Término en español: Deber de acomodar.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A problem with the automatic body systems that help control heart rate, blood pressure, temperature, digestion, and related functions.

Professional meaning

Dysautonomia refers to autonomic nervous system dysfunction and may include dizziness, faintness, rapid heart rate, heat intolerance, fatigue, or gastrointestinal symptoms.

What this can look like in real life

Dysautonomia may show up during appointments, intake forms, waiting rooms, treatment instructions, or medical notes. Clear communication and written next steps often matter as much as the appointment itself.

First support actions

• Offer written instructions and next steps.
• Ask about communication, sensory, timing, cost, transportation, and executive-function barriers.
• Allow support people when requested.
• Do not treat distress or communication differences as lack of credibility.

Use this word carefully

Avoid using this term in a way that dismisses symptoms, pain, distress, or communication barriers.

What it is not

It is not simply anxiety, though symptoms can overlap and both may exist.

Why it matters

Some neurodivergent people report overlapping sensory, interoceptive, and autonomic regulation challenges.

What helps

Track symptoms, hydration, heart rate, blood pressure, triggers, and discuss concerns with a qualified healthcare professional.

Use it in a sentence

“Dysautonomia" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Interoception, Medical Gaslighting, Healthcare Access, Appointment Packet

Spanish support note

Traducción completa pendiente. Término en español: Disautonomía.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A learning difference that affects number sense, math, time, money, measurement, or calculations.

Professional meaning

Dyscalculia can involve difficulty with numerical magnitude, sequencing, arithmetic facts, spatial quantity, and applied math concepts.

What this can look like in real life

In real life, Dyscalculia should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not stupidity or not trying.

Why it matters

Math-related barriers can affect school, bills, medication schedules, travel time, and daily planning.

What helps

Use calculators, visual number supports, concrete examples, step-by-step templates, time supports, and accommodations.

Use it in a sentence

“Dyscalculia" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Learning Difference, Time Blindness, Executive Function, Accommodation

Spanish support note

Traducción completa pendiente. Término en español: Discalculia.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A learning difference that affects writing, handwriting, spelling, or getting thoughts onto paper.

Professional meaning

Dysgraphia can involve fine-motor, language, executive-function, and written-expression challenges.

What this can look like in real life

In real life, Dysgraphia should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not laziness or refusing to write.

Why it matters

A person may understand the material but be blocked by the writing process.

What helps

Use typing, speech-to-text, outlines, extra time, reduced copying, note templates, and alternatives to handwritten output.

Use it in a sentence

“Dysgraphia" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Learning Difference, Executive Dysfunction, Accommodation, Assistive Technology

Spanish support note

Traducción completa pendiente. Término en español: Disgrafía.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A learning difference that can affect reading, spelling, decoding, and written language.

Professional meaning

Dyslexia is a specific learning disability involving language processing, phonological awareness, reading fluency, spelling, or decoding.

What this can look like in real life

In real life, Dyslexia should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not low intelligence or not trying.

Why it matters

Accessible reading formats can reduce barriers without lowering expectations.

What helps

Use readable fonts, audio, extra time, structured literacy supports, and plain-language formatting.

Use it in a sentence

“Dyslexia" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Learning Disability, Accessibility, Accommodation, Plain Language

Spanish support note

Traducción completa pendiente. Término en español: Dislexia.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Difficulty planning and coordinating movements.

Professional meaning

Dyspraxia, often discussed as developmental coordination disorder, can affect motor planning, handwriting, speech motor planning, dressing, sports, driving, or daily tasks.

What this can look like in real life

In real life, Dyspraxia should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not clumsiness by choice or lack of effort.

Why it matters

Motor planning barriers can be mistaken for carelessness, defiance, or immaturity.

What helps

Use occupational therapy supports, extra time, adapted tools, step-by-step motor instruction, and alternatives to handwriting when needed.

Use it in a sentence

“Dyspraxia" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Occupational Therapy, Motor Planning, Dysgraphia, Accommodation

Spanish support note

Traducción completa pendiente. Término en español: Dispraxia.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A state where the body and brain are having trouble staying calm, safe, organized, or responsive.

Professional meaning

Dysregulation can involve emotional, sensory, cognitive, motor, autonomic, or behavioral changes under stress or overload.

What this can look like in real life

In real life, Dysregulation should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not automatically bad behavior.

Why it matters

Support should address the nervous system state, not only the visible behavior.

What helps

Reduce demands, lower sensory load, offer predictability, use calm tone, and allow recovery time.

Use it in a sentence

“Dysregulation" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Meltdown, Shutdown, Co-Regulation, Sensory Overload

Spanish support note

Estado en el que el cuerpo y el cerebro tienen dificultad para mantenerse estables, calmados o disponibles para pensar y comunicarse.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Repeating words, phrases, sounds, or scripts that have been heard before.

Professional meaning

Echolalia can be immediate or delayed and may support communication, processing, regulation, memory, or expression.

What this can look like in real life

Echolalia may show up when speech, listening, processing, reading, writing, or social interpretation is harder than expected.

First support actions

• Offer writing, AAC, visuals, extra processing time, and yes/no options.
• Do not require fast speech.
• Confirm understanding without shaming.
• Accept communication in the format that works.

Use this word carefully

Do not treat speech, eye contact, or fast answers as the only proof of understanding.

What it is not

It is not meaningless by default.

Why it matters

Scripts may carry meaning even when the wording sounds copied.

What helps

Listen for context, emotion, and pattern. Do not shame repetition.

Use it in a sentence

“Echolalia" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Scripting, AAC, Communication Access, Gestalt Language Processing

Spanish support note

Repetición de palabras, frases o sonidos que puede servir para comunicarse, procesar, practicar lenguaje o regularse.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A regional education support organization that can help schools with training, resources, and services.

Professional meaning

Education service cooperatives may support school districts with professional development, special education resources, technical assistance, and regional education coordination.

What this can look like in real life

Education Service Cooperative may show up in classrooms, IEP or 504 meetings, emails, behavior notes, discipline decisions, or service conversations. The important question is what access barrier exists and what support is required.

First support actions

• Write the support need clearly.
• Connect the term to a concrete classroom or meeting barrier.
• Document what support was tried before discipline or blame.
• Use plain language families and students can understand.

Use this word carefully

Avoid using this term to justify discipline before reviewing access, communication, sensory, and support barriers.

What it is not

It is not the same as a student’s school district or IEP team.

Why it matters

Regional education infrastructure can help spread autism and neurodivergence training across rural areas.

What helps

Link school training, public education, and regional support routes clearly.

Use it in a sentence

“Education Service Cooperative" should be used to explain the support need, barrier, or access issue clearly.

Related terms

IEP, 504 Plan, Academy, Regional Dock

Spanish support note

Traducción completa pendiente. Término en español: Cooperativa de servicios educativos.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Communication that the person can actually understand and use.

Professional meaning

In disability access, effective communication may require auxiliary aids, plain language, written materials, interpreters, AAC, captions, or extra time depending on the person and setting.

What this can look like in real life

Effective Communication is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not satisfied just because information was spoken once.

Why it matters

A person cannot consent, participate, or follow steps reliably if the communication format is inaccessible.

What helps

Ask the person’s communication preference and provide information in a usable format.

Use it in a sentence

“Effective Communication" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Communication Access, Plain Language, AAC, ADA

Spanish support note

Comunicación que realmente permite entender y participar, no solo recibir información.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Whether someone meets rules for a specific service, benefit, program, or support.

Professional meaning

Eligibility is determined by program rules and may depend on age, disability, income, diagnosis, documentation, residency, risk, or functional need.

What this can look like in real life

In real life, Eligibility should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not the same as whether the person truly needs help.

Why it matters

People can have real needs and still be denied by a specific program’s rules.

What helps

Explain the reason, appeal options, alternate programs, and next steps in writing.

Use it in a sentence

“Eligibility" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Intake, Referral, Medicaid Waiver, Documentation Barrier

Spanish support note

Traducción completa pendiente. Término en español: Elegibilidad.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Leaving a safe area unexpectedly or moving away from supervision, often because of stress, curiosity, fear, or sensory overload.

Professional meaning

Elopement can be a safety risk related to communication barriers, sensory seeking or avoiding, panic, trauma response, or inadequate environmental supports.

What this can look like in real life

Elopement may show up during stress, crisis, transport, front-desk contact, public safety response, or confusion in a public place. Slow support usually works better than pressure.

First support actions

• Create space and lower stimulation.
• Use calm, short, concrete language.
• Ask one question at a time.
• Avoid touch, crowding, threats, sarcasm, or forced eye contact unless immediate safety requires action.

Use this word carefully

Avoid turning a support need into suspicion, threat language, or escalation language.

What it is not

It is not always intentional misbehavior.

Why it matters

Safety planning should prevent danger without criminalizing distress.

What helps

Create safe exits, identify triggers, use ID/support cards, teach routes, reduce overload, and avoid chasing unless needed for immediate safety.

Use it in a sentence

“Elopement" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Safety Plan, Sensory Overload, Meltdown, Public Safety

Spanish support note

Salida, huida o alejamiento que puede ocurrir por sobrecarga, miedo, búsqueda sensorial, confusión o necesidad de escapar.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

The effort of managing feelings, explaining needs, educating others, or staying calm for other people’s comfort.

Professional meaning

Emotional labor can be especially demanding when disabled people must repeatedly justify access needs, correct assumptions, or mask distress.

What this can look like in real life

In real life, Emotional Labor should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not a formal diagnosis.

Why it matters

Systems often require the person with the least energy to do the most explaining.

What helps

Use clear forms, prepared scripts, written policies, trained staff, and no-blame support processes.

Use it in a sentence

“Emotional Labor" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Masking, Self-Advocacy, Burnout, Access Need

Spanish support note

Traducción completa pendiente. Término en español: Trabajo emocional.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

The ability to notice, manage, express, or recover from emotions and body states.

Professional meaning

Emotional regulation depends on nervous system state, sensory load, executive function, trauma history, communication access, and environmental support.

What this can look like in real life

In real life, Emotional Regulation should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not simply choosing to calm down.

Why it matters

People need support before they can use skills reliably.

What helps

Use co-regulation, predictable steps, sensory supports, rest, and reduced demands.

Use it in a sentence

“Emotional Regulation" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Dysregulation, Co-Regulation, Interoception, Grounding

Spanish support note

Traducción completa pendiente. Término en español: Regulación emocional.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Feeling safe enough to communicate, ask for help, make mistakes, or say no.

Professional meaning

Emotional safety is created by predictable, respectful, non-shaming, consent-based interaction.

What this can look like in real life

In real life, Emotional Safety should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not coddling.

Why it matters

Without emotional safety, people may mask, freeze, shut down, lie to escape pressure, or avoid services.

What helps

Use calm tone, clear choices, privacy, validation, and no public shaming.

Use it in a sentence

“Emotional Safety" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Trauma-Informed Care, Boundary, Co-Regulation, Masking

Spanish support note

Traducción completa pendiente. Término en español: Seguridad emocional.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A quick check of surroundings for sensory, safety, communication, and access barriers.

Professional meaning

An environmental scan may check noise, lights, crowds, exits, smells, seating, privacy, waiting time, signage, and communication demands.

What this can look like in real life

Environmental Scan may show up as movement, avoidance, distress, pain, fatigue, silence, irritability, leaving, or needing a different environment.

First support actions

• Reduce noise, light, crowding, waiting, and unnecessary touch.
• Offer breaks and quieter spaces.
• Allow safe movement or stimming.
• Check whether the environment is the barrier.

Use this word carefully

Do not describe sensory needs as being dramatic, spoiled, rude, or too sensitive.

What it is not

It is not overreacting.

Why it matters

Small environmental changes can prevent escalation.

What helps

Before assuming behavior, check what the environment is doing to the person.

Use it in a sentence

“Environmental Scan" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Sensory Overload, Waiting Room Barrier, Quiet Space, Accessibility

Spanish support note

Traducción completa pendiente. Término en español: Revisión del ambiente.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A Medicaid benefit for eligible children that stands for Early and Periodic Screening, Diagnostic, and Treatment.

Professional meaning

EPSDT can require coverage of medically necessary screening, diagnosis, and treatment services for eligible children under Medicaid, subject to program rules.

What this can look like in real life

EPSDT may show up during appointments, intake forms, waiting rooms, treatment instructions, or medical notes. Clear communication and written next steps often matter as much as the appointment itself.

First support actions

• Offer written instructions and next steps.
• Ask about communication, sensory, timing, cost, transportation, and executive-function barriers.
• Allow support people when requested.
• Do not treat distress or communication differences as lack of credibility.

Use this word carefully

Avoid using this term in a way that dismisses symptoms, pain, distress, or communication barriers.

What it is not

It is not the name of one clinic or one therapy.

Why it matters

It can matter for children who need evaluation, therapy, or follow-up care.

What helps

Ask providers and Medicaid contacts for written explanations of EPSDT-related coverage and next steps.

Use it in a sentence

“EPSDT" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Medicaid, Referral, Care Coordination, Healthcare

Spanish support note

Traducción completa pendiente. Término en español: EPSDT.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

When stress, conflict, confusion, fear, or sensory overload grows more intense.

Professional meaning

Escalation can be caused by demands, threats, crowding, pain, noise, misunderstanding, trauma activation, or loss of communication access.

What this can look like in real life

Escalation may show up during stress, crisis, transport, front-desk contact, public safety response, or confusion in a public place. Slow support usually works better than pressure.

First support actions

• Create space and lower stimulation.
• Use calm, short, concrete language.
• Ask one question at a time.
• Avoid touch, crowding, threats, sarcasm, or forced eye contact unless immediate safety requires action.

Use this word carefully

Avoid turning a support need into suspicion, threat language, or escalation language.

What it is not

It is not always caused by the person in distress.

Why it matters

Systems often escalate people by adding pressure when support is needed.

What helps

Lower demands, create space, slow communication, and remove triggers when safe.

Use it in a sentence

“Escalation" should be used to explain the support need, barrier, or access issue clearly.

Related terms

De-escalation, Meltdown, Shutdown, Trauma-Informed Care

Spanish support note

Traducción completa pendiente. Término en español: Escalamiento.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Trouble starting, organizing, switching, remembering, planning, or finishing tasks.

Professional meaning

Difficulty with cognitive control processes such as planning, sequencing, inhibition, working memory, time management, emotional regulation, and task initiation.

What this can look like in real life

The person may know what needs to happen but still be unable to start, sequence, switch, remember, organize, or finish. More pressure can increase the block.

First support actions

• Break the task into one visible next step.
• Use checklists, timers, body doubling, and written instructions.
• Reduce setup friction.
• Separate “cannot start” from “does not care.”

Use this word carefully

Avoid calling this laziness when the barrier is task initiation, working memory, time, sequencing, or regulation.

What it is not

It is not laziness or lack of caring.

Why it matters

A person may know what to do and still be unable to start or complete it without support.

What helps

Break tasks into steps, reduce choices, use reminders, timers, body doubling, visual lists, and start cues.

Use it in a sentence

“This may be executive dysfunction. Let’s reduce the task to one first step.”

What can make it worse

Shame, lectures, and vague reminders often increase the barrier instead of solving it.

Related terms

Task Initiation, Time Blindness, Working Memory, ADHD

Spanish support note

Dificultad del cerebro para iniciar, organizar, cambiar, recordar o terminar tareas aunque la persona sepa qué debe hacer.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Brain systems used for starting, planning, organizing, remembering, switching, and finishing tasks.

Professional meaning

Executive function includes inhibition, working memory, planning, sequencing, emotional regulation, time management, and cognitive flexibility.

What this can look like in real life

In real life, Executive Function should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not the same as intelligence or motivation.

Why it matters

A person may understand a task and still need help with the steps that make the task happen.

What helps

Use external structure, visible steps, reminders, body doubling, timers, and lower task friction.

Use it in a sentence

“Executive Function" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Executive Dysfunction, Working Memory, Task Initiation, Task Switching

Spanish support note

Traducción completa pendiente. Término en español: Función ejecutiva.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Looking at someone’s eyes during interaction. Some people find it painful, distracting, threatening, or unnecessary.

Professional meaning

Eye contact norms vary across neurotypes, cultures, trauma histories, and sensory profiles. Lack of eye contact does not prove disrespect, dishonesty, or inattention.

What this can look like in real life

A person may avoid eye contact while still listening. Eye contact can be painful, distracting, culturally different, trauma-linked, or unnecessary for understanding.

First support actions

• Do not require eye contact as proof of respect.
• Allow looking away, writing, fidgets, or alternate listening signals.
• Focus on understanding, not appearance.

Use this word carefully

Do not treat lack of eye contact as lying, disrespect, guilt, or inattention.

What it is not

It is not a reliable measure of listening, honesty, respect, or intelligence.

Why it matters

Forcing eye contact can reduce communication access.

What helps

Allow looking away, using notes, fidgets, screens, or alternate attention signals.

Use it in a sentence

“Eye contact is not required to prove listening or respect.”

What can make it worse

Forced eye contact can increase distress, reduce processing, or trigger trauma responses.

Related terms

Autistic Communication, Sensory Processing, Masking, Communication Access

Spanish support note

Mirar a los ojos. Para muchas personas autistas o neurodivergentes puede ser incómodo, doloroso, distractor o inseguro.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A legal right for eligible students with disabilities to receive appropriate public education services.

Professional meaning

Free Appropriate Public Education is a core IDEA requirement for special education and related services designed to meet a student's unique needs.

What this can look like in real life

FAPE may show up in classrooms, IEP or 504 meetings, emails, behavior notes, discipline decisions, or service conversations. The important question is what access barrier exists and what support is required.

First support actions

• Write the support need clearly.
• Connect the term to a concrete classroom or meeting barrier.
• Document what support was tried before discipline or blame.
• Use plain language families and students can understand.

Use this word carefully

Avoid using this term to justify discipline before reviewing access, communication, sensory, and support barriers.

What it is not

It is not the same as getting every preferred service.

Why it matters

It frames access to education as a right for eligible students.

What helps

Use FAPE language when discussing IEP services, supports, placement, and progress.

Use it in a sentence

“FAPE" should be used to explain the support need, barrier, or access issue clearly.

Related terms

IDEA, IEP, 504 Plan, Least Restrictive Environment

Spanish support note

Traducción completa pendiente. Término en español: Educación pública apropiada y gratuita.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

An object or activity used for movement, sensory input, focus, or regulation.

Professional meaning

Fidget tools can support attention, self-regulation, proprioceptive input, tactile input, and reduced harmful stimming.

What this can look like in real life

Fidget Tool may show up as movement, avoidance, distress, pain, fatigue, silence, irritability, leaving, or needing a different environment.

First support actions

• Reduce noise, light, crowding, waiting, and unnecessary touch.
• Offer breaks and quieter spaces.
• Allow safe movement or stimming.
• Check whether the environment is the barrier.

Use this word carefully

Do not describe sensory needs as being dramatic, spoiled, rude, or too sensitive.

What it is not

It is not automatically a toy or distraction.

Why it matters

Removing safe regulation tools can increase distress or reduce focus.

What helps

Allow quiet, safe fidgets and set clear boundaries only when needed for safety or access.

Use it in a sentence

“Fidget Tool" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Stimming, Sensory Seeking, Regulation, Proprioception

Spanish support note

Traducción completa pendiente. Término en español: Herramienta de manipulación / fidget.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A person’s face, voice, or body may show less visible emotion than others expect.

Professional meaning

Flat or reduced affect can reflect neurodivergent expression, stress, trauma, medication effects, fatigue, or communication style.

What this can look like in real life

Flat Affect may show up when speech, listening, processing, reading, writing, or social interpretation is harder than expected.

First support actions

• Offer writing, AAC, visuals, extra processing time, and yes/no options.
• Do not require fast speech.
• Confirm understanding without shaming.
• Accept communication in the format that works.

Use this word carefully

Do not treat speech, eye contact, or fast answers as the only proof of understanding.

What it is not

It does not prove lack of emotion, empathy, concern, or honesty.

Why it matters

Misreading affect can lead to unfair judgment.

What helps

Ask direct questions and accept written or plain answers instead of judging tone or facial expression.

Use it in a sentence

“Flat Affect" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Tone Policing, Autistic Communication, Masking, Alexithymia

Spanish support note

Traducción completa pendiente. Término en español: Afecto plano.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

When a person’s ability to do something changes from day to day or moment to moment.

Professional meaning

Fluctuating capacity is common with autism, ADHD, chronic illness, trauma, pain, sensory overload, and burnout.

What this can look like in real life

Fluctuating Capacity is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not inconsistency on purpose.

Why it matters

Systems often punish people for needing support only sometimes.

What helps

Document what changes capacity and build flexible supports instead of all-or-nothing rules.

Use it in a sentence

“Fluctuating Capacity" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Capacity, Autistic Burnout, Dysautonomia, Support Needs

Spanish support note

Traducción completa pendiente. Término en español: Capacidad fluctuante.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Communication that works for the person and the situation.

Professional meaning

Functional communication may include speech, writing, AAC, signs, gestures, visuals, behavior, pointing, scripts, or support-person interpretation.

What this can look like in real life

Functional Communication may show up when speech, listening, processing, reading, writing, or social interpretation is harder than expected.

First support actions

• Offer writing, AAC, visuals, extra processing time, and yes/no options.
• Do not require fast speech.
• Confirm understanding without shaming.
• Accept communication in the format that works.

Use this word carefully

Do not treat speech, eye contact, or fast answers as the only proof of understanding.

What it is not

It is not limited to spoken words.

Why it matters

A person needs a reliable way to express needs before they are judged for behavior.

What helps

Accept the method that works and teach replacement communication only with respect and consent.

Use it in a sentence

“Functional Communication" should be used to explain the support need, barrier, or access issue clearly.

Related terms

AAC, Communication Access, Behavior as Communication, Speech Reliability

Spanish support note

Traducción completa pendiente. Término en español: Comunicación funcional.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Labels like high-functioning and low-functioning that try to summarize a person’s abilities.

Professional meaning

Functioning labels are often imprecise and can hide support needs or reduce a person to deficits.

What this can look like in real life

In real life, Functioning Labels should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

They are not reliable descriptions of real support needs.

Why it matters

A person can appear capable in one setting and need major support in another.

What helps

Use specific language: communication support, sensory support, daily-living support, fluctuating capacity, or high support needs in this setting.

Use it in a sentence

“Functioning Labels" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Support Needs, Fluctuating Capacity, Masking, Access Need

Spanish support note

Etiquetas como “alto funcionamiento” o “bajo funcionamiento” suelen ser imprecisas y pueden ocultar necesidades reales.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Using a skill in more than one setting, person, or situation.

Professional meaning

Generalization means a skill learned in one place can be used elsewhere, such as home, school, work, clinic, or community.

What this can look like in real life

Generalization may show up in classrooms, IEP or 504 meetings, emails, behavior notes, discipline decisions, or service conversations. The important question is what access barrier exists and what support is required.

First support actions

• Write the support need clearly.
• Connect the term to a concrete classroom or meeting barrier.
• Document what support was tried before discipline or blame.
• Use plain language families and students can understand.

Use this word carefully

Avoid using this term to justify discipline before reviewing access, communication, sensory, and support barriers.

What it is not

It is not automatic for everyone.

Why it matters

A person may know a skill in one setting and still need support using it somewhere else.

What helps

Practice in real contexts, use consistent supports, and avoid assuming failure is refusal.

Use it in a sentence

“Generalization" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Task Analysis, Visual Supports, Executive Function, Support Needs

Spanish support note

Traducción completa pendiente. Término en español: Generalización.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Learning and using language in chunks or scripts before breaking it into smaller parts.

Professional meaning

A language development style where meaningful phrases, scripts, or echoed language may precede self-generated flexible language.

What this can look like in real life

Gestalt Language Processing may show up when speech, listening, processing, reading, writing, or social interpretation is harder than expected.

First support actions

• Offer writing, AAC, visuals, extra processing time, and yes/no options.
• Do not require fast speech.
• Confirm understanding without shaming.
• Accept communication in the format that works.

Use this word carefully

Do not treat speech, eye contact, or fast answers as the only proof of understanding.

What it is not

It is not meaningless repetition.

Why it matters

Understanding this can help caregivers and professionals respond to scripts as communication.

What helps

Model useful phrases, honor scripts, and look for the meaning behind repeated language.

Use it in a sentence

“Gestalt Language Processing" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Echolalia, Scripting, AAC, Communication Access

Spanish support note

Traducción completa pendiente. Término en español: Procesamiento gestáltico del lenguaje.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A formal complaint about a problem with a service, program, workplace, school, or agency.

Professional meaning

A grievance process gives a person a way to report denial, mistreatment, discrimination, unsafe conditions, or failure to follow policy.

What this can look like in real life

Grievance is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not automatically hostility or being difficult.

Why it matters

People need safe ways to report harm without retaliation.

What helps

Provide plain-language grievance steps, deadlines, contacts, and help with communication access.

Use it in a sentence

“Grievance" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Civil Rights Complaint, Disability Rights, Retaliation, Due Process

Spanish support note

Traducción completa pendiente. Término en español: Queja formal.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A strategy that helps a person reconnect with the present moment and feel safer in their body or environment.

Professional meaning

Grounding can use sensory, cognitive, breathing, orientation, movement, or relational cues to reduce panic, dissociation, or overwhelm.

What this can look like in real life

In real life, Grounding should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not a cure-all or a demand to calm down instantly.

Why it matters

Grounding can support safety when someone is overwhelmed or disconnected.

What helps

Use gentle prompts, familiar objects, sensory tools, breathing choices, or location/time reminders.

Use it in a sentence

“Grounding" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Dissociation, Panic Attack, Co-Regulation, Sensory Support

Spanish support note

Traducción completa pendiente. Término en español: Anclaje / conexión al presente.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A court-created legal relationship where another person is given authority to make some or all decisions for someone.

Professional meaning

Guardianship can restrict legal rights and should be understood separately from support, caregiving, power of attorney, and supported decision-making.

What this can look like in real life

Guardianship is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not the only way to help an adult make decisions.

Why it matters

Families may need to understand less restrictive options before pursuing major legal authority.

What helps

Seek qualified legal guidance and compare supported decision-making, power of attorney, representative payee, and other supports where appropriate.

Use it in a sentence

“Guardianship" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Supported Decision-Making, Power of Attorney, Rights, Informed Consent

Spanish support note

Traducción completa pendiente. Término en español: Tutela legal.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

The ability to use healthcare in a way a person can understand, tolerate, reach, afford, and communicate through.

Professional meaning

Healthcare access includes appointment availability, transportation, sensory environment, communication format, informed consent, cost, insurance, records, and follow-up instructions.

What this can look like in real life

Healthcare Access may show up during appointments, intake forms, waiting rooms, treatment instructions, or medical notes. Clear communication and written next steps often matter as much as the appointment itself.

First support actions

• Offer written instructions and next steps.
• Ask about communication, sensory, timing, cost, transportation, and executive-function barriers.
• Allow support people when requested.
• Do not treat distress or communication differences as lack of credibility.

Use this word carefully

Avoid using this term in a way that dismisses symptoms, pain, distress, or communication barriers.

What it is not

It is not only having a clinic in the area.

Why it matters

A person may technically have care available but still be unable to use it safely or reliably.

What helps

Offer written summaries, sensory-aware scheduling, communication access, transportation planning, plain instructions, and trauma-informed care.

Use it in a sentence

“Healthcare Access" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Appointment Packet, Waiting Room Barrier, Informed Consent, Communication Access

Spanish support note

Apoyos que permiten usar atención médica de forma segura y entendible.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Something that makes it hard to ask for help, even when help is needed.

Professional meaning

Barriers can include shame, trauma, confusing systems, phone calls, past disbelief, cost, executive dysfunction, language barriers, or fear of punishment.

What this can look like in real life

Help-Seeking Barrier is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

It is not proof the person does not want support.

Why it matters

Many people need help most when they are least able to request it.

What helps

Offer low-demand ways to ask for help, including text, forms, cards, and trusted contacts.

Use it in a sentence

“Help-Seeking Barrier" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Written-First Communication, Administrative Burden, Access Need, Trauma-Informed Care

Spanish support note

Traducción completa pendiente. Término en español: Barrera para pedir ayuda.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A disability or support need that is not obvious from appearance.

Professional meaning

Hidden disabilities may include autism, ADHD, chronic illness, pain, epilepsy, mental health disabilities, learning disabilities, sensory disabilities, and trauma-related disabilities.

What this can look like in real life

In real life, Hidden Disability should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not fake because it cannot be seen.

Why it matters

People with hidden disabilities are often denied access because others expect disability to be visible.

What helps

Believe access needs without requiring public proof or humiliation.

Use it in a sentence

“Hidden Disability" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Invisible Disability, Access Need, Disclosure, Accommodation

Spanish support note

Traducción completa pendiente. Término en español: Discapacidad no visible.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A problem that makes housing hard to obtain, keep, use safely, or access.

Professional meaning

Housing barriers can include cost, sensory environment, transportation, paperwork, discrimination, unsafe roommates, inaccessible communication, or lack of support services.

What this can look like in real life

In real life, Housing Barrier should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not simply poor planning.

Why it matters

Housing instability can worsen burnout, health, school, work, and crisis risk.

What helps

Connect housing support with navigation, accommodations, documentation help, and safety planning.

Use it in a sentence

“Housing Barrier" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Support Needs, Care Coordination, Reasonable Accommodation, System Navigation

Spanish support note

Traducción completa pendiente. Término en español: Barrera de vivienda.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

When ordinary sounds feel painfully loud, sharp, or overwhelming.

Professional meaning

A sound sensitivity condition where certain volumes or frequencies are experienced as uncomfortable, painful, or distressing.

What this can look like in real life

Hyperacusis may show up as movement, avoidance, distress, pain, fatigue, silence, irritability, leaving, or needing a different environment.

First support actions

• Reduce noise, light, crowding, waiting, and unnecessary touch.
• Offer breaks and quieter spaces.
• Allow safe movement or stimming.
• Check whether the environment is the barrier.

Use this word carefully

Do not describe sensory needs as being dramatic, spoiled, rude, or too sensitive.

What it is not

It is not being dramatic or picky.

Why it matters

Sound pain can cause distress, shutdown, panic, or avoidance.

What helps

Offer noise reduction, quieter spaces, predictable sound warnings, and permission to leave loud areas.

Use it in a sentence

“Hyperacusis" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Misophonia, Sensory Overload, Auditory Sensitivity, Accommodation

Spanish support note

Traducción completa pendiente. Término en español: Hiperacusia.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Intense focus on something, sometimes to the point of losing track of time, body needs, or other tasks.

Professional meaning

A state of sustained attention and engagement often associated with ADHD and autism, especially when interest, urgency, or novelty is high.

What this can look like in real life

In real life, Hyperfocus should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It does not mean the person can focus on everything equally.

Why it matters

People may focus deeply on one task and still struggle to start another.

What helps

Use transition warnings, timers, body-need reminders, and respectful interruption scripts.

Use it in a sentence

“Hyperfocus" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Monotropism, Time Blindness, Executive Dysfunction, Special Interest

Spanish support note

Traducción completa pendiente. Término en español: Hiperconcentración.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Very strong early reading or word recognition, often with uneven comprehension or communication needs.

Professional meaning

Hyperlexia can appear alongside autism or other neurodevelopmental profiles and may involve advanced decoding with different language comprehension patterns.

What this can look like in real life

In real life, Hyperlexia should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It does not mean the person understands everything they can read.

Why it matters

Adults may overestimate comprehension because reading looks advanced.

What helps

Check understanding, use visuals, explain context, and do not assume age-level comprehension from decoding alone.

Use it in a sentence

“Hyperlexia" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Gestalt Language Processing, Learning Difference, Communication Access, Autism

Spanish support note

Traducción completa pendiente. Término en español: Hiperlexia.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A United States education law for eligible students with disabilities who need special education services.

Professional meaning

The Individuals with Disabilities Education Act governs special education, IEPs, evaluations, procedural safeguards, FAPE, and related services.

What this can look like in real life

IDEA may show up in classrooms, IEP or 504 meetings, emails, behavior notes, discipline decisions, or service conversations. The important question is what access barrier exists and what support is required.

First support actions

• Write the support need clearly.
• Connect the term to a concrete classroom or meeting barrier.
• Document what support was tried before discipline or blame.
• Use plain language families and students can understand.

Use this word carefully

Avoid using this term to justify discipline before reviewing access, communication, sensory, and support barriers.

What it is not

It is not the same as Section 504.

Why it matters

IDEA is central to school-based disability services.

What helps

Use IDEA terms when discussing evaluation, eligibility, IEP services, and procedural rights.

Use it in a sentence

“IDEA" should be used to explain the support need, barrier, or access issue clearly.

Related terms

IEP, FAPE, Least Restrictive Environment, 504 Plan

Spanish support note

Traducción completa pendiente. Término en español: Ley IDEA.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Putting the identity word first, such as autistic person.

Professional meaning

A language preference used by many disability and autistic communities to recognize disability or neurotype as part of identity rather than something separate from the person.

What this can look like in real life

In real life, Identity-First Language should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not required for every individual.

Why it matters

Language preference is personal and community-specific.

What helps

Use the person’s chosen wording when known.

Use it in a sentence

“Identity-First Language" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Person-First Language, Autistic, Neurodivergent, Language Preference

Spanish support note

Traducción completa pendiente. Término en español: Lenguaje de identidad primero.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A written school plan for an eligible student who needs special education services.

Professional meaning

An Individualized Education Program documents eligibility, goals, services, accommodations, placement, related services, and how progress will be measured.

What this can look like in real life

An IEP may shape services, goals, accommodations, placement, transportation, therapies, assistive technology, behavior support, and progress monitoring.

First support actions

• Use plain language in meetings.
• Connect goals to real access needs.
• Document accommodations clearly.
• Avoid blaming behavior before reviewing supports.

Use this word carefully

An IEP should not become a stack of paperwork that families cannot understand or use.

What it is not

It is not the same as a 504 Plan.

Why it matters

An IEP should be individualized to the student’s needs, not copied from a template.

What helps

Prepare concerns, support needs, examples, and requested services before the meeting.

Use it in a sentence

“IEP" should be used to explain the support need, barrier, or access issue clearly.

Related terms

IDEA, FAPE, 504 Plan, Accommodation

Spanish support note

Plan educativo individualizado para estudiantes elegibles bajo IDEA.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Agreeing to something after receiving information you can understand and after having a real choice.

Professional meaning

Consent requires accessible information about risks, benefits, alternatives, questions, and the right to refuse or pause.

What this can look like in real life

Informed Consent may show up during appointments, intake forms, waiting rooms, treatment instructions, or medical notes. Clear communication and written next steps often matter as much as the appointment itself.

First support actions

• Offer written instructions and next steps.
• Ask about communication, sensory, timing, cost, transportation, and executive-function barriers.
• Allow support people when requested.
• Do not treat distress or communication differences as lack of credibility.

Use this word carefully

Avoid using this term in a way that dismisses symptoms, pain, distress, or communication barriers.

What it is not

It is not valid just because someone nodded, stayed quiet, or signed under pressure.

Why it matters

Communication access is required for meaningful consent.

What helps

Use plain language, written summaries, time for questions, support people, and confirmation of understanding.

Use it in a sentence

“Informed Consent" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Effective Communication, Healthcare Access, Communication Access, Trauma-Informed Care

Spanish support note

Aceptar un servicio, tratamiento o decisión después de recibir información clara y entender opciones, riesgos y consecuencias.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Harm caused by repeated negative experiences with schools, healthcare, agencies, courts, workplaces, or other systems.

Professional meaning

Institutional trauma can result from disbelief, restraint, seclusion, forced compliance, discrimination, medical gaslighting, humiliation, or denial of support.

What this can look like in real life

In real life, Institutional Trauma should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not distrust without reason.

Why it matters

Past system harm can affect how someone responds to new helpers.

What helps

Use trauma-informed care, explain choices, reduce power pressure, and rebuild trust through follow-through.

Use it in a sentence

“Institutional Trauma" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Trauma-Informed Care, Medical Trauma, Seclusion, Restraint

Spanish support note

Traducción completa pendiente. Término en español: Trauma institucional.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

The first information-gathering step before services, appointments, programs, or supports begin.

Professional meaning

Intake may collect contact information, concerns, history, consent, insurance, eligibility, risks, access needs, and next steps.

What this can look like in real life

Intake may show up during appointments, intake forms, waiting rooms, treatment instructions, or medical notes. Clear communication and written next steps often matter as much as the appointment itself.

First support actions

• Offer written instructions and next steps.
• Ask about communication, sensory, timing, cost, transportation, and executive-function barriers.
• Allow support people when requested.
• Do not treat distress or communication differences as lack of credibility.

Use this word carefully

Avoid using this term in a way that dismisses symptoms, pain, distress, or communication barriers.

What it is not

It is not the same as receiving services.

Why it matters

Intake can be a barrier when forms are long, verbal, confusing, or inaccessible.

What helps

Offer written options, plain forms, help completing forms, Spanish access, and clear next-step summaries.

Use it in a sentence

“Intake" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Referral, Care Coordination, Access Need, Plain Language

Spanish support note

Traducción completa pendiente. Término en español: Proceso de admisión.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

The forms and information collected before a service starts.

Professional meaning

An intake packet may ask about identity, needs, history, insurance, consent, access needs, safety, and service goals.

What this can look like in real life

In real life, Intake Packet should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not accessible if it requires phone-only, complex language, or repeated trauma details without support.

Why it matters

The intake process can determine whether people can enter services at all.

What helps

Offer plain-language forms, Spanish access, save-and-return options, and help completing paperwork.

Use it in a sentence

“Intake Packet" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Intake, Appointment Packet, Administrative Burden, Language Access

Spanish support note

Traducción completa pendiente. Término en español: Paquete de admisión.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

The sense of what is happening inside the body, such as hunger, thirst, pain, temperature, heartbeat, or needing the bathroom.

Professional meaning

Interoception is sensory processing of internal body signals and can affect self-regulation, health, emotion recognition, and daily living.

What this can look like in real life

Interoception may show up as movement, avoidance, distress, pain, fatigue, silence, irritability, leaving, or needing a different environment.

First support actions

• Reduce noise, light, crowding, waiting, and unnecessary touch.
• Offer breaks and quieter spaces.
• Allow safe movement or stimming.
• Check whether the environment is the barrier.

Use this word carefully

Do not describe sensory needs as being dramatic, spoiled, rude, or too sensitive.

What it is not

It is not simply ignoring body needs on purpose.

Why it matters

Some people may not notice body needs until they are urgent or overwhelming.

What helps

Use body check-ins, visual reminders, hydration prompts, bathroom schedules, and pain scales.

Use it in a sentence

“Interoception" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Sensory Processing, Alexithymia, Self-Regulation, REMI

Spanish support note

Traducción completa pendiente. Término en español: Interocepción.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Access to a qualified interpreter when language is a barrier.

Professional meaning

Interpreter access supports communication for people who use Spanish, ASL, or another language and may be required in covered settings.

What this can look like in real life

In real life, Interpreter Access should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

A child, random family member, or untrained staff person is not always an appropriate interpreter.

Why it matters

Bad interpretation can change meaning, consent, safety, and rights.

What helps

Ask what language support is needed and use qualified interpreters for important conversations.

Use it in a sentence

“Interpreter Access" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Language Access, Spanish Access, Effective Communication, Informed Consent

Spanish support note

Traducción completa pendiente. Término en español: Acceso a intérprete.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Making information and services usable for people who use a different language or communication mode.

Professional meaning

Language access includes translated materials, interpreters, bilingual staff, plain language, captions, AAC support, and culturally aware communication.

What this can look like in real life

In real life, Language Access should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not just running text through a translator once.

Why it matters

People can lose services, consent, safety, and rights when language access fails.

What helps

Provide translated key documents, interpreter options, plain-language summaries, and review by native speakers when possible.

Use it in a sentence

“Language Access" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Spanish Access, Interpreter Access, Plain Language, Effective Communication

Spanish support note

Acceso a información y servicios en un idioma y formato que la persona entiende.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A person who learns they are autistic, ADHD, or otherwise neurodivergent later than childhood.

Professional meaning

Late identification often reflects missed screening, masking, stigma, uneven access to assessment, or stereotypes about gender, race, communication, and support needs.

What this can look like in real life

In real life, Late-Identified should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not attention-seeking or copying a trend.

Why it matters

Late-identified people may need support rebuilding identity, access language, and practical accommodations.

What helps

Give time, avoid disbelief, and focus on current support needs.

Use it in a sentence

“Late-Identified" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Adult Diagnosis, Masking, Neurodivergent, Support Needs

Spanish support note

Traducción completa pendiente. Término en español: Identificado/a tarde.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A school principle that students with disabilities should learn with nondisabled peers as much as appropriate for their needs.

Professional meaning

LRE is an IDEA requirement that placement decisions consider access to general education with needed supports and services.

What this can look like in real life

Least Restrictive Environment may show up in classrooms, IEP or 504 meetings, emails, behavior notes, discipline decisions, or service conversations. The important question is what access barrier exists and what support is required.

First support actions

• Write the support need clearly.
• Connect the term to a concrete classroom or meeting barrier.
• Document what support was tried before discipline or blame.
• Use plain language families and students can understand.

Use this word carefully

Avoid using this term to justify discipline before reviewing access, communication, sensory, and support barriers.

What it is not

It does not mean one placement is right for every student.

Why it matters

Supports should follow the student rather than excluding them unnecessarily.

What helps

Discuss supports, safety, communication, sensory needs, and meaningful participation.

Use it in a sentence

“Least Restrictive Environment" should be used to explain the support need, barrier, or access issue clearly.

Related terms

IDEA, IEP, FAPE, Inclusion

Spanish support note

Traducción completa pendiente. Término en español: Ambiente menos restrictivo.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A person’s ability under law to make certain decisions or take certain actions.

Professional meaning

Legal capacity can vary by decision type and may be supported through accommodations, supported decision-making, or legal tools.

What this can look like in real life

Legal Capacity is useful when describing a barrier and the support needed to remove or reduce that barrier.

First support actions

• Name the barrier.
• Name the requested support.
• Explain why the support is needed for access.
• Keep the wording respectful and specific.

Use this word carefully

Keep the focus on the barrier and the accommodation, not on whether the person “deserves” help.

What it is not

Disability does not automatically mean a person lacks legal capacity.

Why it matters

Assuming incapacity can remove rights and silence the person.

What helps

Use accessible communication, supported decision-making, and the least restrictive option appropriate.

Use it in a sentence

“Legal Capacity" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Supported Decision-Making, Guardianship, Power of Attorney, Consent

Spanish support note

Traducción completa pendiente. Término en español: Capacidad legal.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Support that reduces pressure, choices, performance demands, and unnecessary steps.

Professional meaning

Low-demand support can help during burnout, shutdown, anxiety, PDA profile, trauma activation, or overload.

What this can look like in real life

In real life, Low-Demand Support should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not giving up or having no boundaries.

Why it matters

Lowering demands can restore capacity and prevent escalation.

What helps

Use fewer words, fewer choices, predictable steps, and pause nonessential demands.

Use it in a sentence

“Low-Demand Support" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Demand Overload, PDA Profile, Autistic Burnout, Shutdown

Spanish support note

Traducción completa pendiente. Término en español: Apoyo de baja demanda.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Hiding or suppressing natural neurodivergent traits to appear more acceptable or safe around others.

Professional meaning

Masking can include forced eye contact, suppressing stims, copying social behavior, scripting, hiding distress, or performing expected affect.

What this can look like in real life

Masking may look like someone appearing fine in public while using large amounts of energy to hide distress, confusion, pain, sensory overload, or communication difficulty.

First support actions

• Do not use “they look fine” as proof that support is not needed.
• Allow written communication and breaks.
• Ask about hidden effort, not only visible behavior.
• Respect unmasking as a safety and health need.

Use this word carefully

High masking can hide serious access needs and can contribute to burnout.

What it is not

It is not proof that support is unnecessary.

Why it matters

Long-term masking can contribute to anxiety, burnout, shutdown, and identity stress.

What helps

Reduce pressure to perform normality and allow authentic communication, movement, and access needs.

Use it in a sentence

“They may look fine because they are masking, not because the environment is accessible.”

What can make it worse

Rewarding masking while ignoring cost can contribute to burnout and crisis.

Related terms

Autistic Burnout, Unmasking, Eye Contact, Stimming

Spanish support note

Esconder, suprimir o imitar conductas para parecer más aceptable o evitar daño social.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A public health coverage program for eligible people, including some disabled children and adults.

Professional meaning

Medicaid rules vary by state and program. Coverage may relate to healthcare, therapy, behavioral health, transportation, and long-term services depending on eligibility.

What this can look like in real life

Medicaid may show up during appointments, intake forms, waiting rooms, treatment instructions, or medical notes. Clear communication and written next steps often matter as much as the appointment itself.

First support actions

• Offer written instructions and next steps.
• Ask about communication, sensory, timing, cost, transportation, and executive-function barriers.
• Allow support people when requested.
• Do not treat distress or communication differences as lack of credibility.

Use this word carefully

Avoid using this term in a way that dismisses symptoms, pain, distress, or communication barriers.

What it is not

It is not automatic for every disabled person.

Why it matters

Families may need help understanding eligibility, coverage, prior authorization, and service limits.

What helps

Use plain eligibility explanations, written next steps, and provider search support.

Use it in a sentence

“Medicaid" should be used to explain the support need, barrier, or access issue clearly.

Related terms

EPSDT, NEMT, Care Coordination, Arkansas DHS

Spanish support note

Traducción completa pendiente. Término en español: Medicaid.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A Medicaid program pathway that may help eligible people receive certain long-term services and supports.

Professional meaning

Waiver programs can allow services outside standard Medicaid rules, often to support people in home or community settings rather than institutions.

What this can look like in real life

In real life, Medicaid Waiver should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not automatic, and eligibility, waitlists, services, and rules vary.

Why it matters

Families often hear “waiver” without knowing what it means or why navigation is difficult.

What helps

Ask what waiver is being discussed, eligibility criteria, waitlist status, services covered, and what documents are needed.

Use it in a sentence

“Medicaid Waiver" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Medicaid, Eligibility, Care Coordination, Navigator

Spanish support note

Traducción completa pendiente. Término en español: Exención de Medicaid.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

When a person’s symptoms, concerns, or lived experience are dismissed, minimized, or blamed without proper attention.

Professional meaning

A harmful healthcare interaction pattern where patient reports are discounted, leading to delayed care, mistrust, or missed needs.

What this can look like in real life

The person reports symptoms or barriers and is dismissed, blamed, minimized, or treated as unreliable without adequate review.

First support actions

• Document symptoms and access barriers clearly.
• Provide written summaries.
• Allow support people when requested.
• Do not confuse communication differences with lack of credibility.

Use this word carefully

Do not use mental health, autism, or communication differences to dismiss physical symptoms.

What it is not

It is not the same as a clinician disagreeing after a fair evaluation.

Why it matters

Autistic, disabled, traumatized, and marginalized people may face higher risk of dismissal.

What helps

Use appointment packets, written symptoms, support people, questions, and documentation of concerns.

Use it in a sentence

“Medical Gaslighting" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Trauma-Informed Care, Informed Consent, Healthcare Access, Appointment Packet

Spanish support note

Cuando una preocupación médica se minimiza, se descarta o se atribuye injustamente a ansiedad, conducta o diagnóstico previo.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A coordinated main place or team for ongoing healthcare.

Professional meaning

A medical home is a model where care is accessible, continuous, comprehensive, family-centered or person-centered, coordinated, compassionate, and culturally effective.

What this can look like in real life

Medical Home may show up during appointments, intake forms, waiting rooms, treatment instructions, or medical notes. Clear communication and written next steps often matter as much as the appointment itself.

First support actions

• Offer written instructions and next steps.
• Ask about communication, sensory, timing, cost, transportation, and executive-function barriers.
• Allow support people when requested.
• Do not treat distress or communication differences as lack of credibility.

Use this word carefully

Avoid using this term in a way that dismisses symptoms, pain, distress, or communication barriers.

What it is not

It is not a residential home.

Why it matters

A clear medical home can reduce fragmented care and repeated crisis use.

What helps

Identify a main provider/team, keep shared records, and use written care plans.

Use it in a sentence

“Medical Home" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Care Coordination, Healthcare Access, Care Plan, Warm Handoff

Spanish support note

Traducción completa pendiente. Término en español: Hogar médico.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Distress or fear caused by harmful, overwhelming, dismissive, painful, or unsafe medical experiences.

Professional meaning

Medical trauma can result from procedures, gaslighting, lack of consent, restraint, sensory overload, discrimination, or repeated invalidation in healthcare settings.

What this can look like in real life

Medical Trauma may show up during appointments, intake forms, waiting rooms, treatment instructions, or medical notes. Clear communication and written next steps often matter as much as the appointment itself.

First support actions

• Offer written instructions and next steps.
• Ask about communication, sensory, timing, cost, transportation, and executive-function barriers.
• Allow support people when requested.
• Do not treat distress or communication differences as lack of credibility.

Use this word carefully

Avoid using this term in a way that dismisses symptoms, pain, distress, or communication barriers.

What it is not

It is not being dramatic or difficult.

Why it matters

Medical trauma can make future appointments harder and may reduce trust, speech reliability, or ability to consent under stress.

What helps

Use trauma-informed care, written plans, consent checks, sensory accommodations, predictable steps, and stop signals.

Use it in a sentence

“Medical Trauma" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Trauma-Informed Care, Medical Gaslighting, Informed Consent, Healthcare Access

Spanish support note

Traducción completa pendiente. Término en español: Trauma médico.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

An involuntary overwhelm response when demands exceed a person’s capacity to cope.

Professional meaning

A nervous-system response that may involve crying, yelling, movement, escape behavior, loss of speech, self-protective actions, or inability to follow instructions.

What this can look like in real life

A meltdown may look loud, quiet, angry, panicked, frozen, or disorganized. The outside behavior is not the whole story; the key issue is that the nervous system is overloaded and the person may not be able to process normal demands.

First support actions

• Lower the amount of talking and questioning.
• Reduce light, noise, crowding, and touch.
• Give physical space and a clear exit when safe.
• Use short concrete phrases: “You are safe. We can pause.”
• Wait until the person is regulated before problem-solving.

Use this word carefully

Do not call this a tantrum. Treat it first as distress and overload, not intentional misbehavior.

What it is not

It is not a tantrum, manipulation, or intentional bad behavior.

Why it matters

Punishment and pressure often escalate the situation.

What helps

Reduce demands, lower noise and light, give space, use short language, and avoid crowding or unwanted touch.

Use it in a sentence

“This may be a meltdown. Reduce demands and give space before asking more questions.”

What can make it worse

Crowding, shouting, arguing, public shame, threats, forced eye contact, or touch without consent can escalate risk.

Related terms

Shutdown, Sensory Overload, Dysregulation, De-escalation

Spanish support note

Respuesta involuntaria del sistema nervioso cuando la sobrecarga supera la capacidad de afrontamiento.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

Meaning + Intent Communication Assistant, an ANCHOR communication support concept.

Professional meaning

A communication assistant and AAC-aligned tool for message building, tone protection, scripts, translation support, and access communication.

What this can look like in real life

MICA is part of the ANCHOR Arkansas support system. It should be explained in plain language so public users know what it does and what it does not do.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not a replacement for the person's voice or consent.

Why it matters

Communication tools should protect meaning, intent, and access.

What helps

Use it to prepare scripts, clarify needs, and support written-first or AAC communication.

Use it in a sentence

“MICA" should be used to explain the support need, barrier, or access issue clearly.

Related terms

AAC, Communication Access, Access Passport, Support Scripts

Spanish support note

Traducción completa pendiente. Término en español: MICA.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A strong distress, anger, panic, or pain response to specific sounds.

Professional meaning

A sound tolerance condition where trigger sounds create intense nervous-system or emotional responses.

What this can look like in real life

Misophonia may show up as movement, avoidance, distress, pain, fatigue, silence, irritability, leaving, or needing a different environment.

First support actions

• Reduce noise, light, crowding, waiting, and unnecessary touch.
• Offer breaks and quieter spaces.
• Allow safe movement or stimming.
• Check whether the environment is the barrier.

Use this word carefully

Do not describe sensory needs as being dramatic, spoiled, rude, or too sensitive.

What it is not

It is not being rude, picky, or overreacting.

Why it matters

Trigger sounds can make ordinary settings unsafe or unbearable.

What helps

Use noise protection, seating choice, sound control, remote options, and non-shaming exits.

Use it in a sentence

“Misophonia" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Hyperacusis, Sensory Overload, Auditory Sensitivity, Accommodation

Spanish support note

Traducción completa pendiente. Término en español: Misofonía.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A change to what a student is expected to learn or demonstrate.

Professional meaning

In education, modifications alter the curriculum, performance expectations, or learning standards, unlike accommodations that change access without changing the target expectation.

What this can look like in real life

Modification may show up in classrooms, IEP or 504 meetings, emails, behavior notes, discipline decisions, or service conversations. The important question is what access barrier exists and what support is required.

First support actions

• Write the support need clearly.
• Connect the term to a concrete classroom or meeting barrier.
• Document what support was tried before discipline or blame.
• Use plain language families and students can understand.

Use this word carefully

Avoid using this term to justify discipline before reviewing access, communication, sensory, and support barriers.

What it is not

It is not the same as an accommodation.

Why it matters

The distinction matters in IEP and school planning.

What helps

Use clear language about whether the support changes access, expectations, or both.

Use it in a sentence

“Modification" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Accommodation, IEP, 504 Plan, FAPE

Spanish support note

Traducción completa pendiente. Término en español: Modificación.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.

Plain meaning

A way of understanding autistic attention as deep focus on fewer things at a time.

Professional meaning

Monotropism describes an attention style where interests and focus may be intense, immersive, and harder to shift away from.

What this can look like in real life

In real life, Monotropism should help people understand a support need, barrier, context, or next step. It should not reduce a person to a label.

First support actions

• Use the term to clarify support, not to judge the person.
• Ask what helps before assuming.
• Look for sensory, communication, executive-function, trauma, health, or access barriers.
• Write the next step in plain language.

Use this word carefully

Use the word to explain context and support needs. Do not use it as a shortcut for blame.

What it is not

It is not stubbornness or narrow-mindedness.

Why it matters

Transitions and interruptions can be especially costly.

What helps

Use transition warnings, visual schedules, clear stopping points, and respect for deep interests.

Use it in a sentence

“Monotropism" should be used to explain the support need, barrier, or access issue clearly.

Related terms

Hyperfocus, Special Interest, Task Switching, Autism

Spanish support note

Traducción completa pendiente. Término en español: Monotropismo.

Documentation note

When documenting this term, describe what was observed, what barrier may have been present, what support was offered, and what next step is needed. Avoid using the term as blame.