Mental Health at Work

How Alanna Ball Thinks About Neurodiversity at Work

Episode 13 with Alanna Ball shows why neurodiversity is a work-design and safety question, connecting visibility, voice, mental health, and usable expertise.

By 7 min read

Key takeaways

  1. 01Treat neurodiversity as a work-design and safety question, not a label added after the process is fixed.
  2. 02Separate representation from usable expertise by checking whether people can influence decisions.
  3. 03Review 4 work-design signals that make capable workers less likely to raise concerns.
  4. 04Run a 30-day test with 1 owner, 2 accessible participation routes, and evidence from the task.
  5. 05Listen to Episode 13 with Alanna Ball for a practical inclusion lens on mental health at work.

Episode 13 of the Headline Podcast was published on January 14, 2026, with Alanna Ball, founder of Women in Safety and a WHS partner. Her central argument was that neurodiversity should be treated as a way to make work more human and usable, not as a label added after a safety system has already been designed.

That argument changes the safety question from whether people fit the process to whether the process lets different people contribute their expertise before exposure becomes harm.

Why does neurodiversity belong in workplace safety?

Neurodiversity belongs in workplace safety because attention, communication, sensory load, and decision-making affect how a control is understood and used. A procedure that assumes one ideal way to read, speak, remember, or report can hide useful information from the people closest to the work, even when the procedure looks complete during a 1-hour audit.

Alanna Ball's contribution is not a request to lower a standard. It is a challenge to examine which parts of the standard are essential and which parts are habits that make participation harder. A worker who needs a quieter briefing, a written prompt, more time to process a question, or a different way to demonstrate competence may still understand the hazard better than the person delivering the training.

The NIOSH Total Worker Health program explains that worker well-being and protection from hazards are connected, which supports a practical reading of the episode. A safe system must protect the body, preserve usable attention, and make it possible for people to act on what they know.

What did Alanna Ball change about inclusion?

Alanna Ball changed the inclusion conversation by connecting visibility with practical permission to participate. Representation is not complete when a person is present in the room; it becomes meaningful when that person can challenge a weak assumption, ask for clarity, and influence the design of work without being reduced to a problem.

On the Headline Podcast, Alanna Ball said, “You can't be what you can't see.” The sentence is short, yet its operational consequence is substantial. A young safety professional who never sees women, neurodivergent colleagues, or other under-represented people trusted with difficult decisions may interpret leadership as a role reserved for someone else.

That is why visibility should be connected to 3 observable conditions. People need access to decisions, evidence that concerns receive a response, and a route into development that does not depend on behaving like the existing majority. Without those conditions, a diversity statement becomes a poster while the real operating culture remains unchanged.

On the show, co-host Andreza Araujo and Dr. Megan Tranter explored this distinction with a guest who located care in everyday relationships rather than in a separate program. The episode therefore belongs in the mental-health-at-work category because belonging, voice, and cognitive load shape whether people can remain effective during demanding work.

How is representation different from usable expertise?

Representation describes who is present, while usable expertise describes whether the system can receive and act on what those people notice. A team may include varied experience and still lose that value when meetings reward speed, acronyms, interruption, or confidence rather than clarity and evidence.

Andreza Araujo's book Safety Culture: From Theory to Practice frames culture through what people experience repeatedly, not through what an organization says about itself. Applied to neurodiversity, the test is concrete. Do workers encounter a process that helps them contribute, or do they spend their energy masking needs, decoding informal rules, and deciding whether a question will damage their credibility?

Managers can test usability with 4 questions. Can the worker access the critical information in more than one format? Can the person request clarification without being treated as resistant? Can a concern be raised outside a public meeting? Can the manager distinguish a different communication style from a lack of competence?

The answers should change the work, not merely improve the survey language. A checklist that becomes clearer, a briefing that includes a visual sequence, or a reporting channel that allows written follow-up can remove friction while preserving the same control objective.

Which work-design signals show that expertise is being excluded?

Four work-design signals suggest that a safety system is excluding expertise: repeated requests for people to “be more confident,” important instructions delivered in only one format, questions answered with social correction instead of technical explanation, and fatigue or sensory overload treated as personal weakness.

These signals matter because the resulting silence can look like agreement. A worker who stops asking questions may be conserving energy, avoiding embarrassment, or protecting a working relationship. The absence of challenge is not evidence that the control is understood.

The US Occupational Safety and Health Administration describes workplace stress as a condition that can affect health and safety, which gives leaders a reason to treat workload, interruption, and uncertainty as operational variables. The episode adds an inclusion lens to that point. If a work design consistently overloads some people more than others, the control may be formally equal but practically unequal.

A supervisor can review these signals during a 10-minute end-of-shift conversation. Ask what information was difficult to access, which interaction made it harder to speak, and what adjustment would make the next task more predictable. The purpose is not diagnosis. It is to identify a barrier that the work owner can remove.

What does the status quo miss about neurodiversity?

The status quo often treats inclusion as a people initiative and safety as a control initiative, even though both depend on how work is designed. Alanna Ball's view joins the two by asking whether the operating environment allows people to remain fully human while they perform consequential tasks.

Common status quoEpisode-informed alternative
Invite everyone to the same meeting and call that inclusion.Offer 2 or more ways to receive information and contribute evidence.
Measure participation by attendance.Measure whether a concern changes a decision, control, or work method.
Treat a request for adjustment as an exception.Ask which part of the process creates avoidable cognitive or sensory load.
Expect the individual to adapt silently.Give the role owner responsibility for making the task usable.

The comparison does not mean every preference can be accommodated in every task. High-risk work still needs clear competence, authorization, and verification. The leadership question is whether those requirements are being tested directly, or whether an informal style preference is being mistaken for a safety requirement.

ISO 45001 specifies participation and consultation as part of an occupational health and safety management system. A meaningful interpretation of that requirement asks whether participation is accessible to the people whose work creates, detects, and controls exposure.

How can leaders support voice without diagnosing people?

Leaders can support voice without diagnosing people by changing the work conditions that make information harder to share. They do not need a medical conclusion to improve meeting structure, clarify priorities, provide written follow-up, reduce unnecessary interruption, or make escalation routes visible.

A useful 30-day test starts with one safety-critical process. During week 1, map where information is introduced, translated, and confirmed. During week 2, ask 3 workers what makes that process difficult to follow. During week 3, change one format or handoff. During week 4, verify whether the adjustment improved comprehension and decision quality.

The manager should assign 1 owner, define 2 observable checks, and record what changed. A worker should not have to disclose a diagnosis to request a clearer briefing or a written confirmation of a critical instruction. The organization can respect privacy while still taking responsibility for the design of work.

That approach also protects against a common mistake, which is turning neurodiversity into a new category of compliance paperwork. The point is not to create 6 more forms. It is to remove the friction that prevents accurate information from reaching the person who must make the next safety decision.

What should a safety leader do next?

A safety leader should select one consequential task, identify where participation becomes difficult, and make one adjustment that can be verified within 30 days. The task might be a pre-job briefing, a shift handover, an incident review, or the route used to report a concern.

Start by asking the team which information arrives too quickly, which term is unclear, and which response makes people less likely to speak again. Then compare the answers with the control objective. If a different format preserves the objective and improves access, the change is a safety improvement rather than a concession.

Alanna Ball's second relevant message is that talking about neurodiversity humanizes the workforce. On the Headline Podcast, she said, “All we're doing by talking about neurodiversity is humanizing our workforce. We are not robots.” The statement gives leaders a useful boundary. People are not interchangeable components, and a system that ignores how people think will eventually lose information that the system needs.

Andreza Araujo has repeatedly connected safety culture with the conditions in which people make decisions. In this episode, that principle becomes a practical test for inclusion. If a worker can understand the task, question the assumption, and influence the control without masking a legitimate need, the organization is closer to a culture that protects people in real work.

Recommendation

Recommendation is to treat neurodiversity as a work-design question before treating it as an employee-relations question. Review one process, create 2 accessible ways to participate, assign 1 accountable owner, and verify the result after 30 days using evidence from the task itself.

The World Health Organization reports that working conditions can protect or harm mental health. That principle is practical here. Leaders do not need to label every difference to make work safer. They need to notice when the design of work blocks expertise, then remove the block.

Listen to the full conversation with Alanna Ball on the Headline Podcast and use one idea from Episode 13 in the next safety-critical conversation.

Topics mental-health-at-work neurodiversity worker-voice psychological-safety work-design headline-podcast

Frequently asked questions

Why is neurodiversity relevant to workplace safety?
Neurodiversity affects how people receive information, manage attention, communicate concerns, and use controls. Safety systems become stronger when they allow different people to contribute expertise without unnecessary cognitive or sensory barriers.
What is the difference between representation and usable expertise?
Representation describes who is present. Usable expertise describes whether the work system lets those people raise concerns, challenge assumptions, and influence decisions in a way that changes the task or control.
How can a manager support neurodiversity without diagnosing workers?
A manager can improve briefing formats, written follow-up, meeting structure, escalation routes, and workload clarity without asking for a diagnosis. The focus should remain on removing barriers in the design of work.
What is a practical first step for a safety leader?
Choose one safety-critical process, ask which information or interaction makes participation difficult, make one adjustment, assign one owner, and verify the result within 30 days.
Where can I hear Alanna Ball discuss neurodiversity?
Episode 13 of the Headline Podcast features Alanna Ball discussing community, representation, trust, vulnerability, and neurodiversity as a way to humanize the workforce.

About the author

Andreza Araújo

Safety Culture Expert | Senior EHS Executive

Andreza Araújo is a safety culture expert and senior EHS executive with more than 25 years of experience in environment, health and safety. She is a Civil Engineer and Occupational Safety Engineer from Unicamp, holds a Master's degree in Environmental Diplomacy from the University of Geneva, and completed sustainability studies at IMD Switzerland. Andreza has served in Global Head of EHS roles in Fortune 500 environments, leading cultural transformation programs across multinational operations. She has represented Brazil as a speaker at the United Nations in Paris and has spoken at the International Labour Organization in Turin. She is the author of more than 16 books on safety culture in Portuguese, Spanish, English and German. Her work has earned more than 10 EHS awards, including two recognitions from Indra Nooyi, former PepsiCo CEO.

  • Civil & Safety Engineer (Unicamp)
  • M.A. Environmental Diplomacy (University of Geneva)
  • Sustainability Cert (IMD Switzerland)
  • People Management & Coaching (Ohio University)
  • UN Paris speaker representative for Brazil
  • ILO Turin speaker
  • LinkedIn Top Voice
  • Indra Nooyi PepsiCo CEO recognition (2x)

Documentaries

Watch Andreza's documentaries

Three productions on safety culture, organizational failure and the human lessons behind major disasters.

Podcasts

Listen to Andreza's podcasts

She hosts three shows on safety leadership, EHS and organizational culture, in English and Portuguese.

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