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The Ontario Autism Program has been a mess for years.

It’s looking like progress is finally being made, but there are still concerns about what’s being presented.

Let’s evaluate.

@ToddSmithPC @AmyFeePC @JR_Ottawa @fordnation
#onpoli

1/12

link.medium.com/YbSsGLubPdb
@ToddSmithPC finally made an announcement last week that core services were coming, but it left more questions than it did answers.

2/12

toronto.ctvnews.ca/ontario-parent…
Why the age caps?

Why the minimums?

How does this need determination tool even work?

Why aren’t clinicians more involved?

What qualifies a care coordinator to assign funding amounts?

Is that needs-based?

Is there an appeal process?

How long is this going to take?

3/12 Image
We know the @coteau OAP had its issues.

The waitlist was getting too long.

It wasn’t properly funded.

There weren’t enough limits, and the system was being taken advantage of.

Too few were getting support.

Something had to give.

4/12

ctvnews.ca/health/ontario…
I think almost everyone agrees that @MacLeodLisa made things MUCH worse.

Her Childhood Budget scheme was never going to work.

It was wasteful.

It prevented most from getting meaningful therapy.

It was NOT needs-based.

ottawa.ctvnews.ca/minister-lisa-…

5/12
The only positive that came from @MacLeodLisa’s short tenure as minister was the increased budget.

With more money, it’s possible to help more kids at once .. but only if you spend it.

We know that @ChildrenON has been chronically UNDERspending.

6/12

link.medium.com/q8ucNgsgPdb
The OAP Advisory Panel report provided a path forward.

It showed how #NeedsBasedTherapy was possible to achieve, while also making the program sustainable.

7/12

link.medium.com/DaYQVAJgPdb
Intensity/duration caps were discussed in the report.

NOT age caps.

It’s reasonable to place limits, but AGE shouldn’t be the limiting factor.

That’s not a needs-based approach.

8/12 Image
The determination of need process is a major concern.

@ToddSmithPC wants to put all the power into the hands of a Care Coordinator to assign funding.

A clinician needs to be more involved if we want to ensure needs can actually be met.

9/12
If the funding allotment is disputed, there needs to be a mechanism to appeal the decision.
Clinical assessment of an autistic child should be weighed HIGHER than the button-clicking of a bureaucrat.

Having a dispute mechanism in place could give families piece of mind.

10/12
When @ToddSmithPC says no government has gotten this right - he’s not wrong.

If @ONgov wants to finally fix this thing, it’s time to address the reasonable concerns that parents have.

11/12
With a $600 million budget, a proper needs-assessment, reasonable controls, and therapeutic options, the autism program could finally be something that actually works.

Time to get this done.

@ToddSmithPC @AmyFeePC @JR_Ottawa @fordnation

#AutismDoesntEndAtFord
#onpoli

12/12

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More from @drpmonaghan

15 Feb
New numbers from @ChildrenON

Changes from last month:
- 555 new registrations
- 0 new Childhood Budget invites
- 1152 new interim one-time funding invites

The situation is a lot messier than
@ToddSmithPC & his team are letting on.

1/6 Image
First, here’s the summary chart of all the posted numbers since the format change last year.
@ChildrenON only posts current numbers, preventing anyone from looking for trends unless you keep track yourself.
Not exactly the transparency @ToddSmithPC promised.

2/6 Image
What @ChildrenON is NOT telling you is how much crossover there is between the groups, and how they’re not displaying that at ALL with their posted numbers.

3/6
Read 6 tweets
16 Nov 20
New numbers up from @ChildrenON.

Changes from last month:
- 771 new registrations
- 0 new Childhood Budget invites
- 162 new Interim One-Time Funding invites

Same useless format.
Same lack of transparency from @ToddSmithPC and his team.

1/5
Here’s the chart of all released numbers together, along with the “unaccounted for” amount.

This month is was 5,614.

How many of those are still in the old program?
How many are still waiting for funding invites?

@ChildrenON chooses not to say.

2/5
There can’t be many still waiting for invites, except for kids newly registered over the last few months, right?

Also, how many kids have actually received *funding*, and not just an invitation?

@ChildrenON chooses not to disclose that either.

3/5
Read 5 tweets
28 Jan 20
Thread.

@ToddSmithPC has been intentionally underspending the autism budget, right from the beginning, making thousands of families needlessly wait.

Let’s do the the math.
The previous OAP budget was said to be
~$321 million/year, or
~$27 million/month
Despite @MacLeodLisa’s new program being “launched” in April 2019, money didn’t start to flow until late June.
Read 11 tweets
3 Apr 19
My wife ⁦@ottawa_asd_mum⁩ will be writing regularly for #AutismActionMonth. I encourage you to look for these posts and follow along. Her passion jumps off the page, and it’s a privilege to share her words. link.medium.com/XKdWu93FzV
Part 2 from @ottawa_asd_mum. “Tick. Tock.” Please read and share. link.medium.com/yVFvqYpoBV
Three. @ottawa_asd_mum “With help, and practice we are learning to connect. Jack approaches the wall and knocks a brick or two down. And we can see him, smiling back.” link.medium.com/K74r150YCV
Read 15 tweets

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