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Diagnostic Working Group - Clinics
Cornwall
Mohawk Council of Akwesasne Strengthening Future Generations
Clinic for Fetal Alcohol Spectrum Disorders
P.O. Box 579, Cornwall, ON, K6H 5T3
Terrie Terrance - FASD Program Coordinator
Tel: (613) 575-2341
This clinic is currently serving Aboriginal school age children
and their families with programming and referrals.
It is a community based team including speech and language,
operational therapy, 2 psychologist, specialized pediatrician,
clinical geneticist, Program Coordinator, nurse and educators.
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 Road South
Oshawa, ON L1H 7K6.
Phone: 905-728-1673
Toll free: 1-800-304-6180
Fax: 905-728-2961
Contact: Intake
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 - Durham
Region
865 Westney Road South,
Ajax, ON L1S 3M4
Tel: (905)-427-8862 ext. 401
Fax: (905) 427-3107
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 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
Serving Frontenac, Lennox and Addington, Leeds and Grenville
and south Lanark counties
166 Brock Street, Kingston, ON, K7L 5G2
Tel: (613) 544-3400 / Fax: (613) 545-3557
This clinic provide diagnosis and management services for
children 0 –4 years of age, and pediatric consultation/diagnosis
for school aged children and youth 5 -18, or 21 if still in
school.
The diagnosis is provided by a developmental
paediatrician, with some access to genetics for consultation
to confirm
diagnosis in certain cases. For the preschooler population,
other services
(OT, PT, SW, Psych and SLP) are provided as needed.
Peel Region
Peel FASD Clinical Service
85A Aventura Court
Mississauga, Ontario
L5T 2Y6
Cheryl Neave, FASD Coordinator
Tel: (905) 795-3530
Fax: (905) 696-0350
e-mail: cneave@peelcc.org
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 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. A medical referral is required.
Toronto
Anishnawbe Health Toronto
225 Queen Street East, Toronto, ON, M5A 1S4
Jane Harrison - Manager (Health Unit)
Tel: (613) 544-3400 / Fax: (613) 545-3557
Email: jharrison@aht.ca / Website: www.aht.ca
The integrated practice FASD assessment/diagnosis team includes
Traditional Healers, Elders and Medicine People, Child Psychologist,
Infant developmental Psychologist, Physicians, 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: 416-364-7373 / Fax: 416-364-8008
Website: www.mothercraft.ca
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 neuro-developmental 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 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: 416-867-3655 / Fax: 416-867-3736
Email: stadeb@smh.toronto.on.ca
St. Michael's uses a pre-assessment process to determine if
criteria for full assessment are met, and to ensure earlier
entry into the diagnostic process.
The clinic also offers a developmental clinic for infant,
toddlers and children to age 7 years..
Telemedicine diagnosis has now started to better meet the
needs of the Northern community. Research and education is
also a priority of the clinic.
St. Michael's Hospital's FASD Clinic uses a multi-disciplinary
team approach to assess individuals of all ages: infants, children
and adults.
Surrey Place Centre FASD Diagnostic Clinic for Adults
2 Surrey Place Toronto, ON M5S 2C2 (416) 925-5141
Valerie Temple, Ph.D. C. Psych. Clinical Lead
The Surrey Place Centre FASD 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 counseling, 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
- Audiologist
Our catchment area is the city of Toronto. To make a referral
call Adult Intake (416-925-5141).
The Hospital for Sick Children, Motherisk Program
555 University Avenue, Toronto, ON, M5G 1X8
Tel: 416-813-7500 / Fax: 416-813-7562
Motherisk Alcohol & Substance Use in Pregnancy Helpline:
1-877-FAS-INFO (1-877-327-4636)
Email: momrisk@sickkids.ca
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
- Psychologist
- Speech Pathologist
- Admin. Support
- Psychometrist
- Geneticist
Sioux Lookout District
Healthy Generations Family Support Program
Box 1258, Sioux Lookout, ON, P8T 1B8
Tel: (807) 737-1447 ext. 224
Email: healthy@slhacl.on.ca
Northwestern Ontario area does not have a community-based
FASD Diagnostic service available however Healthy Generations
Family Support Program can assist parents and guardians to
prepare for a diagnosis of FASD. We will help to organize the
background information and assessments that contribute to a
FASD assessment and assist with referral to a FASD Diagnostic
Clinic. We can also provide follow up support with the family
after the diagnostic assessment.
Thunder Bay
NorWest Community Health Centres
525 Simpson Street, Thunder Bay, ON, P7C 3J6
Maureen Parkes - FASD Coordinator
Tel: (807) 626-8485
Email: mparkes@norwestchc.org / Website: www.norwestchc.org
As an emerging clinic we combine full pre-assessment and diagnostic
services at NorWest Community Health Centres via Tele-Health
Services with St. Michael’s FASD Clinic in Toronto. As
part of diagnostic process provide follow up with the family
after diagnostic assessment. If travel is necessary, will assist
with arranging travel/accommodation, and travel subsidy.
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