By 2050, approximately one quarter of Australians will be aged 65 years and older, while the proportion of younger Australians will decline, according to the Australian Bureau of Statistics. At the same time, Aspect reports that at least 1 in 40 Australians are on the autism spectrum.
This shifting demographic reinforces the importance of adapting aged care services to meet the needs of diverse populations, including Autistic seniors. Autism is a lifelong condition and older adults on the autism spectrum often encounter unique challenges that call for thoughtful, tailored support and accommodations.
By equipping our aged care and health workers with a deeper understanding of autism and specialised training on the challenges it can present, we empower them to confidently support Autistic seniors. This not only boosts their confidence in interacting with this growing population, but also enhances the quality of life for the individuals in their care.
Understanding the unique needs of Autistic seniors
Autistic adults often experience aging differently. Alongside the natural aging process, they may encounter additional physical and mental health challenges, and day-to-day living concerns.
Older Autistic adults report a lack of understanding about autism among their peers and aged care providers. Daily life management, including medication and health monitoring, often requires structured support.
As Autistic adults age, the need for personalised care becomes apparent. Services should be tailored with appropriate adjustments in residential care settings taking into consideration the person’s social, communication and sensory differences. Creating sensory-friendly environments in aged care and hospital facilities can help Autistic adults better manage their surroundings, ensuring they are comfortable and feel understood and respected.
Mental health challenges: Backed by research
A study by the Aspect Research Centre for Autism Practice (ARCAP) has revealed that Autistic individuals often face heightened feelings of loneliness and are more likely to experience social isolation compared to their non-Autistic peers.
An additional ARCAP study on self-compassion in Autistic adults revealed lower levels of self-compassion and overall wellbeing, as well as higher rates of anxiety and depression when compared to non-Autistic adults. The study also found that Autistic adults with greater self-compassion enjoyed improved mental health outcomes.
In response, a clinician-focussed Aspect Self-compassion program for Autistic Adults (ASPAA) was created to equip health professionals with the tools to better support their Autistic clients. Alongside this program, Aspect created a similar self-compassion program for Autistic adults to utilise in their daily lives.
Here are some ways you can support Autistic seniors physically and mentally:
Engaging through conversation
Communication holds profound power in enriching lives and improving mental health. Older Autistic adults, inherent with life stories and experiences, often have special interests and take pride in discussing hobbies and passions. Creating a comfortable, sensory-friendly environment for these interactions to take place – including quiet and low stimulant surroundings - not only respects sensory preferences, but also promotes a genuine exchange of thoughts and emotions.
Social connections and activities
Despite potential difficulties in navigating social interactions, many Autistic seniors are keen to connect with others. Facilitating access to local or online groups that cater to older adults on the autism spectrum can significantly enhance their social life. These groups provide safe spaces where Autistic seniors can share interests and experiences without the overwhelming sensory inputs of typical social settings.
Mental health and cognitive engagement
As with all seniors, it’s important to engage Autistic people in activities they enjoy and that stimulate the mind, such as puzzles, card games or new hobbies. These activities not only help in maintaining cognitive functions, but also provide a sense of accomplishment, connection with others and are fun to do.
Physical health and wellbeing
Regular physical activity and a nutritious diet are vital at any age but are particularly significant for Autistic seniors who may be more susceptible to a number of age-related medical conditions. Encouraging gentle, enjoyable physical activities can help maintain physical health, autonomy and quality of life.
Advocacy and autonomy
Ensuring that Autistic seniors and their families have the opportunity to express their needs and preferences is fundamental. Allowing them to make informed choices about their care respects their autonomy and enhances quality of life. Continuous advocacy for better policies and practices is necessary to support these choices and ensure high-quality aged and health care.
Supporting Autistic adults in aged care and our health system is about respecting their specific needs and preferences. By fostering an environment of understanding, engagement and advocacy, we can significantly enhance the quality of life for Autistic seniors, enabling them to age with dignity and continued personal growth. It’s imperative that our care systems evolve to include and celebrate the diversity of all its members.
