Practical needs

Routines and transitions

Use predictability as support and make changes easier to prepare for and recover from.

Topic

Routines and transitions

Ways to use predictability without becoming trapped by it, and to make changes easier to prepare for and recover from.

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Resource library

All Routines and transitions sources

9 resources

Official guidanceAcas

Adjustments for neurodiversity

Practical workplace guidance with specific examples of reasonable adjustments for neurodivergent workers, covering concentration, communication, organisation, sensory overload, time management and changes at work.

Evidence note

Authoritative Acas guidance specifically focused on neurodivergent workers. It gives practical examples such as quiet working areas, headphones, screen filters, written instructions broken into steps, visual planners, regular check-ins, additional reminders, extra planning time and advance warning of workplace changes. Acas stresses that adjustments should be based on the individual rather than diagnosis alone, and that workers do not necessarily need a formal diagnosis before support is considered.

Clinical guidanceClinical guidelineNICE

Autism spectrum disorder in adults: diagnosis and management (CG142)

NICE clinical guidance covering the identification, assessment, diagnosis, support and management of autism in adults, including communication, sensory needs, coexisting conditions and access to appropriate services.

Evidence note

NICE clinical guideline for adults aged 18 and over with suspected or confirmed autism. It covers identification and comprehensive assessment, interventions, coexisting mental health conditions, behaviour that challenges, support for families and carers, and how services should be organised. It also recognises sensory sensitivities, difficulties with flexibility and emotional regulation as common features that may need to be considered in assessment and support.

Research paperRandomised controlled trialPubMed

Effectiveness of a group-based time-management intervention

A pragmatic randomised controlled trial evaluating a structured time-management programme for adults with difficulties related to ADHD, autism and other conditions

Evidence note

A pragmatic randomised controlled trial evaluating the Let's Get Organised intervention against treatment as usual for adults with impaired time management. Participants included people with ADHD, autism and other mental-health conditions, so the findings are relevant to neurodivergent time-management difficulties but are not specific to one diagnosis

Official guidanceNICE

How do I get help for autism?

Plain-language NICE guidance explaining how adults can seek an autism assessment, what to expect during the assessment process and what support should be discussed after diagnosis.

Evidence note

Public-facing NICE guidance for adults with suspected or confirmed autism. It explains that adults who may be autistic should be offered an assessment, describes what should happen during the assessment and says people should be asked how they would like results explained. After diagnosis, professionals should discuss what the diagnosis means, future care and support, communication needs and sensory sensitivities. The guidance also notes that people can ask for an advocate to help communicate their views.

Charity / support organisationNational Autistic Society

Meltdowns — a guide for all audiences

Practical guidance on recognising overload, reducing demands during distress and using structure, visual supports, countdowns and calming activities to make unexpected changes and everyday transitions easier to manage.

Evidence note

Practical autism-focused guidance covering what to do before, during and after overload or a meltdown. For changes and transitions it recommends approaches such as clear visual explanations, preserving predictable parts of the routine, countdowns or timers, structured timetables and access to familiar calming activities. Strategies should be adapted to the individual rather than applied universally.

Charity / support organisationNational Autistic Society

Preference for order, predictability or routine

Practical guidance explaining why routines and predictability can help autistic people manage stress, energy and uncertainty, and how to prepare for changes more safely and gradually.

Evidence note

Practical guidance covering the benefits of routine and predictability, when rigid routines may become difficult, and ways to prepare for change. Suggested strategies include advance warning, visual prompts, practising journeys or new situations, creating backup plans and allowing extra processing time.

Clinical guidanceEast London NHS Foundation Trust

Support available for adults with ADHD

Practical NHS guidance for adults with ADHD covering emotional regulation, routines, organisation, coping strategies and ways to reduce day-to-day difficulties.

Evidence note

Practical NHS support material for adults with ADHD, including guidance on recognising emotional escalation, pausing before reacting, calming strategies, routines and other day-to-day coping approaches. It is ADHD-specific practical guidance rather than a formal clinical guideline or research study.

Clinical guidanceLeicestershire Partnership NHS Trust

The benefits of familiarity and predictability for autistic people

Practical NHS guidance on using routines, advance planning, visual supports and familiarisation to make changes and transitions feel more manageable.

Evidence note

Practical NHS guidance explaining why familiarity, predictability and routine can support wellbeing and reduce anxiety for autistic people. Suggested strategies include finding out about changes in advance, using calendars and planners, explaining what will stay the same, using visual timetables or social stories, and visiting unfamiliar places beforehand.

Charity / support organisationNational Autistic Society

What support can I get at work?

Practical guidance for autistic people on workplace support and reasonable adjustments, with examples covering communication, sensory needs, working arrangements, organisation and supervision.

Evidence note

Practical autism-specific employment guidance with examples of workplace adjustments suggested by autistic people, professionals and researchers. Examples include clearer and more precise communication, agreeing preferred communication methods, changing sensory aspects of the workplace, altering working arrangements and providing appropriate supervision or support. The page emphasises that adjustments should reflect the person's individual needs rather than assuming every autistic person needs the same support.

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