Abstract

People with an autistic spectrum disorder (ASD) and an intellectual disability who need to attend a hospital emergency waiting room frequently present high levels of discomfort and challenging behaviours owing to stress-related hyperarousal, sensory sensitivity, novelty-anxiety, communication, and self-regulation difficulties. 

Careggi’s emergency waiting room is the result of a research project borne out of a collaboration between the technical staff of Careggi Hospital, the Center for Autism PAMAPI, the Department of Architecture at the University of Florence, and an innovative start-up with expertise in sensory environments. The relationship between architectural space and quality of life is explored to focus on users’ needs and support medical staff in their work through a specific  training programme.

The multisensory environment aims at helping sensory integration and relaxation. Visual communication using an iPad enables anticipated understanding of medical procedures and gives people with ASD an alternative way to relate with professionals. A technological system supports requests, choices and self-determination to fit sensory stimulation with personal preferences, and to self-build the environment for hypo- and hyper-sensitive people. These characteristics should ensure: better regulation of arousal; less behaviour problems; improving treatment accessibility; safety; and effectiveness. 

The waiting room has also become a supportive environment for women who have been victims of violence or abuse. Finally, the sensory room is becoming a calming environment for professionals to improve their psychological comfort and reduce their stress levels.

Observation of this case study has taken place over the first few months, presenting several interesting points for research. Questionnaires for parents/caregivers and structured interviews for health professionals have produced results of patient-satisfaction levels, which will be presented.