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Budget 2026: $965M budgeted, 67,509 children still waiting. Read our analysis →

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end|thewaitontario

Parent-led advocacy for Ontario families waiting for autism services.

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end|thewaitontario

Parent-led advocacy for Ontario families waiting for autism services.

Getting Started

  • Browse All Pages
  • Search
  • Diagnosis Guide
  • While You Wait
  • Facts (Citation Ready)

Common Questions

  • All Questions
  • How Long Is the Wait?
  • What Is the OAP?
  • How Many Are Waiting?
  • Options While Waiting
  • Funding Amounts

Tools

  • Next Steps Tool
  • Wait Estimator
  • Funding Estimator
  • Therapy Budget
  • Waitlist Tracker

Providers

  • Provider Directory
  • Choosing a Provider
  • Submit a Provider

Funding & Support

  • OAP Overview
  • Funding Guide
  • Eligibility
  • How to Register
  • DTC & RDSP

Your Region

  • Toronto
  • Ottawa
  • Hamilton
  • London
  • Mississauga
  • All Regions

Evidence & Data

  • Evidence Library
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  • Waitlist Data
  • Cost Calculator
  • Data Stories
  • Where Does the Money Go?

Take Action

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  • Write Your MPP
  • File Complaint
  • Advocacy Toolkit

About

  • Our Story
  • Transparency
  • Media References
  • Founder
  • Press
  • Contact
end|thewaitontario

Parent-led advocacy for Ontario families waiting for autism services.

  • Browse All Pages
  • Search
  • Diagnosis Guide
  • While You Wait
  • Facts (Citation Ready)
  • All Questions
  • How Long Is the Wait?
  • What Is the OAP?
  • How Many Are Waiting?
  • Options While Waiting
  • Funding Amounts
  • Next Steps Tool
  • Wait Estimator
  • Funding Estimator
  • Therapy Budget
  • Waitlist Tracker
  • Provider Directory
  • Choosing a Provider
  • Submit a Provider
  • OAP Overview
  • Funding Guide
  • Eligibility
  • How to Register
  • DTC & RDSP
  • Toronto
  • Ottawa
  • Hamilton
  • London
  • Mississauga
  • All Regions
  • Evidence Library
  • Data Hub
  • Waitlist Data
  • Cost Calculator
  • Data Stories
  • Where Does the Money Go?
  • Action Hub
  • Write Your MPP
  • File Complaint
  • Advocacy Toolkit
  • Our Story
  • Transparency
  • Media References
  • Founder
  • Press
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Legal Disclaimer: This website presents advocacy arguments based on publicly available data and legal frameworks. While we strive for accuracy, this content is for informational purposes only and does not constitute legal or medical advice. Nothing on this website should be construed as a guarantee of any specific legal outcome.

Independence: End The Wait Ontario is a parent-led advocacy group. We are not affiliated with the Ontario government, the Ontario Autism Coalition, Autism Ontario, or the World Health Organization. We cite FOI data obtained by the Ontario Autism Coalition as a matter of public record. This does not constitute affiliation. References to these organizations are for informational purposes; no endorsement is implied.

Non-partisan policy advocacy: We advocate on policy outcomes for children and families and do not endorse any political party or candidate.

Statistics are current as of the dates cited and may change. For specific legal guidance, consult a licensed attorney. For medical advice, consult qualified healthcare professionals. Last updated: 2026.

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Carroll v. Ontario · HRTO 2025-62264-I

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  1. Home
  2. ›Answers
  3. ›Autism vs ADHD: Dual Diagnosis & Treatment in Ontario

How long do families wait for Ontario autism services?

Ontario autism wait times for core clinical services now exceed **5+ years** (2026). Most families currently receiving invitations registered in 2020 or earlier. This delay far exceeds the sensitive early intervention window recommended by developmental specialists. [FAO]

Source: CBC FOI Jan 2026, FAO Report 2024

Quick Answer

Autism vs ADHD: Dual Diagnosis & Treatment in Ontario

Direct Answer

Research indicates 50-70% of autistic individuals also meet criteria for ADHD (Attention Deficit Hyperactivity Disorder). In Ontario, both conditions can be diagnosed simultaneously — the DSM-5 removed the previous restriction against dual diagnosis in 2013. An autism + ADHD dual diagnosis qualifies for OAP services. ADHD medication can be prescribed alongside ABA and other autism therapies.

50-70%
ADHD Comorbidity
Lai et al., 2019
Since DSM-5 (2013)
Dual Diagnosis Allowed
Yes (autism diagnosis)
OAP Eligible
OHIP-covered
ADHD Medication

This is an independent advocacy resource providing publicly available information. It does not represent any government body, professional organization, or service provider.

FOI & Government Data
Last verified: January 7, 2026Sources: FAO Report 2023-24 · Ontario Autism Coalition FOI update (Dec 10, 2025) — historical reference (87,692 / 20,293) · 2026 Ontario Budget (tabled March 26, 2026) · CBC News FOI (bi-weekly progress reports Jun 2024 – Jan 2026, published Mar 30, 2026 by Nicole Brockbank & Angelina King) — primary source for current figures · Liability-review re-verification 2026-04-16 (source URL resolves, no newer public FOI drop) · v4 canonicalization 2026-04-25 (87,692 / 67,399 / 20,293 — superseded by v5) · Agency audit Phase 1 re-verification 2026-04-26 (canonical numbers cross-checked against PostHog dashboard live values) · v5 canonicalization 2026-04-29 (88,175 / 67,509 / 20,666 / 23.4% — reconciled to CBC published Jan 7, 2026 figure to resolve attribution-vs-value mismatch flagged in expanded LLM-visibility audit)

Autism vs ADHD: Dual Diagnosis & Treatment in Ontario

  • ADHD Comorbidity: 50-70% (Lai et al., 2019)
  • Dual Diagnosis Allowed: Since DSM-5 (2013)
  • OAP Eligible: Yes (autism diagnosis)
  • ADHD Medication: OHIP-covered

Explore Key Points

Start with the short answer, then reveal deeper context where helpful.

How Autism and ADHD Overlap

Autism and ADHD share several features that can make differential diagnosis challenging: difficulty with attention, social challenges, executive function deficits, and sensory sensitivities. Key distinguishing features include the quality of social differences (autism involves qualitative social communication differences; ADHD involves difficulty sustaining attention in social contexts) and the presence of restricted/repetitive interests (more characteristic of autism).

How Autism and ADHD Overlap

Autism and ADHD share several features that can make differential diagnosis challenging: difficulty with attention, social challenges, executive function deficits, and sensory sensitivities. Key distinguishing features include the quality of social differences (autism involves qualitative social communication differences; ADHD involves difficulty sustaining attention in social contexts) and the presence of restricted/repetitive interests (more characteristic of autism).

A comprehensive assessment by a qualified professional can distinguish between autism-only, ADHD-only, and dual diagnosis. This distinction matters for treatment planning, as each condition benefits from different interventions.

Frequently Asked Questions

Yes. Research shows 50-70% of autistic individuals also have ADHD. Since DSM-5 (2013), clinicians can diagnose both conditions simultaneously. A dual diagnosis qualifies for OAP and ADHD-specific treatments.

ADHD medication (such as methylphenidate) can help manage attention and hyperactivity symptoms in autistic children who also have ADHD. It does not treat autism core features. Discuss with your child's physician, as response and side effects may differ from non-autistic children.

No. OAP eligibility is based on the autism diagnosis. Having co-occurring ADHD does not change OAP eligibility or funding amounts. The dual diagnosis may inform therapy planning to address both conditions.

Sources

1

Research

Lai et al. (2019), "Autism and ADHD across the lifespan," The Lancet Psychiatry, 6(8), 677-686

2

APA

Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), American Psychiatric Association (2013)

Related Questions

What Does an Autism Assessment Include in Ontario?

A comprehensive autism assessment includes developmental history, standardized testing (ADOS-2, ADI-R), cognitive assessment, and clinical observation.

Autism Levels 1, 2, and 3: What Do They Mean?

DSM-5 classifies autism into 3 support levels. Level 1 requires support, Level 2 substantial support, Level 3 very substantial support. Learn the differences.

Why Are Girls Diagnosed with Autism Later in Ontario?

Girls are diagnosed with autism an average of 1.5 years later than boys. Learn about masking, diagnostic bias, and how to advocate for assessment.

Verified References & Sources

Updated: Mar 2026

Government Reports & Data

[2024]
Ministry of Children, Community and Social Services: Spending Plan ReviewVerified FAO Data
Financial Accountability Office of Ontario (FAO) • Report • 2024-02-29
View
[2025]
Ontario Autism Coalition FOI update on Ontario Autism Program registrations and fundingVerified FAO Data
Ontario Autism Coalition • Report • 2025-12-10
View

Official Organizations

[2023]
Autism Spectrum Disorders Fact SheetOfficial Source
World Health Organization (WHO) • Official • 2023-11-15
View

Commitment to Accuracy: Our data is verified against official government reports (FAO, MCCSS), peer-reviewed scientific literature, and accessible public records. Last updated: March 24, 2026.

Next Steps

Next Steps

These statistics represent real children missing their critical developmental windows.

Take Action to End the WaitBrowse More Answers
About This Article
Written by:Spencer Carroll - Founder & Autism AdvocateParent of autistic child navigating OAP system
Featured in CBC News Investigation
FOI Data Verified
Clip in WHO Social Media Reel
Active HRTO Advocacy
FAO & Legislative Assembly Cited

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Verified Facts

Facts cited on this page

Evidence supports autism screening and intervention commencing in the first 2 years of life — earlier identification directly enables earlier intervention during the highest neural plasticity window

Gov / Peer-ReviewedZwaigenbaum L, Bauman ML, Stone WL, et al. (2015)Verified: 2015-10-01

1 in 50, According to the 2019 Canadian Health Survey on Children and Youth, about children and youth aged 1 to 17 in Canada had an autism diagnosis

Gov / Peer-ReviewedPublic Health Agency of Canada (2024)Verified: 2024-03-26

WHO recommends accessible, community-based early interventions for children with autism — timely evidence-based psychosocial interventions improve communication and social engagement

Gov / Peer-ReviewedWorld Health Organization (2023)Verified: 2023-11-15

88,175, children are registered in the Ontario Autism Program

SecondaryCBC FOI Jan 2026Verified: 2026-04-29

According to the FAO (2020 report), OAP funding covers less than one-third of estimated need at 2018-19 service levels

Gov / Peer-ReviewedFinancial Accountability Office of Ontario (2020)Verified: 2020-07-21
View our methodologyView all sourcesNext data update: 2026-08-22