BBB AUTISM SUPPORT NETWORK/AUTISM SOCIETY OF ONTARIO YORK REGION CHAPTER
A BEGINNER'S GUIDE TO AUTISM IN YORK REGION
RESOURCES FOR PARENTS OF PRESCHOOL CHILDREN
NEWLY DIAGNOSED WITH AN
*Autism Spectrum Disorder or "ASD" includes Autism, Asperger's Syndrome, Rett Syndrome, Childhood Disintegrative Disorder and PDD-NOS. There are co-existing disorders that can appear with ASD such as, developmental delay, seizure disorders, Bi Polar Disorder, CP, Down's Syndrome, Apraxia, Obsessive Compulsive Disorder and more. We have provided limited information on these. To get more, please look at BBB Autism Support Network Website or contact the Autism Society of York Region at asoyork@axxent.ca.
What to Do First:
Contact
Early
Intervention Services
– after going through intake, also ask to be set up with an Occupational Therapist
and Speech-Language Pathologist.
1-888-703-KIDS (5437)
Contact Ministry of Community and Social Services (800-263-2014) – ask for applications for Special Services at Home (SSAH) and Assistance for Children with Severe Disabilities (ACSD) <Ministry of Community and Social Services (1-877-669-6658) –for applications for Special Services at Home (SSAH) and Assistance for Children with Severe Disabilities (ACSD)>. SSAH provides funding for in-home parent relief. For more information, click on the link in the "How to Fill Out Forms" section, or the one provided here (point 2).
If
child is incontinent and over 3, contact Easter Seals to get
reimbursed for diapers (416) 421-8377
If
child is non-verbal, contact Assistive
Devices to get a discounted copy of Boardmaker (communication
software using PECS) (800) 268-6021 (Toll-free in Ontario only). In Toronto, call
(416) 327-8804
Contact
Autism Society of Ontario (York
Region Chapter) for information and outline of upcoming courses (905)
780-1590
If behaviors are an issue, contact York Central Hospital's Behavior Management at (905) 773-2362
Contact Kerry’s Place (Community Outreach 905-713-6808). They provide consultation to families regarding strategies for behaviour, communication, social skills etc. Appointments available within 2 - 4 weeks at various locations throughout region. Also provide parent respite and a large lending library available to the public.
...and...
Get on these wait lists:
Kerry’s Place - 905-841-6611 |
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Provincial Autism Initiative (416) 326-2800; in York Region, contact Kinark |
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TRE-ADD
(Treatment,
Research and Education for Autism and Developmental Disorders) (416)
326-0608 |
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Geneva
Centre
(416) 322-7877 |
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Bloorview
MacMillan Centre
(416) 425-6220 |
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York Support Services Network - case management - 1- 800- 887-3679 |
Now, what do I do?
The agencies you call will set up appointments to meet with you. You will generally go through an "intake" process, which consists of many questions about your child and family. After intake is complete, it is time to start asking questions for yourself. Questions you need answers to are:
1. What services, interventions and/or therapies are offered by your agency? (i.e. Occupational Therapy, case management, communication, transition to school, etc)
2. How many hours per week do these services require and how much of this is one-on-one time with the child?
3. Describe a typical day or session.
4. What experience do the teachers and/or therapists have in working with children with ASD?
5. What experience does the person who supervises the program have? How closely does the program supervisor work with the therapists, teachers and parents?
6. What kinds of ongoing training do your full- and part-time staffs participate in?
7. Are parents involved with planning as part of the intervention team?
8. Do you provide a parent training program?
9. How much and what kinds of involvement are expected of the parents and family members?
10. Are parents welcome to participate in or observe therapy and or group sessions?
11. What techniques do you use to manage difficult behaviors?
12. Do you ever use physical aversives or any physically intrusive procedures? If yes, please describe them.
13. Please describe your program for communication and language development. Do you use a picture communication system, sign language other kinds of communication systems, or all of these? How do you determine which is best for my child?
14. Are there opportunities for integration with typical and/or higher functioning children?
15. How do you evaluate a child’s progress and how often?
16. How are services delivered? (Do they come to your home or do you go to their location?)
17. Is there a wait list? How long? What services are offered while on the wait list?
18. Are costs involved? If so, how much? How are you billed? Is there an income dependent sliding scale for prices?
19. Does your agency offer help to find other resources? (i.e. finding ABA/IBI therapists, private schools, etc.)
20. What does your agency offer to help with integrating my child into the community? Help with learning self help skills? If not, can you recommend a program/agency?
21. What other (parent, sibling) courses does your agency offer?
22.
Does your agency have experience with children with autism? Do
you have a particular philosophy on working with children with ASD?
23. How do you keep parents informed of the child’s progress?
Where Do I Find the Best Professional to Help My Child?
Look in the mirror!
The best advice anyone can give you right now is to become your child's case worker. After all, there is no one on earth who knows your child better! Unfortunately, our area's services are quite fragmented, and you probably won't find an agency who will tell you who to call and/or how to proceed (unless it's within their own area of expertise). Let's face it, wait lists are long and to avoid frustration, begin educating yourself now. Learn how to be an advocate for your child.
Join newsgroups and online support clubs like BBB Autism's Support Network and talk to other parents. Learn about therapies and learn strategies on coping. Other parents are a great wealth of knowledge and resources.
Join your local chapter of the Autism Society of Ontario. Information about York Region's Chapter can be obtained by emailing asoyork@axxent.ca.
One of the worst things that can happen is to sink in denial for an extended period of time. Denial will not only hurt yourself, your other children and your marriage, but will not help your ASD child. It is okay to have a couple of dates with denial, but for heaven's sake, never marry it!
HELPFUL LINKS
YORK REGION AND GTA INFORMATION:
(please note: some of these agencies may charge for services)
DMV: You can get handicapped parking permit because this disorder is neurological. It helps immensely if your child has behavior difficulties (tantrums, etc) and you have to leave somewhere in a hurry. |
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Advocacy office: (416)325-5669 |
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Markham Stouffville Hospital has a Pediatric Assessment Clinic with a follow up program. call (905)472-7534 |
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York Preschool Speech and Language Program: Beyond Words |
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Hearing Healthcare Consultants (416)488-1300 |
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Learning Disabilities Assoc. of Ontario -- great workshops on advocacy, social skills, also a wonderful lending library with excellent resources |
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Ontario Association for Families of Children with Communication Disorders advocacy; resources for getting intervention for preschool and school-aged kids |
PRIVATELY FUNDED
Autism Partnership - Case Management, "We provide case supervision and training to staff that parents recruit for IBI programs" |
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Child Development Centre of Oakville (using Fast ForWord - and more!) |
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Helping Hands Kids' Therapy Centre, 121 Queen St. South, Box 313, Tottenham, Ontario (905)936-4400, 1(877) 534-4430 |
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Autism Children’s Intervention Services Inc. Grace Damouni, Director/Founder - 8171 Yonge Street, Suite 226, Thornhill ON, L3T 2C6, Tel 416. 219 2316, Fax 905. 832 3139 E-Mail: Grace@aciscanada.com |
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IBI Therapy: BEHAVIOUR INSTITUTE, 57 YOUNG, HAMILTON, ON, L8N 1V1 (905)570-0777 |
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Giant Steps School (905)669-8299 |
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New Haven Learning Centre for Children, 301 Lanor, Etobicoke, ON, M8W 2R1 (416)259-4445 |
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Leaps and Bounds Specialized Programming for kids with PDD/Autism also respite and more! Deanna Pietramala, Director, 1100 Gorham St. # 11B 147, Newmarket, Ont. L3Y 2V1, Fax: 905-953-0589 Direct Line: 905-953-0569, email: dp23@istar.ca or leapsandbounds@ca.inter.net |
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York Paediatric Therapy Services, Rhona Feldt-Stein, OT, Executive Director, 10520 Yonge St. # 21, Richmond Hill, Ont. L4C 3C7 Tel: 905-737-9680 Fax: 905-737-2445 email: rfstein@hotmail.com |
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Yes, I Can! Nursery School and Camp (416) 486-4911 |
Recommended Reading:
Let Me Hear Your Voice by Catherine Maurice |
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Children With Autism:
A Parents’ Guide by Michael D.
Powers |
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A Parents’ Guide to Autism by Charles A. Hart |
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Emergence: Labeled Autistic by Temple Grandin |
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Special
Children, Challenged Parents
by Dr. Robert Naseef |
These books and many others can be ordered from Parentbooks in Toronto.
Therapies (Reading):
Please note: Inclusion of these books does not mean that BBB Autism or the Autism Society of Ontario (York Region Chapter) necessarily endorses them. It is imperative that you do extensive research on any therapy you are considering for your child.
Behavioral Interventions for Young Children with Autism
by Catherine Maurice et al (Applied Behavioral Analysis - general
information plus ABA/IBI curriculum) |
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Help Us Learn - Kathy Lear's exciting program will help you on your way to setting up an ABA/IBI home program for your child |
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Unraveling the Mysteries of Autism
by Karyn Seroussi (gfcf diet + supplements) |
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The Sound of a Miracle by Annabel Stehli (auditory
integration therapy) |
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Nobody, Nowhere and Somebody, Somewhere by
Donna Williams (vision therapy – Irlen
lenses) |
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Son Rise by Barry Neil Kaufman (Options
Institute) |
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The Child With Special Needs
by Stanley Greenspan (Floor
Time) |
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Building Bridges Through Sensory Integration
by Shirley Sutton, Ellen Yak, Paula Aquilla (Sensory
Integration) |
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The Out-of-Sync Child by Carol Kranowitz (Sensory
Integration) |
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Quick and Easy Ideas by Carolyn Rouse (communication) |
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More Than Words by Fern Sussman (communication) |
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Visual Strategies for Improving Communication: Practical
Supports for School and Home by Linda Hodgdon (communication) |
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Solving Behavior Problems in Autism: Improving Communication
with Visual Strategies by Linda Hodgdon |
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A Work in Progress by Ron Leaf (ABA/IBI Plus Curriculum) |
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Right From the Start by Sandra Harris (ABA/IBI) |
Most of these books and many others can be ordered from Parentbooks in Toronto.
Training/Parental Education:
Autism Society of Ontario (York Chapter) (905) 780-1590 or email asoyork@axxent.ca |
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BBB Autism Support Network "How To Help the Child Newly Diagnosed with Autism/PDD at Home" for more information, email us at liz@deaknet.com. |
Online Help:
Sign up for BBB Autism/Autism Society York Region's newsletter. It is packed with tips and strategies from the experts - PARENTS! E-mail liz@deaknet.com. Attend guest hosted chats headed by leaders in the field such as Shirley Sutton, Deanna Pietramala, Kathy Lear, Kerry's Place and more. Contact liz@deaknet.com for instructions and schedules. |
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Resources Available
for Persons with Developmental Disabilities in York Region
|
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Online Parent Mentoring: check out BBB Autism Buddies! |
Special Education:
Special Education in Ontario (Ministry of Education) |
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Lindsay Moir and Associates: Comhnadh Consulting - Special Education Consultant |
SOME GREAT RESOURCES
PARENTING A CHILD WITH SPECIAL NEEDS: A GUIDE TO READINGS AND RESOURCES - This is a wonderful resource for all parents of newly diagnosed children. |
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ParentBooks Located in Toronto, this store stocks a vast amount of books on special needs. You can also order online. |
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The Help Us Learn system can help you set up your own home ABA program. A curriculum can be ordered from Eden Services. |
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Graduate
Beginnings
picture communication |
How Do I Fill Out Forms for Funding?
A great place to start is Project Rainbows Suggested Guidelines, which provides some guidelines for filling out SSAH and ACSD form. Ask your Early Interventionist for help with this project. You may think you don't need the government's financial help, but please consider and take everything that is offered to you!
Project
Rainbow Suggests the Following Guidelines for Completing Annual
Applications for
The
Special Services At Home Program (revised
11/99):
What is Special
Services At Home (SSAH) & Assistance For Children With Severe
Disabilities (ACSD)?
Both
are funding programs available to families caring for children and/or
adults with developmental and/or physical disabilities (N.B.
Individuals over the age of 18 with significant physical disabilities,
capable of ‘directing own care’ may qualify for funds through the
Ministry of Health’s Attendant Care program). Funds are provided by
the provincial office of the Ministry of Community & Social Services
and are administered regionally. Funds are intended to pay for
extraordinary costs associated with a disability.
Assistance
For Children With Severe Disabilities ACSD (formerly
Handicapped Children’s Benefits-HCB)
The
ACSD program is income-tested and requires a separate application
requesting information about expenses, etc. and may assist with
additional costs for those who qualify. Additional information and
applications can be obtained by contacting your local office for the
Ministry of Community & Social Services.
Consistent with the changes adopted in the recent
document, Making Services Work for People, the ministry has
begun a new process for reviewing and approving SSAH applications.
The goal is to provide a more equitable and accountable system.
Applications for funding and subsequent approvals will be assessed
on equity. Information should reflect the following three
components: |
2.
family
supports
3. community supports in place, i.e. school, day program, Homecare, etc
To receive support through the SSAH program,
families should, whenever possible, submit one application annually,
anticipating their needs for the entire year including: Family
Relief & Support and Personal Development & Growth hours,
including recreational programs, extraordinary program fees, camp
one-to-one support, etc.. Remember to include Christmas Holiday,
March Break and summertime. |
When the application has been reviewed (8-12 weeks)
and if an approval is granted, families will have an amount of money
for a specified one year period. The agreement can be flexible, i.e.
approved funds are not necessarily restricted to the number of hours
recorded on the initial application. A subsequent authorization form
(MCSS) will not designate itemized amounts of money for camp costs,
etc. For instance, within the SSAH parameters (e.g. not to be used
for educational support, therapy, day programs or paid to family
members) families can choose to use their funds in the best way that
suits their situation at the time. |
Documentation must accompany the SSAH application at
the time it is sent, detailing your child's disability. A
psychological report (as well as any additional assessments if
available) is imperative for approval. Reports should be recent
(i.e. completed in the last two years). |
Please
ensure you have completed all necessary information, and have signed the
back of the form. For additional assistance, Project Rainbow staff would
be happy to help you (416-503-0088x17) during regular business hours.
SPECIAL SERVICES AT HOME APPLICATION
(Completion
Guidelines—01/00)
The
following guidelines have been prepared by Project Rainbow staff
to assist families when completing the revised (MCSS) Special
Services At Home Application form (Nov/99). The new application
form will be used across the province and does not require any ‘Supplementary
Information’ forms. Old application forms including supplementary
information forms should not be used.
SECTION
1: REQUESTS FOR SERVICE
Although
adequate space is not provided in the new application form, it is
becoming increasingly important for families to accurately reflect a
child’s needs and illustrate how the request for funds will positively
affect the individuals’ (applicant) development and the family’s
(including siblings) quality of life. To do this, you may need to attach
an additional sheet of paper. Consider using other professional’s
(i.e. Teacher; Speech Pathologist; OT/PT reports, etc.) recommendations
to substantiate requests.
Because
camp opportunities are both ‘Personal Development & Growth’
and ‘Family Relief & Support’, families may want to send
a progress report (optional for respite funds) to substantiate a
request for service, particularly if the request is new or an increase
over previous years.
Question 1A—Following is a short list of
Goals & Accomplishments that may be relevant to a progress
report that supports camp requests: |
GOALS |
ACCOMPLISHMENTS
|
Increased
independence |
Stayed
for 1 week at residential camp |
|
Dresses
with fewer prompts |
Learn
new skills |
Learned
many camp songs |
|
Paddles
a canoe |
|
Improved
swimming abilities |
Improve
social skills |
More
talkative; eager to express verbally/vocally |
|
Waits
more patiently; more settled |
|
Renewed
interest in siblings/peers |
1B—Family request for paid support. |
The
numbers and figures presented (below) are only to demonstrate how the
equation is transferred to the SSAH Application format. Your current
family situation may warrant more or less hours, etc. It is very
important that your request be based on real needs vs. what the
‘average’ family may receive. Every family situation is unique and
(family or applicant’s) needs are subject to change. Your request
must include all hours that you anticipate for the entire year including
any recreational programs.
REQUESTS
FOR SERVICE-- SAMPLES ONLY
N.B. Families
will want to provide sufficient details as to how the funds will be
spent. Consider attaching a separate sheet of paper as the space on the
application is inadequate.
A.
8 hours per week for 52 weeks = 416 hours
@
$10.00/hr
TOTAL
= $4160.00
B.
6 hours per week for 52 weeks = 312 hours
@
$10.00/hr = $3120.00 &
20
days @ $50.00 (i.e. Project Rainbow Summer Camps—see below) = $1000.00
TOTAL
= $4120.00
4 hours per week for 42 weeks = 168 hours
@
$10.00/hr = $1680.00 &
24
hours per week for 10 weeks (i.e. summer) = 240 hours
@
$10.00/hr = $2400.00
TOTAL
= $4080.00
4 hours per week for 39 weeks = 156 hours
@
$10.00/hr = $1560.00
20
hours per week (i.e. Christmas, March Break & Summer) for 13 weeks =
260 hours
@
$10.00/hr = $2600.00
TOTAL
= $4160.00
Sample Per Diems for Project Rainbow Participating Programs (1999/2000)
|
Note:
Per diems (i.e. daily cost of support counselor to
work with your child at camp) vary according to the camp program. Sample
requests have been provided below. You may request day camp support,
residential camp support, or both. Funding approval may vary according
to the individual ministry office.
Question 2A—This question was developed in
response to family feedback about forms being “too
negative” and “deficit-focused”. It is intended to allow MCSS
staff to have a more complete picture of your son/daughter. It is
not intended as a way of decreasing the amounts of supports
eligible. |
Questions B,C,D,E,F --Where it says “check
how often or check the amount…”, it can be read as
“needed/required” which is frequently more that what may
actually be “provided”. You may also want to look at broad
categories and measure from your child’s weakest level. |
When
students have 1:1 support in the classroom, parents may want to include
this, particularly when it supports (B) Personal Development &
Support and (C) Supervision (safety, etc.).
Question 2D—repetitive behaviours should be
noted here. Parents may want to elaborate, i.e. allowing an
individual to engage in repetitive behaviours, by its nature is
solitary and can be hard to break/interrupt after prolonged periods,
etc. |
Question 2E--Additional lifting for
positioning; activities; in/out of car, etc. should be added here,
even though it is not listed as an example except as ‘mobility’.
|
Remember
to use sections provided for additional information.
Remember
to give details including:
younger siblings |
|
infant/toddlers |
|
other child with disability or emerging concerns |
|
another adult (spouse or aging parents) requiring
care because of illness, frailty etc. |
|
spouse with health problems |
|
recent marital separation |
Remember
to use section provided for additional information.
SECTION
4: SUPPORT NETWORKS
Your answer here should reflect the nature of the
support, for instance, the help from a volunteer or neighbour may be
‘as requested’ or more of a ‘spontaneous’ nature rather than
something consistent and dependable that you could count on daily,
weekly, i.e. every Monday night, from 6:00 - 9:00pm. |
SECTION
5: PAID SERVICES & SUPPORTS
Question 5A--MCSS is requesting relevant
information on services received within the past year, e.g. for a 12
year-old, you need not list daycare/nursery. |
|
See Other… If your son/daughter is involved
in a recreation program with paid support, (i.e. SSAH hours)
it should be noted in this section |
Question 5B—When using nursing agencies,
families should reflect the actual costs involved as they are
considerably higher. If they are not reflected, you may be in a
situation of using twice as many hours to cover the costs of
specialized supports. |
Question 5C--For qualifying families, Assistance
for Children with Severe Disabilities (ACSD) (formerly
Handicapped Children’s Benefits--HCB) provides a monthly allowance
to families with total combined income of less than $57,000.00
(approximate) for a family of 4. Income rises slightly with more
dependents. Contact MCSS for more information and an application. |
SECTION 6: SIGNATURES
Relevant signatures by family and release of
information to other agencies or professionals involved with your
son/daughter. |
ALSO AVAILABLE (and free) TO HELP YOU ON YOUR JOURNEY:
A General Beginner's Guide to Autism : Features links and recommended reading along with a glossary of terms and a guide to a few of the most used therapies for your young ASD child.
BBB Autism/Autism Society of Ontario York Region Chapter E-Newsl: Twice monthly newsletters packed with stories, strategies, articles, links and recommended reading from professionals and parents alike. Also contains announcements of online specialty chats and workshops/courses/presentations in the York area.
BBB Autism Online Support Network: Want to meet other parents online? You can discuss strategies, triumphs and bumps in the road with our fantastic members. BBB Autism offers many unique features all free of charge. Please check our website which includes over 1200 links to information about ASD and many contributions by parents. We also provide parent matching/mentoring and specialty chats featuring well-known guests in the ASD world answering questions on topics that parents want to hear about.
To order or for more information, email bbbautism@deaknet.com.
Very Low in Cost:
Support from the Autism Society of Ontario (York Region Chapter). For information on how to meet other families and much more, contact asoyork@axxent.ca. Small yearly fee to join allows you to attend our workshops at an even lower cost.
Parent Empowerment Courses: A fantastic series of workshops, presentations and courses developed by parents of autistic kids, topics came out of a reader poll and resulted in subjects parents know parents want to hear about. Practical and very cost effective, please contact asoyork@axxent.ca for more information.
87: July 23, 2002
Please contact ASO York Region Chapter if you are having problems locating pediatricians, dentists, naturopaths, chiropractors etc.
Contact asoyork@axxent.ca
(c) BBB Autism - August 2001
Permission to reproduce and hand out is granted, provided the document is displayed in it's entirety. Other permissions may be requested by e-mail: bbbautism@deaknet.com
A notice to our readers...
The Autism Society of Ontario (York Region Chapter) and the BBB Autism Support (ASOYRC and BBB) Network are not physicians.
This guide references books, service providers, agencies and websites that may be of interest to the reader. The ASOYRC and BBB make no presentation or warranty with respect to the accuracy or completeness of the information contained on any of these web sites or in the books, and specifically disclaim any liability for any information contained on, or omissions from, these books or websites. Reference to these websites or books herein shall not be construed to be an endorsement of these websites or books or of the information contained thereon, by the ASOYRC and BBB.
We do not necessarily represent the views of the Autism Society of Ontario or any of the other agencies listed here. This document is based on parent feedback and experiences. Information is not intended to be taken as medical advice.
Please note: These telephone numbers, web site addresses and the information provided within are subject to change without notice.
BBB Autism Support Network is not responsible for information found on the websites we are linked to or the books we list.