CTN provides a number of programs and services to support children with multiple special needs and their families. Delivered through our partner organizations these services help support families where they need it most—at home, school or in the community.
We are committed to providing our clients and their families with high quality services. Please note that some of our clinics, programs and services stop serving children and youth at specific ages due to ministry guidelines. If you have a question about when specific services will end for you or your child please contact us. Some children also require customized equipment, which is sometimes accessed through Ontario’s Assistive Devices Program (ADP). If you are interested in purchasing a piece of equipment for your child or want to learn more about customized equipment, we encourage you to speak with your service provider prior to making any purchases. Service providers can share the detailed rules on Ontario’s ADP and help ensure equipment is the best choice to meet your child and family’s needs.
We welcome your feedback through our family relations policy (complaints and compliments). Please visit our policies for instructions on how to share your feedback.
Parents and professionals are welcome to connect with the services and support available across CTN by calling ACCESS at 1-866-377-0286 and connecting with a service navigator.
Most programs have eligibility requirements. Some may require assessments and/or referrals from physicians or other service providers. Our service navigators will be able to work with you to determine the supports your child/youth and family would benefit from. They can also guide you through the referral process for both CTN services and services delivered through other agencies.
Our service navigators also lay the groundwork for coordinated care planning. They discuss your child’s needs, open a shared electronic record and get your consent for the physicians and professionals who work with your family to share information so they can take a team approach to your child’s care.
CTN recognizes the diversity of the communities we serve. Service navigation is available in French. We can also arrange for interpretation in other languages to assist families who do not speak English or French.
Accès au service
Les parents et professionnels peuvent accéder aux services et aux soutiens offerts dans l’ensemble du RTE en téléphonant ACCESS au 1 866 377-0286 pour parler à un navigateur de service.
La plupart des programmes ont des conditions d’admissibilité. Certains peuvent nécessiter une évaluation et/ou un renvoi de médecin ou d’autres fournisseurs de service. Nos navigateurs de service pourront collaborer avec vous pour déterminer les soutiens dont bénéficieraient votre enfant/jeune et famille. De plus, ils vous guideront dans le processus de renvoi aux services du RTE et aux services assurés par d’autres organismes
Les navigateurs de service jettent les bases de la planification de soins coordonnés. Ils discutent des besoins de votre enfant, créent un dossier électronique partagé et obtiennent votre consentement pour que les médecins et professionnels qui œuvrent auprès de votre famille puissent partager des renseignements et adopter une approche d’équipe pour assurer les soins de votre enfant.
Le RTE reconnaît la diversité des communautés que nous desservons. La navigation de service est offerte en français. Nous pouvons également prendre des dispositions à l’égard de services d’interprétation pour aider les familles qui parlent une langue autre que le français ou l’anglais.
CTN’s Augmentative Communication Consultation Service (ACCS) helps children and youth who have challenges speaking and would benefit from using augmentative and alternative communication (AAC) devices to communicate. ACCS is a General Level Augmentative Communication Clinic designated by the Ontario Assistive Devices Program to provide appropriate services to children who have complex communication needs. ACCS services are limited to children and youth younger than 19, in school and who have been referred by their local team. The ACCS team may include speech-language pathologists, occupational therapists and communicative disorders assistants based on the needs of the child or youth.
CTN’s audiology services focus on the prevention, identification, assessment, treatment and habilitation of hearing loss in children with multiple special needs. Audiology services are provided by a registered audiologist and offered at CTN’s Richmond Hill site. The audiologist will make recommendations for the management of hearing loss and provide education and hearing-related counselling services for families.
Brief Resource Service:
Brief Resource Service (BRS) can identify an initial action plan and help families who are waiting for service coordination,or are preparing for a transition. BRS may be used to assist children or youth with special needs and their families access funding, camps, respite and other services. BRS is usually one to three sessions with a service planning coordinator and is typically provided at CTN local team sites.
Child and Family Counselling:
Child and family counselling services provide brief counselling and support to children or youth with multiple special needs and their families who are experiencing high levels of stress or who need support in dealing with emotionally difficult situations. It is not, however, a crisis intervention service and not intended for issues requiring long-term intervention. The CTN child and family therapist will redirect families to alternate appropriate services if brief service won’t meet the family’s needs. The service is typically provided at CTN local team sites.
Coordinated Service Planning:
Service Planning Coordinators (SPC) support the development of a coordinated and integrated service plan that considers all service needs. SPCs are family centred and support the child, family and team to identify and set meaningful goals.
Diagnostic and Medical Consultation Services:
CTN’s Diagnostic and Medical Consultation Services (DACS) is for children and youth with complex developmental, medical and/or behavioural concerns for the purpose of diagnosis and/or short-term medical followup or consultation. A physician referral is required for this interdisciplinary service, which provides diagnostic assessments and medical consultation (up to a child’s 18th birthday) for a variety of conditions, including autism spectrum disorder (ASD). Medical consultation is provided by developmental paediatricians and other team members as needed.
Feeding Assessment and Consultation Service (FACS) provides assessment and treatment for children with feeding and swallowing difficulties, including:
FACS is generally a one-time assessment and consultation visit with re-referrral if further support is needed. The team may consist of a speech-language pathologist (SLP), occupational therapist (OT), registered dietitian (RD) and/or paediatrician, as required based upon the specified areas of concern. These services are provided at specific clinic locations in Simcoe County and York Region.
- weakness in the muscles of the mouth
- difficulty with certain textures
- insufficient weight gain/weight loss
- significant reflux
- surgery of the face or neck
- difficulty nursing or bottle feeding
- poor chewing skills
- coughing or choking while eating/drinking
- children on tube feedings
- a history of upper-respiratory infections
Key Service and Support Coordinators
This new service is available for children and youth with a diagnosis or suspected diagnosis of Fetal Alcohol Spectrum Disorder (FASD), in York Region and Simcoe County. Key Service and Support Coordinators provide services to children and youth up to the age of 18 (or 21 if still attending secondary school). The Key Service and Support Coordinators have an expertise in FASD and will assist families to access information and better understand FASD and how it may impact their child’s or youth’s abilities. Coordinators will ensure youth and families are connected to appropriate services and supports as well as also assist families to implement strategies in the home and other environments that support the child to build skills. In some situations the Key Service and Support Coordinator will work together with the family and other team members including school staff to build a coordinated service plan.
Occupational therapy (OT) for children and youth with neuromotor disabilities focuses on developing their motor skills to improve their ability to perform activities associated with their daily life such as self-care, play and community participation. The therapist may also as part of therapy assess and prescribe equipment to assist the child or youth to maximize function and or comfort. An individualized treatment program will be developed based on the assessment findings and shared goals. Rehabilitation assistants also support the service.
Physiotherapy for children and youth with neuromotor disabilities focuses on developing their gross motor skills to maximize the child’s function and participation at home, at school and in the community. The therapist may also assess and prescribe equipment to assist the child or youth to maximize function and/or comfort. An individualized treatment program will be developed based on the assessment findings and shared goals. In addition to the PT, rehabilitation assistants also support the service.
Psychological Assessment and Consultation Services (PACS) supports the diagnosis and behaviour management of children/youth with a range of complex cognitive, neurological and/or behavioural issues through psychological or neuropsychological assessment and consultation. The goal is to understand more about the child’s thinking, learning and emotional skills in relation to a particular medical condition (e.g., acquired brain injury, etc.). Assessments and consultations are provided at CTN sites in Simcoe County and York Region.
Recreation and Leisure Services:
All children and youth deserve to have fun! Participating in recreation and leisure activities such as adapted sports, community activities and social gatherings are important to your child’s physical, emotional, social and cognitive development and overall quality of life. Occupational therapists, physiotherapists, and local team facilitators work within the community recreational sector to create, facilitate and enhance inclusion and recreation opportunities for children and youth. Programs may be delivered in a variety of locations.
Seating and Mobility Specialty Services:
Services are delivered by physical and occupational therapists. This service assists children and youth who have complex seating or mobility prescriptions to determine and obtain the equipment best suited to their needs. Children and youth requiring this service must be referred by the child’s OT or PT therapist.
The spasticity management service is a multidisciplinary clinic for children and youth (from two to eighteen years old) with spasticity or dystonia. Spasticity refers to a change in muscle tone or muscle stiffness and is often related to cerebral palsy, acquired brain injury and spinal cord injury. The team works with children and families to understand spasticity and how it affects comfort, care, daily activities, and participation. The service works with local team therapists to ensure monitoring and follow up. This service requires a physician’s referral.
At CTN service navigation is provided by experienced professionals who are knowledgeable about services, programs, and supports. Service navigators ensure children and their families are accessing the appropriate services based on a preliminary review of their strengths and needs.
Referral Information and Forms