AUTISM AND GENDER DIVERSITY - CONSIDERATIONS FOR SERVICE DELIVERY IN CHILDREN'S DISABILITY NETWORK TEAMS (CDNTS) IN IRELAND

Referrals of gender diverse youth to Ireland's Children's Disability Network Teams (CDNTs) are increasing, often in the context of autism assessment or following a prior diagnosis. Research shows a significant co-occurrence between autism and gender diversity, although the mechanisms behind this overlap remain unclear. This intersection presents complex challenges for assessment, diagnosis, and service provision. Current systems, including CDNTs and Child and Adolescent Mental Health Services (CAMHS), often operate in parallel, leading to gaps in care for individuals whose needs span both neurodevelopmental and gender-related domains. Young people with co-occurring autism and gender diversity may be at greater risk of delayed diagnosis, poorer mental health outcomes, and inadequate support due to unclear service responsibilities and limited clinical guidance. This paper reviews the growing body of literature on this co-occurrence and discusses the implications for service delivery in the Irish context. It highlights the importance of interagency collaboration and the implementation of existing joint working protocols. Additionally, the paper underscores the need for ongoing professional development to support clinicians in working effectively with this population. A more integrated, evidence-informed, and person-centred approach is recommended to ensure appropriate support for autistic gender diverse youth navigating multiple and intersecting identities.