Raising a Neurodivergent Child in Military Life: From PCS to EFMP 

Tricare, Military OneSource, or the milspouse withe the spreadsheet—someone has the answers.
neurodivergent child EFMP dvids
Various youth sport coaches, aquatic instructors, and sports programs managers engage in an individual activity during neurodivergent EFMP inclusivity training in Okinawa, Japan. (U.S. Marine Corps/Cpl. Alex Fairchild)

Some 36 hours into a cross-country PCS, a seven-year-old autistic military child declared, mid-interstate meltdown, that he was “never speaking to another base housing office again.” It was his fourth move in five years, and he was done with it all. 

Meanwhile, his mother juggled Waze directions, a spilled Capri Sun, and a Bluetooth call with the gaining base’s EFMP coordinator. The family dog barked nonstop. Her spouse was somewhere behind them in convoy formation. In the midst of the chaos, she had an epiphany: this wasn’t just another move.

This was going to be one of those chapters, the ones where resilience stops being a mantra reiterated ad nauseam and starts being actual survival. 

When Military Life Complicates Neurodivergence 

In civilian life, stability serves as an anchor for neurodivergent children. In military life, stability is a pipe dream, one routinely overruled by mission requirements. 

Each new base means a new school, a new search for therapy services (if they exist at all), a fresh diagnostic process, and a familiar refrain: “We’re not taking new patients right now.”

It’s like the movie Groundhog Day, but with more paperwork and less personal growth. 

Individualized Education Programs (IEP) rarely transfer smoothly. Applied Behavior Analysis therapy has waitlists longer than some deployments. And ever-looming is the fear that this PCS will be the one where a child falls through the cracks. 

EFMP: Exceptional, Frustrating, Mostly Paperwork 

The Exceptional Family Member Program (EFMP) is designed to help families with unique medical or educational needs. And sometimes, it does. 

It’s the reason one family didn’t get sent OCONUS. It’s also the reason they’ve filled out the same dozen forms in triplicate every year since diagnosis. 

There are standout EFMP coordinators, heroes who deserve medals and raises. But the program’s effectiveness often depends on local execution, and not every base is equipped (or wholly motivated) to support neurodiversity well. 

Still, a flagged assignment is better than the alternative: being stationed somewhere without adequate services and watching a child regress while the system shrugs its shoulders.

What Actually Helps 

Resources like Military OneSource, grassroots Facebook groups, and that one eager parent who shows up at the playground with spreadsheets are invaluable tools.

Read: The field guide to finding the ‘seasoned milspouse’ in the wild

There are organizations designed to help. Autism Speaks will provide resources, including their Military Families and Autism Advocacy program. While Operation Autism was launched to provide a resource guide, one complete with information specifically for military families with autistic children. 

Support can come from unexpected places: pediatricians who understand sensory needs, virtual OT sessions from licensed providers across state lines, even a chaplain who learned to sign “stim” to connect with a child on base. 

However, it goes even deeper. Organizations like Partners in PROMISE are advocating for systemic change in how EFMP operates. The ARC’s Center for Future Planning offers tailored guidance for military families navigating long-term care. Base-level support services, such as School Liaison Officers (SLOs), Family Advocacy Programs, and installation-specific EFMP case managers, can be game changers when families know how to access them. 

Tricare’s Autism Care Demonstration (ACD) covers autism services, including Applied Behavior Analysis, occupational therapy, physical therapy, speech therapy, counseling, and even respite care. Their expanded telehealth coverage has been a blessing in remote duty stations, especially for families in rural or overseas locations. And for those facing relocation, STOMP (Specialized Training of Military Parents) offers trainings that demystify IEPs, 504s, and procedural safeguards. 

The help exists. But finding it often takes persistence, networking, and a bit of luck. Sometimes it requires an e-tool; other times, a backhoe might be necessary. 

The Mission Within the Mission 

Raising a neurodivergent child in the military isn’t about fixing them. It’s about creating a sense of stability—a foundation that can adapt with each PCS, each deployment, and each EFMP update. 

The victories are small but strong: a grocery run without a meltdown equals a win. A teacher who proactively uses visual aids is a godsend. A command team that treats neurodivergent families as assets, not admin burdens, is a family. 

There are no parades. But there is strength, not in spite of the chaos, but forged like coal into a diamond; the pressure is what defines and creates hardiness.

For families searching for “autism services near Fort Wherever,” know this: you’re not alone. There are groups of those who walk the same miles in the same shoes out there. And they’ve got your six.

Adam Gramegna Avatar

Adam Gramegna

Contributor, Army Veteran

Adam enlisted in the Army Infantry three days after the September 11th attacks, beginning a career that took him to Kosovo, Iraq, and Afghanistan twice. Originally from Brooklyn, New York, he now calls Maryland home while studying at American University’s School of Public Affairs. Dedicated to helping veterans, especially those experiencing homelessness, he plans to continue that mission through nonprofit service. Outside of work and school, Adam can be found outdoors, in his bed, or building new worlds in his upcoming sci-fi/fantasy novel.


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