Appendix A: Family Profiles

The following three scenarios demonstrate the type of needs that might lead a family to request or be referred to Coordinated Service Planning. They also demonstrate how different family circumstances could result in families receiving different intensities of service and less or more frequent contact with their Service Planning Coordinator.

Sample Profile 1:

A 15-year-old youth, diagnosed with Autism Spectrum Disorder when he was young, has been accessing multiple services and supports for many years, including mental health, autism, and behavioural services, respite and educational supports. The current service providers work well together, but there is no Coordinated Service Plan. Lately, his aggressive behavior has increased, and both his parents and the school are struggling with managing his behaviours and keeping other children safe from his aggressive outbursts.

Sample Profile 2:

An 8 year old, diagnosed with Dystonic Cerebral Palsy and Chronic Lung Disease (oxygen dependent) has also been diagnosed with Global Developmental delays. She was born at almost 29 weeks gestation and developed neonatal meningitis.

She is frequently hospitalized for pneumonia, usually in intensive care and has required intubation during some of those hospitalizations. Both parents are involved in her care but don’t live together. She resides with her mother and an older sister. She requires hands-on care for feeding and other daily living activities and receives nightly nursing care. School attendance is sporadic due to her medical needs but when she does attend she receives assistance from an Educational Assistant and a Nurse. The youth receives 8 days of respite per month in the community.

Sample Profile 3:

An 18-month old has just been identified by a pediatrician as having delays in speech and language, social and motor development. The parent is a single parent with 3-year-old twins.

Note: The child and family in Sample Profile 3 may or may not receive Coordinated Service Planning, depending on other circumstances in their lives. Because their case is less complex, they may receive less intensive Coordinated Service Planning or a warm referral to other services with an invitation to return to the Coordinating Agency if their circumstances become more complex.

Appendix B: Map of Service Delivery Areas

Map of Special Needs Service Delivery Areas in Ontario

Special Needs Service Delivery Areas

1. Stormont, Dundas et Gengarry 18. Waterloo
2. Prescott et Russell 19. Elgin/Oxford
3. Ottawa 20. Chatham-Kent
4. Lanark/Leeds et Grenville 21. Essex
5. Frontenac/Lennox et Addington 22. Lambton
6. Hastings/Prince Edward/Northumberland 23. Midddlesex
7. Haliburton/Kawartha Lakes/Peterborough 24. Huron/Perth
8. Durham 25. Grey/Bruce
9. York 26. Simcoe
10. Toronto 27. Renfrew
11. Peel 28. Nipissing/Parry Sound/Muskoka
12. Dufferin/Wellington 29. Greater Sudbury/Manitoulin/Sudbury
13. Halton 30. Timiskaming/Cochrane
14. Hamilton 1. Algoma
15. Niagara 32. Thunder Bay
16. Haldimand-Norfolk 33. Kenora/Rainy River
17. Brant 34. Côte de la baie James

Produced by the Labour Market and Data Analytics Unit in the Strategic Information and Business Intelligence Branch of MCYS.

Appendix C: Roles and Responsibilities in the Integrated Transition Planning Process

Coordinating Agencies have specific responsibility to initiate the integrated transition process implemented by the Ministries of Children and Youth Services, Community and Social Services, and Education. This process connects closely with Individual Education Plan (IEP) processes and adult services. Outlined below are the roles and responsibilities for the parties involved in the development of an integrated transition plan for a young person with developmental disabilities who also has a Coordinated Service Plan:

Roles and Responsibilities in the Integrated Transition Planning Process

Service Planning Coordinator


Children’s Services Providers

Health Service Providers (e.g. primary care, Local Health Integration Networks, Community Care Access Centres)

Developmental Services Ontario (DSO) Organizations

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