Hi Folks,
There was another speech in the Senate yesterday by another Senator who revealed that a family member (daughter of a niece) has autism. There has been a lot of references to a “National Autism Strategy” (or National Autism Spectrum Disorder Strategy, but let’s call is NAS for short) in the speeches in the Senate over the past month. However, I don’t recall any Senator actually delving into details about what should be contained in such a strategy and what its component parts should be. The federal Government has on numerous occasions unveiled these strategies to address perceived problems where the Government has determined that it can score points by appearing to do something. These strategies may contain several “pillars” that are related and designed to suggest the “comprehensive” approach.
I always thought that the first step would be to get the politicians to increasingly use the term and accept the idea that a “National Autism Strategy” would be useful. Once they accepted the idea, then the next step would be to determine and build some consensus on what should be the component pillars of the strategy. Obviously, depending on their component parts, some strategies may be show and fluff which accomplish little, while others may be just what we need. It now seems pretty obvious that the term “National Autism Strategy” is frequently used by Senators in their speeches. In the House of Commons, Green Party Leader Elizabeth May even asked a question about it (video is on YouTube). However, I do not believe that I ever read or heard Mike Lake use the expression, which should not be surprising as he never gave me the impression that he believes that one is necessary or worthwhile.
In 2007, on the eve of a rally that we were organizing on the Hill to mark the anniversary of the Auton Supreme Court of Canada decision, the Tory Health Minister, Tony Clement, held a news conference (the timing seemed deliberate to take away media interest from our event the next day) and announced a five point plan. It was interesting to note that in his press conference and in the media interviews he did not refer to the package as a “strategy”. If memory serves correctly, he was quoted as saying something like “we don’t need one” or something like that. The five point plan was the kind of thing that made it appear that there was action, but would not in fact help one single kid get access to treatment any faster. I remember one of the points being a commitment to create a webpage about autism (there were already thousands on the internet at the time) and another was the tasking of CIHR with organizing a conference of researchers in the field (should they not already be liaising and communicating anyways?).
It seems to me that a National Autism Strategy should (1) identify the needs of the community (e.g., early diagnosis, access to treatment under Medicare, appropriate ABA teaching in the school system, appropriate housing for adults, etc.) all without these absurd waiting lists and unconscionable wait times (years or decades), etc. (2) identify the gaps between what is available and the identified needs, (3) identify the pillars (components) of the strategy and outline the actions that the federal government plans to take to address these. It is really important to recognize that the Government has to be realistic about identifying and focusing on key priorities if it really expects to achieve its objectives. Listing everything as constituting a priority is a prescription for paralysis and sabotage. Governments simply can’t take on more than a few priorities at a time (and I never got the impression that the CASDA folks understood or recognized this – as evidenced by their leader’s published “rebuttal” of my critique of CAP). I would suggest that one of the components be that the federal government undertake to convene a meeting of provincial health ministers and that the federal one put some money on the table and negotiate a funding formula to ensure the incorporation of autism treatment under Medicare from coast to coast. They could also negotiate some standards of delivery and service. If this requires more “ABA certified” therapists and specialists, then let then negotiate a program to increase the education and training opportunities at universities and colleges across the country. Another component could be an undertaking for the Minister of Disabilities to convene a meeting with provincial education and social services ministers to address the other issues identified above, etc. A strategy could also refer to targets to be achieved in phases over time, with priorities to be addressed first, and other issues to be addressed in the second phase, etc.
The speech in the Senate yesterday (copied below) made more references to a “National Autism Strategy” (NAS) and it is interesting to note what this Senator thinks such a strategy would do. However, first, he mentions the creation of CASDA and suggests that their mandate is to develop such a strategy. Well, this is confusing. Is the strategy going to be carried out and implement by CASDA or the Government? Did the Government ask CASDA to develop a NAS? It seems to me that there is some serious confusion and passing the buck going on here. As far as I can tell, all that CASDA did over the past three years is consult with respect to the development of a “business plan” for the creation of the CAP project thing, which is not a NAS, and which would likely delay the possible creation by the Government of a NAS since the Government could claim that it is already dealing with autism by funding the new CAP bureaucracy which must engage in “issue identification” before anything can be done, etc.
A crucial sentence from the Senator is this one: “A national autism strategy will go a long way in helping Canadian families lay down the strong foundation of support and access to programs not only for persons diagnosed with ASD, but their families and caregivers as well.” Really? How? Senator, more details please!
He goes on to say “A national autism strategy will go a long way towards helping parents access necessary programs and services in an efficient and effective manner.” Again, how? What programs and services? What if they don’t exist in the province? Are there any priority programs and services that the Senator has in mind?
I love the Senator’s reference to cutting bureaucratic red tape. I wonder if he supported the CAP and the creation of another bureaucracy?
And then, in the true spirit of “go big or go home”, the Honourable Senator talks about this mythical NAS as something that would make Canada a “trailblazer” and role model for other countries around the world (yes, he said “world”) and for the public policy for purposes of dealing with other disabilities like “Rett Syndrome”, which, as far I recall from the DSM IV, was already listed on the autism spectrum. In other words, we can develop a National Autism Spectrum Disorder Strategy, which would serve as a great framework and model for dealing with other … autism spectrum disorders.
Sometimes I get the feeling that all this stuff is simply too complicated (or requires too much of an effort) for our elected and non-elected representatives. Maybe one day we’ll see the talk, talk, talk turn to action, action, action. I can hardly wait.
<h2 id=”55″>Autism Families in Crisis</h2>
<h3 id=”56″>Tenth Anniversary of Senate Report—Inquiry—Debate Continued</h3>
On the Order:
Resuming debate on the inquiry of the Honourable Senator Munson, calling the attention of the Senate to the 10th anniversary of its groundbreaking report <i>Pay Now or Pay Later: Autism Families in Crisis</i>.
<b>Hon. Tobias C. Enverga, Jr.: </b>Honourable senators, I rise today to speak to this important inquiry of Senator Munson, drawing attention to the tenth anniversary of this chamber’s groundbreaking report,<i> Pay Now or Pay Later: Autism Families in Crisis</i> .
Although I was not a member of this august chamber when this report was first released, I would like to rise now and speak briefly in support of developing a national strategy aimed at helping Canadian families living with Autism Spectrum Disorder.
Colleagues, as many senators have pointed out in their thoughtful and passionate speeches on this debate, much good work has been done since this chamber adopted this report 10 years ago.
Chief amongst this good work is the heightened level of awareness surrounding ASD. This increased awareness has led to further increases in understanding and diagnosing Canadians who fall within this spectrum. Yet with more diagnosis comes an even greater need and greater urgency for the development of a framework to assist this ever-growing number of Canadian families who are dealing with ASD in their daily lives.
Honourable senators, as awareness has continued to grow around ASD following the Senate’s report, so has advocacy. Shortly after this report was released in 2007, the Canadian Autism Spectrum Disorders Alliance was formed. It is this group’s mission to develop a comprehensive national ASD framework to support individuals living with ASD, as well as their families.
Although we have started taking steps in the right direction, colleagues, I we can agree that there is more work ahead of us and that more needs to be done to help these individuals and families.
Honourable senators, we often see persons with autism on film and television portrayed as quirky individuals with amazing talents changing the lives of people around them with their amazing gifts. Oftentimes, the day-to-day challenges of families living with autism are glossed over and the story ends with everyone living happily ever after.
However, we know that in reality there is a host of challenges, large and small, that Canadian families living with ASD face on a daily basis. Many of us here are either directly affected by ASD, or else we know of someone who is. Autism Spectrum Disorder does not require many degrees of separation to affect all Canadians in one way or another.
I, myself, have a personal connection to ASD, as my niece has a daughter who has been diagnosed with autism. I know first-hand how crucial and helpful a national strategy would be to assist these countless families from coast to coast to coast.
Honourable senators, Canadian families living with autism and other forms of permanent disability must face the reality that there will be a lifetime of challenges ahead. From the day of diagnosis until adulthood, parents of children with autism are faced with daily challenges that most people are not quite ready to handle. A national autism strategy will go a long way in helping Canadian families lay down the strong foundation of support and access to programs not only for persons diagnosed with ASD, but their families and caregivers as well.
Early diagnosis is critical. With a national strategy in place, families with new diagnoses can have access to programs and services that will empower them to help their young children very early on.
Families tell stories of being lost and alone, especially at the beginning. A national autism strategy will go a long way towards helping parents access necessary programs and services in an efficient and effective manner.
Consultations with parents at different stages of their ASD journey would benefit legislators as we take a collaborative approach of establishing a national autism strategy. The sharp increase in diagnosed cases of ASD is certainly alarming and we must make every effort in finding ways to create the framework that will benefit all Canadian families living with ASD.
Honourable senators, as federal legislators, we must match the courage and strength of Canadian families living with autism and provide a legal framework that would cut the bureaucratic red tape that prevents families from accessing the necessary programs, services and critical funding for therapy and support.
Canada must take a leadership role in addressing the challenges of ASD. A national autism strategy in Canada would serve as a role model that other countries would emulate, allowing them to provide support to families and individuals in a timely and sustainable manner.
A national autism strategy in Canada can make our great country a trailblazer, showing the world that it is indeed possible, with the help of an established national framework, to help persons with autism become independent, engaged and productive members of society.
Colleagues, it is my hope that in creating this national strategy aimed at helping Canadian families living with Autism Spectrum Disorder we can apply this blueprint effectively, and with the necessary changes, help Canadian families living with a number of other disabilities.
Canadians and their families who live with other conditions such as Down Syndrome, Fragile X syndrome and Rett syndrome, to name but a few, could also greatly benefit from the creation of this national strategy.
But before we run, we must walk. With that, colleagues, I include my voice with the many who have already spoken in this debate in calling for the establishment of a national framework to support those living with Autism Spectrum Disorder.
Finally, I would like to extend my deep thanks and gratitude to Senator Munson for bringing this inquiry forward. Senator Munson has done much good work for many disabled Canadians and their loving families, and I am truly honoured to support him fully in achieving the goal of creating a national strategy to support Canadians living with ASD and their families.
(On motion of Senator Martin, debate adjourned.)