Poll: Definitions of support need labels
I have seen people defining the LSN, MSN, and HSN support need labels differently in the Autistic community and broader disability community. Today, I'd like to make a poll about 3 possible definitions.
It's a long post, but I'd really appreciate your poll vote!
Why it Matters
Lack of clear definitions can confuse people, leading to issues like stress and imposter syndrome. If we can reach a stronger consensus, we can reduce this confusion and stress.
I see different people endorsing different definitions. I've fixated and stressed over it. If we can reach a stronger consensus, maybe we can stress less.
Defining Acronyms
Some of you will know this and some won't, so let's explain.
Here's what the labels mean:
LSN = low(er) support needs relative to other autistics/disabled people
MSN = medium support needs
HSN = high support needs
Some definitions use activities of daily living (ADLs). There are 2 types of ADLs, instrumental and basic.
iADLs = stuff like cooking, shopping, managing doctor appointments, transportation, etc. (often learned around teen years)
bADLs = 6 things: bathing, dressing, eating, moving around (e.g. getting up, going to a different room), grooming/hygiene, and toileting (often learned in toddler/childhood years)
Some needs, like the need for supervision, are not covered by ADLs.
3 Possible Definitions
Now that we know our acronyms, let's cover our definitions:
Strict ADL definition: LSNs need help with iADLs only, MSNs need some bADL help, and HSNs need help with every single bADL (i.e., if you can get around the house without someone helping you sit/walk/roll, you're not an HSN)
Looser ADL definition: LSNs need help with some iADLs, MSNs need help with most/all iADLs and few/no bADLs, and HSNs need major bADL help
Holistic definition: LSNs can live independently perhaps with some support, MSNs need a caregiver or support worker for health/safety, and HSNs need intense daily support
For example, imagine someone who can do few iADLs but all bADLs, while also needing 24/7 supervision for safety. Under the strict definition, this person would be an LSN. Under the loose one, they'd be MSN. Under the holistic one, they'd be HSN.
Now, I'll ask your opinions and whether you're autistic or disabled.
Which definition makes the most sense?
Strict ADL definition (I'm autistic)
Looser ADL definition (I'm autistic)
Holistic definition (I'm autistic)
Strict ADL definition (I'm non-autistic but disabled)
Looser ADL definition (I'm non-autistic but disabled)
Holistic definition (I'm non-autistic but disabled)
Unsure / I'm non-disabled / See results
My hope is to reach as many people as possible and create a respectful, helpful discussion.
Please:
If you comment, be kind and respectful of others (even if they disagree with you or you don't like the poll)
Consider sharing so we can get more votes
Thank you to everyone who puts thought into this! My hope is to help reduce the confusion as a community.















