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What are the most common accommodations? A comprehensive guide for health, work, and school

5 min read

According to a recent study published in the Joint Commission Journal on Quality and Patient Safety, a significant percentage of patients with disabilities indicated they needed accommodations. Whether in a professional environment or an academic one, understanding what are the most common accommodations is a crucial first step toward ensuring equal access and opportunity.

Quick Summary

The most common accommodations span flexible schedules, assistive technology, environmental modifications, and adjusted duties to support individuals with disabilities or health conditions in various settings, such as work and school.

Key Points

  • Diverse Accommodations: Common accommodations are changes to work or school environments, schedules, or equipment that help individuals with health conditions or disabilities.

  • Most Common Examples: Flexible work schedules, remote work, ergonomic equipment, extra test time, noise reduction, and assistive technology are frequently requested accommodations.

  • Mental Health Support: For mental health, common accommodations include flexible hours for appointments, quiet workspaces, and written instructions to support focus and reduce sensory overload.

  • Chronic Illness Management: Individuals with chronic illness often benefit from remote work, frequent rest breaks, and ergonomic workstations to manage fatigue and flare-ups.

  • Educational Adjustments: In schools, common accommodations include extended time on tests, distraction-reduced testing environments, and providing visual aids or outlines.

  • Interactive Process: Requesting accommodations requires engaging in a discussion with an employer or school official and providing documentation from a healthcare provider.

  • Empowerment Through Advocacy: Being knowledgeable about accommodations allows you to advocate effectively for your needs and ensure equal access and opportunity.

In This Article

Understanding the Purpose of Accommodations

Accommodations are modifications or adjustments made to a work environment, school setting, or a standard process that allow an individual with a disability or medical condition to perform essential functions or participate equally. They are designed to level the playing field, not to provide an unfair advantage. The types of accommodations needed are as varied as the individuals requesting them, often tailored to specific limitations and situations.

Workplace Accommodations

Many employers are legally required to provide reasonable accommodations under laws such as the Americans with Disabilities Act (ADA). Common accommodations in the workplace fall into several categories:

  • Flexible Work Arrangements: These are among the most frequently requested and can be vital for managing conditions with fluctuating symptoms, like chronic illness or mental health disorders.
    • Modified Work Schedules: Changing start/end times or working part-time hours.
    • Remote Work (Telecommuting): Working from home for a portion or all of the workweek.
    • Frequent Breaks: Allowing for unscheduled or more frequent breaks to manage fatigue, medication, or medical needs.
  • Environmental Modifications: Creating a physical workspace that reduces barriers and distractions.
    • Ergonomic Workstations: Providing adjustable desks, specialized chairs, and adaptive keyboards or mice.
    • Noise Reduction: Offering a quiet workspace or allowing noise-canceling headphones.
    • Lighting Adjustments: Providing natural or full-spectrum lighting, or adjusting fluorescent lights.
  • Assistive Technology and Equipment: Using tools to bridge accessibility gaps.
    • Screen Readers: Software that reads digital content aloud for those with visual impairments.
    • Recording Devices: Allowing the use of a tape recorder for meetings and training sessions.
    • Speech-to-Text Software: For individuals with writing or motor impairments.
  • Policy Adjustments and Leave: Modifying standard procedures to support an employee's health needs.
    • Leave for Medical Care: Allowing time off for appointments and treatment, separate from standard sick or vacation time.
    • Modified Job Duties: Restructuring non-essential tasks to better suit an employee's abilities.

Educational Accommodations

For students with learning disabilities, chronic health conditions, or other challenges, academic accommodations are essential for an equitable learning experience.

  • Testing and Assessment Accommodations: Adjustments during exams to reduce pressure and support different learning styles.
    • Extended Time: Granting extra time for tests and assignments.
    • Distraction-Reduced Environments: Allowing students to test in a quiet room.
    • Alternative Formats: Providing oral tests, multiple-choice options, or projects instead of written exams.
  • Classroom Modifications: Changes to the learning environment to support focus and participation.
    • Preferential Seating: Placing a student near the front of the class or away from distractions.
    • Notes and Outlines: Providing a copy of the teacher's notes or allowing a peer note-taker.
    • Visual Aids and Cues: Using visuals to support auditory presentations for students with hearing or processing issues.
  • Behavioral and Scheduling Accommodations: Offering strategies for managing attention and energy.
    • Frequent Breaks: Allowing breaks to manage energy levels or anxiety.
    • Agenda Books/Checklists: Tools to help with organization and task management.

Accommodations for Specific Health Conditions

While many accommodations are universal, some are particularly effective for certain conditions. Here's a look at common examples:

Mental Health Conditions

These are among the most common disabilities requiring accommodation. Common requests include:

  • Flexible schedules for therapy appointments.
  • Increased breaks to use coping mechanisms.
  • Quiet workspace to reduce sensory overload.
  • Written instructions for complex tasks to aid with memory or concentration issues.

Chronic Illnesses

Conditions like chronic fatigue, fibromyalgia, or autoimmune disorders often require adjustments for energy management and symptom flare-ups.

  • Telecommuting or flexible hours.
  • Rest breaks and a reduced workload during flare-ups.
  • Ergonomic equipment to minimize physical strain.
  • Access to a refrigerator for medication.

Vision and Hearing Impairments

Accessibility is key for these conditions, both at work and in school.

  • Screen reader software and large-print materials.
  • Sign language interpreters or closed captioning for meetings and videos.
  • Assistive listening devices.

Comparison Table: Common Accommodations by Setting

Type of Accommodation Workplace Example School Example
Flexible Scheduling Modified start/end times or remote work days. Allowing extended time on assignments or flexible attendance policies for appointments.
Technology Providing screen readers, speech-to-text software, or ergonomic equipment. Use of computers for typing, recording lectures, or software for note-taking.
Environmental Changes A private office or quiet workspace to reduce noise and distractions. Preferential seating away from distractions or access to a quiet test environment.
Leave and Breaks More frequent or longer breaks to manage fatigue or symptoms. Extra rest breaks during tests or class, or time off for appointments.
Task/Duty Modifications Job restructuring to eliminate non-essential tasks or modify workload. Allowing oral reports instead of written ones or providing project rubrics.
Communication Adjustments Providing written instructions from a supervisor instead of verbal. Using visual cues, written directions, or having a note-taker for lectures.

How to Request Accommodations

Requesting accommodations is a straightforward process, but it requires preparation and clear communication.

  1. Start the Interactive Process: An employee or student should initiate the request, often by informing a supervisor, HR department, or disability services office. The law does not require special terminology, so a simple statement like, "I need an adjustment to my work schedule for a medical reason," is sufficient.
  2. Provide Documentation: In most cases, you will need to provide documentation from a healthcare provider. This documentation should confirm the disability or condition and explain why the accommodation is needed, but it does not require sharing your specific diagnosis.
  3. Engage in Discussion: The interactive process is a conversation to clarify what you need and identify effective, reasonable accommodations. Be prepared to discuss alternative solutions if your first request presents an undue hardship for the organization.
  4. Confirm the Outcome: Ensure you have a clear understanding of the agreed-upon accommodations, how they will be implemented, and when they will be reviewed.

Conclusion: Empowering Yourself Through Accommodation

Understanding what accommodations are available is a critical step toward self-advocacy and a healthier, more productive life. The most common accommodations, from flexible scheduling to assistive technology, are designed to remove barriers and create an inclusive environment for everyone. By knowing your rights and the available options, you can effectively communicate your needs and work collaboratively with employers and educators to ensure you have the support required to thrive.

For more detailed information on accommodations in the workplace, including guidance on the interactive process and specific examples, the Job Accommodation Network (JAN) is an excellent resource. Their website, https://askjan.org/, provides extensive guides and support.

Frequently Asked Questions

A reasonable accommodation is any modification or adjustment to a job, work environment, or school setting that enables a qualified individual with a disability to enjoy equal opportunities. It should not cause an 'undue hardship' for the organization.

No, you do not have to disclose your specific diagnosis. You are generally only required to provide medical documentation that confirms you have a disability and explains the necessary limitations and how the requested accommodation will help.

Yes, mental health conditions like anxiety, depression, and ADHD are recognized as disabilities under the ADA and may qualify for reasonable accommodations. Common examples include flexible schedules for therapy or a quiet workspace.

If your request is denied, your employer should provide a reason. They must also engage in an 'interactive process' to find an alternative, effective accommodation. If you believe your rights are being violated, you can seek assistance from organizations like the Equal Employment Opportunity Commission (EEOC).

No, accommodations can be for temporary or episodic conditions as well. For example, a person recovering from an injury might need a temporary accommodation, while someone with a chronic illness might need one during a symptom flare-up.

Yes, assistive technology is a very common type of accommodation. This can include screen readers, specialized keyboards, hearing aids, and software to help with organization or focus.

To request school accommodations, you should contact the student disability services office at your university or the special education department in a K-12 school. They will guide you through the process, which usually involves providing documentation from a medical or educational professional.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.