Associate Neurodiversity Clinician — OT / SLT

About us:

Spectrum.Life is a whole-of-health digital partner that guides organisations and their people to thrive, delivering clinically backed digital health, mental health and wellbeing solutions.
Our HealthTech delivers digital transformation for Insurers, Educators and Employers through Co-creation or seamlessly integrated out-of-the-box solutions, that decrease digital fragmentation and engage, empower, and transform their people’s lives.
Established in 2018 by Stuart McGoldrick and Stephen Costello, Spectrum.Life provides services internationally to over 7.2m insurance members, 3,000 corporate clients, 60 universities and 650,000 university students. Spectrum.Life currently employs over 450 people.
Our vision is to change and save as many lives as possible.

Role Brief:

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.

The Neurodiversity Assessment Service 
Spectrum.Life's Neurodiversity Assessment Service delivers high-quality Autism, ADHD, and combined AuDHD identification assessments for children (aged seven and above) and adults, fully remotely via virtual platforms. All assessments are conducted in line with NICE guidelines and within DSM-5 and ICD-11 diagnostic frameworks.
Our approach is neuroaffirmative throughout — from the way we conduct initial consultations to the language we use in our reports and feedback sessions. We work from a strengths-based, person-centred model that respects individual identity and lived experience.

Responsibilities:

Neurodiversity Assessments 

• 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

Requirements:

The following are mandatory for appointment to this role:

• 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: 
  • Occupational Therapists: registered with the CORU Occupational Therapists Registration Board
  • Speech and Language Therapists: registered with the CORU Speech and Language Therapists Registration Board
• Current membership of the relevant professional body: 
  • Occupational Therapists: Association of Occupational Therapists of Ireland (AOTI)
  • Speech and Language Therapists: Irish Association of Speech and Language Therapists (IASLT)
• 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

Why CORU registration and professional body membership are both required: CORU registration is the statutory requirement for practising as an OT or SLT in Ireland under the Health and Social Care Professionals Act 2005 — the titles "Occupational Therapist" and "Speech and Language Therapist" are protected by law and may only be used by those on the CORU register. AOTI and IASLT membership provides the additional professional assurance, peer network, and ongoing CPD framework expected for the complexity of neurodiversity assessment work in this service. Both are required for appointment.

Essential Experience and Knowledge 
Assessment Experience

• 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