Emergency preparedness and support for autistic people during conflict: implications for nurses

Recent government security planning highlights the need for public services to consider preparedness for major national disruption. Evidence from conflict zones and lessons from the coronavirus disease 2019 (COVID-19) pandemic suggest that autistic people may be disproportionately affected when routines, services and communication systems are disrupted. Drawing on published evidence and the author’s observations in Ukraine, the article outlines practical approaches to reduce harm and support well-being. Key areas include accessible communication and environments, continuity of healthcare and medicines, support for families and carers, and involvement of learning disability and mental health nurses in local preparedness planning. Preparedness should extend beyond casualty management to prevention and accessibility. Ensuring autistic people are included in emergency planning will help reduce distress, improve safety and support equitable care during any future national emergency.