Exploring the barriers to implementing adaptive interaction in practice

This chapter examines the barriers and enablers to implementing intensive interaction (II) and adaptive interaction (AI) in care settings for individuals with profound learning disabilities, autism, and advanced dementia. Despite evidence of their positive impact on communication and connection, widespread adoption is limited by systemic constraints, lack of training, and societal misconceptions. Focusing on three key domains – evidence, system, and perception – the chapter highlights challenges such as limited research funding, time pressures, and resistance to change. It also explores how reframing II and AI as integral to everyday care, rather than optional interventions, can support their integration. Ultimately, the chapter calls for a shift in perspective to recognise inclusive communication as a fundamental human right.