Using soothing paint colors or adding murals to living accommodations

Dimmable lighting to accommodate light sensitivity

Access to sound-reducing headphones, ear plugs, or white noise machines for auditory overstimulation

Access to fidget items

Access to outdoor space

Access to moveable seating options (balance balls, rocking chairs, etc.)

Private rooms

Available safe spaces and time for behavioral regulation and problem-solving away from peers or other excessive stimuli to promote dignity and encourage independence in requesting respite

Prioritizing strength-based and trauma-informed approach to care

Screening for co-occurring medical and mental health symptoms

Programming designed by licensed mental health professionals

Use of therapeutic tools and strategies aligned with the needs and strengths of autistic youth, including:

Clear, consistent instructions

Creation of daily routines

Visual aids

Use of “if, then” statements

Alternating preferred with nonpreferred activities

Positive reinforcement and proactive coaching strategies

Individualized reward systems

Opportunities to bond with same-age neurotypical peers

Individualized and group programming informed by positive behavior support, overall skill building, and mitigation of co-occurring interfering behaviors or mental health symptoms

When nearing discharge from the system or transition to new placement, use of specialized transitioning program and creation of typed treatment summary, including successful strategies

Higher staff:youth ratio

Mental health staff with adequate experience and training in caring for autistic youth

Dedicated and ongoing autism training, including education on diagnostic features, autism-informed behavioral therapeutic strategies, and trauma-informed de-escalation strategies

Creation of “staffing summary sheet” for individuals upon arrival, outlining triggers, signs of distress, de-escalation strategies, crisis plans, expectations, and accommodations for the individual and staff

Staff present in shared spaces who are trained to proactively aid with de-escalation, coach problem-solving and coping skills, and facilitate positive peer interactions