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On 26 April 2016, the 30th anniversary of the Chernobyl disaster, Roche made a landmark address to the United Nations General Assembly in New York. In an unprecedented move the Belarusian UN delegation provided her with their speaking time at the General Assembly discussion on Chernobyl, in recognition of the international role Ireland and Chernobyl Children International has played in helping the victims of the Chernobyl catastrophe. It was the first time an ordinary person (non-diplomat/non-political person) has been extended the honour of speaking at the UN General Assembly during a country's allocated time.

On 8 December 2016, as a direct result of her address the United Nations ratified "Persistent Legacy of Chernobyl disaster", a symbolic element of which is the implementation of "International Chernobyl Disaster Remembrance Day"

In 2010, Roche received the World of Children Health Award. Since then, Chernobyl Children International has saved the lives of thousands of children born with congenital heart defects. She also received the 2015 World of Children Alumni Award Honoree, for the "incredible impact she continues to have in the lives of the children of the Chernobyl region". Also in 2015, Roche won the Princess Grace Humanitarian Award.

To mark the 18th Anniversary of the tragedy in April 2004, Roche was invited to speak at the UN General Assembly at their headquarters in New York and to screen the Oscar award-winning documentary Chernobyl Heart. She was also invited by UNDP to sit on the organising committee and act as the keynote speaker at the International Chernobyl Conference held in Minsk in April 2006 to mark the 20th Anniversary of the Chernobyl disaster. In 2004, Chernobyl Children International received official NGO status by the U.N.

In July 2003, she was the keynote speaker at the launch of the International Chernobyl Research and Information Network (ICRIN) in Geneva, Switzerland. ICRIN is a joint-sponsored initiative by the UN and the Swiss Agency for Development and Co-operation. Roche was appointed to represent NGO's on the Steering Committee of ICRIN.

Roche launched an exhibition of the Chernobyl disaster for the 15th Anniversary of the nuclear accident in the UN Headquarters in New York in 2001. The Chernobyl legacy was demonstrated through digital imagery, photographs and sculpture. Entitled Black Wind, White Land, the exhibition was a month-long, cross-cultural event featuring the works of artists depicting the suffering caused by the accident. It was deemed an outstanding success by the UN and had its European Premiere in Dublin in 2002.

In 1997, Roche received Tipperary International Peace Award, described as "Ireland's outstanding award for humanitarian work." In 2001, she was awarded an honorary doctor of law degree by the University of Alberta, Canada. In 2007, Roche won the Robert Burns Humanitarian Award.

Roche stood for the office of President of Ireland as a coalition candidate for the Labour Party, Democratic Left and the Green Party at the 1997 presidential election. Roche came fourth out of five candidates with almost 7% of the vote.

In 1991, Roche founded the Chernobyl Children International, to provide aid to the children of Belarus, Western Russia and Ukraine. The organisation is an international development, medical, and humanitarian one that works with children and families who continue to be affected by the Chernobyl nuclear disaster of 1986.

She has focused on the relief of suffering experienced by children in the wake of the 1986 Chernobyl nuclear disaster.

Mental health and disability development: Since 1986 there has been a marked increase in children being born with mental and physical disabilities. CCI has pioneered the Human Rights of people incarcerated in institutional care. This is at the very heart of the CCI mission.

Adi Patricia Roche (born 11 July 1955) is an Irish activist, anti-nuclear advocate, campaigner for peace, humanitarian aid and education. She founded and is CEO of Chernobyl Children's Project International.

Adi Roche was born in Clonmel, County Tipperary in 1955. After finishing secondary school she went to work for Aer Lingus. She left in 1984, to work full-time as a volunteer for the Irish Campaign for Nuclear Disarmament. She devised a Peace Education Programme and delivered it in over fifty schools throughout Ireland. In 1990, she became the first Irish woman elected to the board of directors of the International Peace Bureau at the United Nations in Geneva.