Grandview Children s Centre Resources for Exceptional Children and Youth

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1 Durham Region Two models for assessment and diagnosis of FASD are available in Durham Region for children under the age of 18. Both incorporate the University of Washington training and comply with the National FASD Diagnostic Guidelines (March 2005). Grandview Children s Centre 600 Townline RoadSouth Oshawa, ON L1H 7K6 Phone: (905) Toll free: 1 (800) Fax: (905) Contact: Kris Novak Grandview Children s Centre for preschool children < 5years of age: Grandview offers programs and services to children and young adults with physical and communication disabilities who live in the Durham Region. A family-centered approach emphasizes collaboration with parents, community agencies, educators and physicians. Medical specialists offer consultation, assessment and diagnosis services including FASD, and advocate for the provision of medical services as needed. A medical referral is required; please indicate that the referral is an FASD query. Resources for Exceptional Children and Youth 865 Westney Road South, Ajax, ON L1S 3M4 Tel: (905) ext. 401 Fax: (905) Contact: Sue Baszczynski Children who are school-aged (5+years of age) living in Durham Region are assessed through a Virtual Diagnostic Team led by a developmental paediatrician in private practice. Referrals are streamed through a local agency, Resources for Exceptional Children and Youth, that is responsible for coordination of the file

2 information and linking parents/caregivers with the appropriate clinical discipline to advance the diagnostic process (some clinical fees may apply). A medical referral is required. Durham Region Two models for assessment and diagnosis of FASD are available in Durham Region for children under the age of 18. Both incorporate the University of Washington training and comply with the National FASD Diagnostic Guidelines (March 2005). Grandview Children s Centre 600 Townline RoadSouth Oshawa, ON L1H 7K6 Phone: (905) Toll free: 1 (800) Fax: (905) Contact: Kris Novak Grandview Children s Centre for preschool children < 5years of age: Grandview offers programs and services to children and young adults with physical and communication disabilities who live in the Durham Region. A family-centered approach emphasizes collaboration with parents, community agencies, educators and physicians. Medical specialists offer consultation, assessment and diagnosis services including FASD, and advocate for the provision of medical services as needed. A medical referral is required; please indicate that the referral is an FASD query. Resources for Exceptional Children and Youth 865 Westney Road South, Ajax, ON L1S 3M4 Tel: (905) ext. 401 Fax: (905) Contact: Sue Baszczynski Children who are school-aged (5+years of age) living in Durham

3 Region are assessed through a Virtual Diagnostic Team led by a developmental paediatrician in private practice. Referrals are streamed through a local agency, Resources for Exceptional Children and Youth, that is responsible for coordination of the file information and linking parents/caregivers with the appropriate clinical discipline to advance the diagnostic process (some clinical fees may apply). A medical referral is required. Kingston Hotel Dieu Hospital Child Development Centre 166 Brock Street, Kingston, ON, K7L 5G2 Tel: (613) Fax: (613) The Child Development Centre (CDC) is a children s treatment centre committed to providing excellent service for children and youth with special needs in our communities. While we do not offer a FASD diagnostic clinic, our Developmental Pediatricians do provide assessment for children up to age 18, or 21 if still in secondary school, for inquires related to developmental diagnosis, including FASD. The Child Development Centre provides additional services and assessments for the preschool population if required to help confirm diagnosis or guide management (Occupational Therapy, Physiotherapy, Social Work, Psychology and Speech Language Therapy). School age children who are referred to CDC for possible diagnosis of FASD will often require assessments and collaboration with community partners to complete the diagnostic process. The CDC serves the counties of Frontenac, Lennox and Addington, Leeds and Grenville and South Lanark. London Region FASD London Region Assessment Clinic Contact: Angela Geddes Assessment Coordinator

4 ext We offer FASD Diagnostic Services for children up to 18 years of age living in the London Region. Our team consists of Developmental Pediatricians, Occupational Therapists, Psychologists, Speech-Language Pathologists, and a Clinic Coordinator. All of the clinicians have significant expertise in the area of FASD, and have been trained through the University of Washington The 4-Digit Diagnostic Code and our practices comply with the Canadian FASD Diagnostic Guidelines (March 2005). We provide full assessments, recommendations, and assistance with referral to appropriate community programs. Referrals are accepted through our partner agencies which include: The Centre for Children and Families in the Justice System, Child Parent Resource Institute (CPRI), London District Catholic School Board, St. Leonard s Community Services, Thames Valley Children s Centre, Vanier Children s Services, Children s Aid Society London Middlesex, Craigwood Youth Services, Middlesex-London health Unit, Southwestern Ontario Aboriginal Health Access Centre, Thames Valley District School Board, Merrymount Children s Centre, Western Area Youth Services. Peel Region Peel FASD Clinical Service Child Development Resource Connection Peel Tel: (905) ext. 306 Fax: (905) Contact: Claudia Escobar, Information, Resource & Referral Specialist (CIRS) Website: The Peel Region FASD Clinical Service is a virtual team with a developmental paediatrician, a paediatrician, a psychologist, a psychometrist, an occupational therapist, two speech and language pathologists, three social workers and a coordinator who provide

5 assessments at their respective agencies. At the end of the assessment process, members of the clinical team come together to meet with the family and discuss the diagnosis. An integrated report is written and mailed to the family and a social worker follows up to discuss the report and recommendations. In order to be eligible for assessment, children must be between the ages of birth and six years of age, live in Peel Region and have confirmed prenatal alcohol exposure and developmental concerns. Referrals are open and can be made from any source. Sudbury Health Sciences North 41 Ramsey Lake Road, Sudbury, ON, P3E 5J1 Contact: Chantal Gaudreau FASD Program Coordinator Tel: (705) ext cgaudreau@hsnsudbury.ca Website: This is a pilot project in collaboration with the Northeastern Education Aboriginal partnership servicing children and youth (<18 yrs) of Northeastern Ontario. Referrals can be made from all sources such as; caregivers, social service organizations, health care practitioners, self referrals. Referral criteria includes: Developmental Screening Tool (<6 years); Neurobehavioural Screening Tool (> 6 years); Confirmation of maternal alcohol exposure. The diagnostic team includes: FASD Program Coordinator, Pediatrician, Nurse Practitioner, Psychologist, Occupational Therapist, Speech Language Pathologists. Thunder Bay NorWest Community Health Centres 525 Simpson Street, Thunder Bay, ON, P7C 3J6 Maureen Parkes FASD Coordinator

6 Tel: (807) Website: Referrals can be made from any source including individuals who suspect that they may be affected, caregivers, community organizations, legal and medical teams. Our clinic offers full preassessment and diagnostic services for all ages. Assessments and evaluations include screening, diagnosis, integrated practice, caregiver supports and support for clients with FASD. Also, NorWest will provide assistance with application to the Ontario Disability Support Program and referral to other community agencies as necessary. The diagnostic team includes: FASD Program Coordinator Physician Nurse Practitioner Psychologist (on a referral basis) Consultations occur as needed with Speech Language Pathologists, Audiologist, and Occupational Therapists Our service area matches the North West LHIN (from east of White River to the Manitoba border in the west and from Hudson Bay in the north to the United States border in the south). If travel is necessary assistance is provided with arranging travel/accommodations. Toronto Anishnawbe Health Toronto 225 Queen Street East, Toronto, ON, M5A 1S4 Contact: Robin Sams Tel: (416) x234 rjmila@aht.ca The integrated practice FASD assessment/diagnosis team includes Traditional Healers, Elders and Medicine People, Child Psychologist, Infant developmental Psychologist, Physicians,

7 FASD Coordinator, RN, and RN EC. The process is family focused. Team and family and supports are an integral part of the process of assessment and development of early interventions and resources. Assessments and evaluations include psychometric diagnosis and screening, Traditional & Cultural assessment and meaning, integrated practice report, and family/ support and team conferencing to review findings, develop a cultural and mainstream resource and support network. Mothercraft (Breaking the Cycle) FASD Diagnostic Clinic 761 Queen St. West, Ste. 107, Toronto ON, M6J 1G1 Tel: (416) Fax: (416) Website: The FASD Diagnostic Clinic is a component of the BTC, and includes pre- and post- assessment services. At this time, access to the FASD Diagnostic Clinic is limited to children and mothers who are clients of the BTC program. BTC serves pregnant and/or parenting women with substance use problems, and their young children (birth 6 years). All BTC children for whom prenatal alcohol exposure is confirmed are referred to the FASD Diagnostic Clinic for assessment and follow-up. Full physical and neurodevelopmental follow-up occurs on an annual basis (or more frequently depending on clinic team recommendations). Breaking the Cycle is a program of Mothercraft, delivered through a formal service partnership with the Jean Tweed Centre, Toronto Public Health, the Hospital for Sick Children-Motherisk, St. Joseph s Health Centre, the Children s Aid Society of Toronto, the Catholic Children s Aid Society, St. Michael s Hospital and the Ministry of Community Safety and Corrections. Breaking the Cycle (BTC) is an early intervention program designed to reduce the risk and enhance the development of substance-exposed children by addressing maternal substance use issues and the mother-child relationship. Since 1995, BTC has delivered a comprehensive, cross-sectoral, maternal-child program to deliver a range of integrated services through a single-access model, with home

8 visitation and pregnancy outreach components. The diagnostic team includes: Program Coordinator, Physician/Pediatrician- Toxicologist, Clinical Developmental Psychologist, Psychological Associate, Case Manager/Addiction Counsellor, Early Childhood Interventionists. St. Michael s Hospital Fetal Alcohol Spectrum Disorder Diagnostic Clinic 61 Queen Street, 2nd Floor, Pediatric Clinic, Toronto, ON, M5C 2T2 Tel: (416) Fax: (416) stadeb@smh.ca St. Michael s Hospital s Fetal Alcohol Spectrum Disorder Clinic is a well established clinic and has been running since Clinic staff were educated at the The Hospital for Sick Children, Motherisk Program, and/or Winnipeg s Children s Hospital. We hold 7 clinics a month: 4 developmental testing, and preassessments, and 3 full diagnostic clinics. We provide care to infants, children, and adults from across Ontario. The clinic team has a program of research and education. We are also proud of a strong parental presence guiding our plans of care, and we are pleased to provide outreach services. The diagnostic team has the following resource people to draw on: Program Director, Physician/Pediatrics and Family Practice, Clinical Nurse Specialist, Developmental Tester; Community Care Access for referral to OT, Mental Health and Other, Consultation on referral in Psychiatry, Psychology, and Admin. Support. Surrey Place Centre FASD Adult Diagnostic Clinic 2 Surrey Place Toronto, ON M5S 2C2 Tel: Adult Intake (416) Fax: (416) Contact: Valerie Temple Website:

9 The Surrey Place Centre FASD diagnostic clinic provides services to individuals 18 years of age or older who have or are suspected of having an intellectual disability. The team offers diagnostic, educational, and advocacy services. If an individual is found to have an intellectual disability or dual diagnosis, treatment services such as counselling, behaviour therapy, and case management may also be offered. Our multi-disciplinary diagnostic team consists of: Clinic Coordinator, Nurse Specialist/Physician, Speech Language Pathologist, Clinical Psychologist, Behaviour Therapist. Our catchment area is the city of Toronto. Surrey Place Centre Children and Youth FASD Diagnostic Team 2 Surrey Place Toronto, ON M5S 2C2 Tel: Children and Youth Intake (416) Fax: (416) Contact: Nozomi Minowa Website: The Surrey Place Centre Children and Youth FASD Diagnostic Team provides services to individuals between the ages of 6 18 years who have or are suspected of having an intellectual disability. The team offers interdisciplinary diagnostic assessment and time-limited consultation and intervention services. If an individual is found to have an intellectual disability or dual diagnosis, treatment services such as counselling, behaviour therapy, and case management may also be offered. Our interdisciplinary diagnostic team consists of Paediatrician, Speech Language Pathologist, Occupational Therapist, Audiologist, Clinical Psychologist, Behaviour Therapist and Service Coordinator. Our catchment area is the city of Toronto. The Hospital for Sick Children, Motherisk Program 555 University Avenue, Toronto, ON, M5G 1X8 Tel: Fax:

10 Motherisk Alcohol & Substance Use in Pregnancy Helpline: FAS-INFO ( ) Motherisk provides information and guidance to pregnant women or lactating women and their health care providers regarding fetal risks associated with drug, chemical, infection, disease or radiation exposure(s) during pregnancy. The FASD diagnostic services commenced in 1994 to address increased requests for services from Motherisk. Families receive follow-up service after assessment is completed. Research and teaching resources are also available regarding FASD and diagnosis. There is a weekly team meeting at Hospital for Sick Children for case conferencing. The FASD diagnostic team also provides outreach services and once monthly, the larger team from other sites joins in case conferencing. Motherisk is the longest running FASD diagnostic clinic in Ontario. The diagnostic team has the following resource people to draw on: Program Director, Physician/Pediatrics- Toxicology, Neurologist, Psychologists, Speech Pathologist, Admin. Support, Psychometrists, Geneticist. Waterloo Waterloo Region FASD Diagnostic Clinic Contact: Emily Gray, Chair, FASD Diagnostic Steering Committee Tel: ext egray@carizon.ca Website: We offer FASD Diagnostic Services for children up to 18 years of age living in the Waterloo region. Our team consists of a Paediatrician, Paediatric Neuropsychologist, Psychologists, Occupational Therapists, Speech Language Pathologists, and Clinic Coordinator. All of the clinicians have expertise in the area of FASD and have completed the University of Washington 4- Digit Diagnostic Code training. Our assessment practices comply with the Canadian FASD Diagnostic Guidelines (March 2005). We

11 provide recommendations and assistance with referrals to appropriate community programs. Referrals are accepted from our partner agencies only including: Lutherwood, Carizon, KidsAbility, Grand River Hospital, Family and Children s Services of Waterloo Region, Waterloo Region District School Board, Waterloo Catholic District School Board and the Developmental Services Resource Centre. Unfortunately referrals cannot be accepted from the general public at this time. Northwestern Ontario FASD Diagnostic Clinic 820 Lakeview Drive Kenora, Ontario P9N 3P7 Claudine Longboat-White Phone (807) Tel: (807) Fax (807) Our clinic conducts 8 clinics annually in the Kenora Rainy River Districts with host communities in Sioux Lookout, Fort Frances and Kenora. The Kenora Rainy River District is one of the largest districts in the province with a land mass equaling the size of France. Our assessment process involves a detailed work up prior to the clinic day involving speech-language, occupational therapy and neuro- psychological testing as well as preparation of the child/youth and his/her family-caregiver for the actual clinic day. Our clinical team also includes a cultural liaison staff member who supports First Nation families through this process. Clinic day involves the clinical team gathering with our physician and reviewing the information gathered. This, along with a formal medical examination of the child, forms the basis for the diagnostic outcome. These clinics are offered through the collaboration of 4 cornerstone agencies, FIREFLY, Lake of the Woods District Hospital, Bimose Tribal Council & William W. Creighton Youth Services and operate under a Regional Advisory group involving a host of other community partners. Our clinics are funded by the Ministry of Children & Youth Services and Health Canada. Children & youth from ages 3 to 18 years are eligible given

12 maternal alcohol confirmation and appropriate intake and referrals are accepted from the Kenora Rainy River Districts. Other Services Available: Eastern Ontario Children s Hospital of Eastern Ontario (CHEO) Tel: (613) ext Fax: (613) The Eastern Ontario Regional Genetics Program offers FASD Clinical Genetics Assessments to children and adults. A physician referral is required. The referral form can be accessed at and faxed to At the time of booking an appointment, a list of requested documents will be sent to the individual or his/her guardian. Guelph-Wellington Fetal Alcohol Spectrum Disorders Diagnostic Team Referrals will be accepted when there is confirmed maternal alcohol use and when behavioural issues are having an impact on the children s leaning and day to day functioning. Referrals can be made as follows: Ages 2-6 years of age Growing Great Kids Call KIDS LINE: ext Ages 6-18 years of age Trellis Mental Health and Developmental Service Children s Services Call Intake: Diagnostic services are not available for those 19 years and older. Anyone can refer with parent/caregiver consent. They will receive a preliminary assessment with a clinician to ensure the referral is appropriate, complete required paperwork and make sure that all other concerns are addressed (i.e., anxiety). Individuals must be living in the Guelph-Wellington County to

13 qualify for diagnostic services. Aboriginal Legal Services of Toronto About Court Worker Legal Clinic Litigation Community Council Gladue Law Reform & Advocacy Resources Employment Contact More 211 Yonge Street, 5th Floor, Toronto ON M5B 1M4 Tel Updated January 2015