Unmet need, epistemic injustice and early death among Autistic adults
Analysis examining how social policies in England and Wales fail to address the needs of Autistic adults, focusing on barriers in health services and social care systems.
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A framework setting out how dignity can be embedded in service delivery for people
Key messages
Policy implications
Gaps
Commentary
This framework positions dignity as central to equitable service delivery, particularly for people experiencing crisis and marginalisation. By focusing on respect, person-centred care and psychosocial support, it highlights how inequities can be reinforced when services prioritise efficiency over lived experience.
The emphasis on collaboration and community engagement reflects an equity-led approach to care. Involving people and communities in planning and delivery can help services respond more effectively to diverse needs and reduce exclusion linked to stigma or misunderstanding.
Training for frontline staff is identified as a critical enabler of dignity in practice. Without adequate support and tools, principles of dignity risk remaining aspirational rather than embedded in everyday service delivery.
From a care equity perspective, the framework draws attention to the role of organisations and government in shaping inclusive systems. However, gaps in intersectional evidence limit understanding of how dignity is experienced by specific groups, underlining the need for further research to ensure dignity-focused approaches benefit those facing multiple forms of disadvantage.
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Analysis examining how social policies in England and Wales fail to address the needs of Autistic adults, focusing on barriers in health services and social care systems.
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