How to Plan the Transition to Adulthood for Autistic Youth in Ontario

Steps in this guide

1. 1

   Begin Planning at Age 14-16

   Start transition discussions at your child's IEP meeting in high school. Request a formal transition plan that addresses education, employment, community living, and health care. The earlier you start, the more options you can explore before the deadline of turning 18.

2. 2

   Register with Developmental Services Ontario

   Contact your local DSO office to begin the adult eligibility determination process. You will need a psychological assessment confirming a developmental disability, proof of Ontario residency, and identification. The DSO process can take several months, so apply well before your child turns 18.

3. 3

   Establish ODSP Eligibility

   Apply for the Ontario Disability Support Program before your child turns 18 if possible. ODSP provides income support and extended health benefits for adults with disabilities. The application requires medical documentation of how the disability affects daily functioning and ability to work.

4. 4

   Create a Supported Decision-Making Agreement

   If your child can make some decisions with help, ask a disability lawyer about informal support, powers of attorney, and guardianship. Do not assume one document fits every decision. Choose the least restrictive option that meets the legal need.

5. 5

   Connect with Employment and Day Program Services

   People with disabilities can get help through Employment Ontario when starting or looking for work. Supported Employment can help with job readiness and employment opportunities, and skills training is also available. Some regional DSO listings include adult day programs. Wait times vary by service type and across Ontario.

6. 6

   Update Legal and Financial Documents

   Review and update powers of attorney, RDSP beneficiary information, Henson Trust provisions, and health care consent arrangements. Ensure your child has a valid Ontario photo ID card if they do not drive. Inform OHIP and your family doctor of the transition to adult care.

7. 7

   Coordinate the Transfer of Medical Care

   Paediatric specialists typically discharge patients at age 18. Identify adult physicians, psychiatrists, and therapists before the transition date. Request that medical records be transferred and schedule introductory appointments during the overlap period.

8. 8

   Apply for Adult Residential Supports if Needed

   If ministry-funded housing support may be needed, apply through DSO to check eligibility and complete the application process. People are linked to supportive housing options when resources become available. DSO prioritizes applicants and reprioritizes them when their circumstances or needs change.