Ottawa & Eastern Ontario

Ottawa Autism Services Crisis

Ottawa families wait 2-3 years for autism therapy with only 45 BCBAs serving 12,000+ waiting children. CHEO faces 18-24 month diagnostic backlogs. French services have 3-4 year waits. Rural families drive 3+ hours for care. Private therapy costs $70,000 annually. Eastern Ontario desperately needs more providers.

12,000+

Eastern Ontario children waiting

45

Total BCBAs in region

267:1

Children per provider ratio

Why Does Eastern Ontario Have Such Long Waits?

Provider Shortage Crisis

  • Only 45 BCBAs for entire Eastern Ontario
  • Ottawa has 1.1 million residents, region has 1.8 million
  • University of Ottawa has no BCBA training program
  • Providers leaving for better pay in Toronto/US

French Service Gaps

  • Only 8 French-speaking BCBAs in region
  • 3-4 year waits for French services
  • 150,000+ francophones in Ottawa-Gatineau
  • Many forced to accept English services

Geographic Barriers

  • Eastern Ontario covers 16,000 km²
  • Rural families drive 1-3 hours for services
  • No autism services in many small towns
  • Winter travel dangerous on rural roads

CHEO Overwhelmed

  • Only pediatric hospital for 500,000 children
  • 18-24 month diagnostic wait times
  • Staff turnover due to burnout
  • Emergency department sees autism crises daily

Where Can Ottawa Families Access Services?

Diagnostic & Treatment Centers

CHEO - Children's Hospital of Eastern Ontario

401 Smyth Road, Ottawa

Wait time: 18-24 months for diagnosis

Public
Bilingual
Diagnosis
  • • Autism Program services
  • • Developmental pediatrics
  • • Mental health support
613-737-7600

Crossroads Children's Mental Health Centre

1 Stafford Road, Ottawa

Wait time: 12-16 months

Public
Mental Health
  • • Autism mental health services
  • • Day treatment programs
  • • Crisis intervention
613-723-1623

Ottawa Children's Treatment Centre (OCTC)

395 Smyth Road, Ottawa

Wait time: 10-14 months for services

Public
Therapy
  • • Speech therapy
  • • Occupational therapy
  • • Physiotherapy
613-737-0871

First Words Preschool Speech & Language

Multiple Ottawa locations

Wait time: 6-9 months

Public
Speech
Ages 0-6
  • • Early speech screening
  • • Communication assessments
  • • Parent coaching
613-737-7829

🇫🇷 French Language Services / Services en français

Centre de services Vanier

300 des Pères-Blancs, Ottawa

  • • Services d'intervention comportementale
  • • Groupes de soutien aux parents
  • • Programmes préscolaires
  • • Wait: 2-3 years / Attente: 2-3 ans
613-744-2241

Centre psychosocial

150 chemin Montréal, Ottawa

  • • Évaluation diagnostique en français
  • • Thérapie familiale
  • • Services de crise
  • • Wait: 3-4 years / Attente: 3-4 ans
613-789-2240

French Service Crisis: Only 8 francophone BCBAs serve 150,000+ French speakers in the region. Many families must accept English services or pay $80,000+ for private French therapy.

Community Support Organizations

Autism Ontario - Ottawa Chapter

363 Parkdale Avenue

  • • Family navigation support
  • • Monthly parent meetings
  • • Social programs (limited spots)
  • • Resource library
Visit Website

Children at Risk

235 Donald Street, Suite 212

  • • Social skills groups ($600/term)
  • • Sibling support programs
  • • Parent education workshops
  • • Respite funding navigation
613-741-8255

QuickStart Autism

Early intervention focus

  • • Parent coaching (ages 18m-4y)
  • • While-you-wait support
  • • Evidence-based strategies
  • • Free workshops available
Learn More

Coordinated Access / 1Call1Click

Central referral system

  • • Single point of entry
  • • Service navigation
  • • Waitlist management
  • • Bilingual services
613-260-7275

How Do Rural Eastern Ontario Families Access Care?

Geographic Service Deserts

Communities with NO autism services:

  • • Renfrew County (102,000 residents)
  • • Prescott-Russell (90,000 residents)
  • • Lanark County (69,000 residents)
  • • Stormont, Dundas & Glengarry (113,000)
  • • Leeds & Grenville (101,000 residents)

Travel burden for families:

  • • Pembroke → Ottawa: 150 km (1.5 hours)
  • • Cornwall → Ottawa: 105 km (1.25 hours)
  • • Smiths Falls → Ottawa: 75 km (1 hour)
  • • Deep River → Ottawa: 200 km (2.5 hours)
  • • Winter adds 30-60 minutes each way

Hidden Costs: Rural families spend $5,000-10,000 annually on gas, hotels, and missed work for Ottawa appointments. Many cannot afford this, leading to complete service abandonment.

Telehealth Options (Limited)

  • • CHEO offers some virtual assessments
  • • Ontario Telemedicine Network (OTN)
  • • Private telehealth: $150-200/hour
  • • Cannot replace hands-on therapy
  • • Internet issues in rural areas

Mobile Services (Very Limited)

  • • Some private BCBAs travel (add $100/visit)
  • • OCTC has limited outreach
  • • School board itinerant services
  • • Long waits between visits (monthly)
  • • Weather cancellations common

What Support Do Ottawa School Boards Provide?

Ottawa-Carleton District School Board (OCDSB)

Programs:

  • • Autism Spectrum Disorder Program (8 sites)
  • • Learning Support Services
  • • Behaviour Intervention Programs
  • • Itinerant Educational Assistants
  • • Assistive technology support

ASD Program Locations:

  • • Crystal Bay Centre (central intake)
  • • Cedarview Middle School
  • • Clifford Bowey Public School
  • • Briargreen Public School
  • • Limited spots, lottery system

Contact: 613-596-8211 | learningsupport@ocdsb.ca

Ottawa Catholic School Board (OCSB)

Programs:

  • • Autism Classes (6 elementary, 2 secondary)
  • • Applied Behaviour Analysis support
  • • Communication classes
  • • St. Peter High School program
  • • Transition planning services

Access Process:

  • • Special Education Services referral
  • • IPRC review required
  • • Diagnosis documentation needed
  • • January application deadline
  • • Very limited spaces available

Contact: 613-224-4455 | info@ocsb.ca

French School Boards

Conseil des écoles publiques de l'Est (CEPEO):

  • • Classes TSA (Trouble du spectre de l'autisme)
  • • Services orthophoniques
  • • Accompagnement spécialisé
  • • Contact: 613-742-8960

Conseil des écoles catholiques (CECCE):

  • • Programme d'autisme structuré
  • • Aide-enseignants spécialisés
  • • Services de transition
  • • Contact: 613-744-2555

What Are the Costs for Ottawa Families?

ServicePublic WaitPrivate CostAnnual Total
Diagnosis at CHEO18-24 months$3,000-4,500One-time
ABA Therapy (Intensive)2-3 years$55-100/hour$55,000-100,000
Speech (Bilingual)12-18 months$160-185/hour$8,000-18,500
OT Services10-14 months$165-190/hour$8,250-19,000
Psychology6-12 months$200-250/hour$10,000-25,000
Rural Travel CostsN/AGas, hotels, meals$5,000-10,000
Total Annual Cost (Private, Full Services)$86,250-177,500

Funding Reality: OAP provides average $8,000/year after 2-3 year wait. This covers 4-9% of actual therapy costs. Extended health insurance typically covers $3,000-5,000 for all therapies combined.

What Should Ottawa Families Do While Waiting?

Immediate Action Plan for Ottawa Families

  1. 1.
    Call 1Call1Click.ca (613-260-7275)

    Central intake for all Eastern Ontario children's services - they manage waitlists

  2. 2.
    Register with QuickStart Autism

    Free parent coaching while waiting - evidence-based strategies you can use now

  3. 3.
    Contact Your School Board Immediately

    Request Special Education assessment even without diagnosis - don't wait

  4. 4.
    Apply for Respite Funding

    Contact Developmental Services Ontario: 1-855-376-3737

  5. 5.
    Join "Ottawa Autism Parents" Facebook Group

    3,000+ local families sharing resources, provider reviews, and support

Free Ottawa Resources

  • • Ottawa Public Library sensory kits
  • • City recreation inclusive programs
  • • Carleton University autism studies (paid)
  • • Museums' sensory-friendly hours
  • • ABLE2 recreational programs
  • • Easter Seals camps (subsidized)

Crisis Resources

  • • CHEO Emergency: 613-737-7600
  • • Crisis Line: 613-722-6914
  • • Mobile Crisis Team: 613-260-2360
  • • Distress Centre: 613-238-3311
  • • Kids Help Phone: 1-800-668-6868
  • • 911 for immediate danger

Frequently Asked Questions - Ottawa Region

How long do Ottawa families wait for autism services?

Ottawa families wait 2-3 years for publicly funded autism therapy. CHEO has 18-24 month diagnostic wait times. Eastern Ontario has only 45 Board Certified Behavior Analysts serving 12,000+ children on waitlists.

Where can I get autism services in French in Ottawa?

French autism services are available at CHEO, Centre de services Vanier, and Centre psychosocial. However, French-language providers have even longer wait times (3-4 years) due to severe shortages of francophone specialists.

What is the autism diagnosis process at CHEO?

CHEO autism diagnosis involves: 1) Referral from family doctor, 2) 18-24 month wait, 3) Multi-disciplinary assessment team evaluation, 4) ADOS-2 testing, 5) Feedback appointment. Private diagnosis available for $3,000-4,500 with 2-3 month wait.

Are there rural autism services in Eastern Ontario?

Rural Eastern Ontario has limited services. Families in Cornwall, Pembroke, and Smiths Falls must travel to Ottawa for most services. Some telehealth available through CHEO and private providers, but hands-on therapy requires 1-3 hour drives.

Why does Ottawa have fewer autism providers than Toronto?

Ottawa has only 45 BCBAs vs Toronto's 200+ due to: No local BCBA training programs, providers leaving for higher Toronto/US salaries, bilingual service requirements, and larger geographic area to cover with smaller population density.

What emergency autism services exist in Ottawa?

CHEO Emergency Department handles autism crises 24/7. Mobile Crisis Team (613-260-2360) responds to mental health emergencies. Crossroads offers crisis intervention. Respite services available through Developmental Services Ontario for qualifying families.

Ottawa Needs Immediate Action

12,000+ Eastern Ontario children are waiting while only 45 providers try to serve 1.8 million residents. French-speaking families face even longer waits. Contact your MP and MPP today.

Ottawa Centre MPP

Joel Harden (NDP)

613-722-6414

Minister of Children

Michael Parsa

416-212-7432

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