Introduction / Background:
Occupational therapists play a critical role in supporting identity, belonging, and participation for LGBTQIA2S+ (Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual/Aromantic/Agender, Two-Spirit, and other diverse identities) and neurodivergent individuals. However, systemic barriers, stigma, and lack of inclusive practice continue to impact access to safe and affirming healthcare. This presentation draws on the lived experience of a queer occupational therapist and integrates research, practice frameworks, and case examples to highlight the intersection of neurodiversity and LGBTQIA2S+ identity.

Method / Implementation:
Using a combination of personal narrative, client case studies, and existing best practice frameworks (including the Rainbow Tick, LGBTIQA+ Equity and Inclusion Framework, and the Intersectionality-Based Policy Analysis Framework), the session outlines practical, evidence-informed strategies for embedding inclusive and neuroaffirming approaches in occupational therapy practice.

Discussion / Outcomes:
Attendees will explore the importance of using correct terminology, supporting disclosure safely, and applying intersectional and identity-affirming approaches within clinical and community contexts. Case studies spanning children, young people, and adults illustrate complex decision-making in practice, including navigating family dynamics, identity exploration, and systemic barriers to participation. Outcomes highlight how OTs can foster cultural safety, client-centred care, and equity through everyday practice choices and service-level change.

Conclusion:
By integrating lived experience, client-centred practice, and evidence-based frameworks, occupational therapists can play a pivotal role in building safe, affirming, and inclusive spaces for LGBTQIA2S+ and neurodivergent clients. The session calls for intentional, systemic, and sustainable change, positioning OT practice as a driver of equity and wellbeing for diverse communities.