About this role
Role Description
Waiting lists for neurodiversity assessments in Ireland are long — often years. For autistic people and those with ADHD, that wait is not just frustrating. It affects education, employment, relationships, and mental health.
At Spectrum.Life, we are building a digital-first neurodiversity multidisciplinary assessment service that is clinically rigorous, neuroaffirmative in its values, and genuinely accessible. We are looking for experienced Occupational Therapists and Speech and Language Therapists to join our growing clinical network — people who bring the specialist assessment competence this work demands and a genuine belief in the difference that timely, high-quality identification can make to a person's life.
This is a fully remote, flexible, self-employed role. You will work as part of a multidisciplinary team of psychologists, Speech and Language Therapists, and Occupational Therapists, contributing to integrated, person-centred assessments for children aged seven and above and adults.
Responsibilities
Deliver high-quality, neuroaffirmative Autism and ADHD identification assessments for children (aged seven and above) and adults through virtual platforms, in accordance with NICE guidelines. Administer, score, and interpret the ADOS-2 and ADI-R, as well as validated ADHD assessment measures including DIVA-5. Conduct thorough initial neurodiversity consultations and deliver sensitive, neuroaffirmative feedback sessions, clarifying presenting concerns, priorities and individual goals in a collaborative, person-centred manner. Complete biopsychosocial and multidisciplinary formulations, identifying and communicating relevant reasonable accommodations across educational, workplace, and community settings. Produce high-quality written assessment reports that present complex clinical information clearly, accessibly, and in a strengths-based manner — suitable for individuals, families, and professional stakeholders.
Clinical Responsibilities
Collaborate closely with psychologists and fellow MDT colleagues to ensure integrated, person-centred assessment formulations. Undertake risk screening and safeguarding assessments in line with relevant Irish legislation and organisational procedures, with particular attention to children and young people. Maintain accurate and contemporaneous case notes and records in line with CORU standards and GDPR requirements under Irish data protection law.
Qualifications
Degree or postgraduate qualification in Occupational Therapy or Speech and Language Therapy from a CORU-approved programme. Current registration with CORU — the statutory regulator for health and social care professionals in Ireland. Current membership of the relevant professional body. Current, valid Garda Vetting (or willingness to obtain prior to commencement). Current professional indemnity and public liability insurance (minimum €2 million cover). Registration with the Data Protection Commission (DPC) as a data controller. Minimum two years of post-qualification experience, including direct neurodiversity assessment experience. Formal training and demonstrated competence in ADOS-2, ADI-R, and DIVA-5 administration and interpretation.
Essential Experience and Knowledge
Experience conducting neurodiversity assessments across the lifespan, with awareness of age-related presentation differences. Experience producing comprehensive neurodiversity assessment reports, including recommendations and reasonable accommodations. Experience providing post-diagnostic feedback to individuals and families. Experience working as part of a multidisciplinary assessment team. Experience delivering remote or virtual assessments to children (aged seven and above) and/or adults.
Clinical Knowledge
Strong knowledge of NICE guidelines relevant to Autism (NG142, NG228) and ADHD (NG87), DSM-5 and ICD-11 diagnostic criteria. Knowledge of co-occurring conditions (anxiety, learning disabilities, developmental trauma) and their interaction with neurodevelopmental presentations. Knowledge of reasonable accommodations under the Equal Status Acts 2000–2018 and their application in educational and workplace settings in Ireland. Knowledge of safeguarding and risk frameworks relevant to children, young people, and adults in Ireland, including Children First Act 2015 and mandatory reporting obligations. Ability to work independently and manage own caseload and administration as a self-employed practitioner.
Desirable
Experience assessing combined AuDHD presentations. Experience adapting assessments for individuals with co-occurring intellectual disabilities, sensory needs, or complex communication profiles. Experience of consultation and training on neurodiversity to families, schools, or other professionals. Experience working across HSE and private/independent sector pathways.
Benefits