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Shifting responsibility from the individual to communities of care By Audrey McFarlane

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Page 1: Shifting responsibility from the individual to communities

Shifting responsibility from the individual to communities of care

ByAudrey McFarlane

Page 2: Shifting responsibility from the individual to communities

Communities of care...• Lakeland

Centre for FASD

Page 3: Shifting responsibility from the individual to communities

LCFASD• Service Area

– #12 LAKELAND

Page 4: Shifting responsibility from the individual to communities

LCFASD Services• Mothers-to-be Mentorship

Program (PCAP)• Diagnostic & Assessment• Post Diagnostic Outreach • Referral Supports• Transition to adult services

supports• Education/Training• Resource Development• Awareness• Summer Camp for kids with

FASD• Emergency Placement (new) LCFASD summer camp

Page 5: Shifting responsibility from the individual to communities

LCFASD Working towards....• Residential services for youth

with FASD• Residential services for adults• Employment supports• Residential trmt services for

homeless pregnant women• Permanent camp facility• Therapy options (art, music,

etc)• Respite services

LCFASD summer camp

Page 6: Shifting responsibility from the individual to communities

LCFASD diagnostic’sTeam members,

children’s clinic:• Pediatrician• Neuropsychologist• Speech Language

Pathologist• Occupational Therapist• Mental Health Therapist• Addiction Counsellor• Social Worker

• Public Health Nurse• Teacher• Cultural Liaison• Team Coordinator• Post Diagnostic Outreach

Workers

Page 7: Shifting responsibility from the individual to communities

LCFASD diagnostic’s Team Members, Adult

Clinic• Physician• Neuropsychologist• Psychiatrist• Employment counsellor• Addiction counsellor• Mental Health counsellor

• Disability services• Crown Prosecutor • Team Coordinator• Post Diagnostic

Outreach Workers

Page 8: Shifting responsibility from the individual to communities

LCFASD diagnostic partners• Health authority• Children services authority• Community agencies• Alberta Justice• NE Persons with developmental disabilities• Alberta Employment & Immigration

Page 9: Shifting responsibility from the individual to communities

Policy Recommendation #1Building Communities of Care

• Recommend payment models for professionals that reward the work that is needed to serve those with FASD

Page 10: Shifting responsibility from the individual to communities

LCFASD community involvement

Mocktail challenge

Fundraising gala

Diagnostic team retreatPresentations

Page 11: Shifting responsibility from the individual to communities

Policy Recommendation #2Building Communities of Care

• Allow communities time to build capacity and awareness to delivery effective services for individuals with FASD and their families.

Page 12: Shifting responsibility from the individual to communities

LCFASD• Community of care:

LCFASD cleaner

Page 13: Shifting responsibility from the individual to communities

Living in an abandoned car

Page 14: Shifting responsibility from the individual to communities

Policy Recommendation #3Building Communities of Care

• On/off reserve inadequacies need to be addressed. It can not simply be on or offreserve status – we need clearer definitions and options for individuals to access services.

Page 15: Shifting responsibility from the individual to communities

Policy Recommendation #4Building Communities of Care

• Plan to serve the most complex of individuals with FASD. If you meet the needs of the most complex then it will inform systems to meet the needs of those that are less complex.

Page 16: Shifting responsibility from the individual to communities

Policy Recommendation #5Building Communities of Care

• Expansion of the AISH Benefits Administration Program to include CPP and EI to provide more financial guidance for adults with FASD.

Page 17: Shifting responsibility from the individual to communities

Policy Recommendation #6Building Communities of Care

• Attitude shift from government services to: how can we help you?

• Rather than: how can I exclude you from services?

Page 18: Shifting responsibility from the individual to communities

Innocence meets jail

Photo from summer camp

Page 19: Shifting responsibility from the individual to communities

Policy Recommendation #7Building Communities of Care

• Reduce the costs to the legal system by redirecting individuals with FASD out of the system on first offences if they are non-harmful.

Page 20: Shifting responsibility from the individual to communities

Policy Recommendation #8Building Communities of Care

• To consider the volume of individuals with FASD within the legal system that instead of screening FASD in we should reverse this policy to screen FASD out. Building a system based on these premise would change how we think about our justice delivery system.

Page 21: Shifting responsibility from the individual to communities

Business success

Page 22: Shifting responsibility from the individual to communities

Policy Recommendation #9Building Communities of Care

• To build systems that support families such as easy and reliable respite options, and out of home placements when needed.

Page 23: Shifting responsibility from the individual to communities

Policy Recommendation #10Building Communities of Care

• To build a skilled work force to serve individuals with FASD and their families.

Page 24: Shifting responsibility from the individual to communities

Policy Recommendation #11Building Communities of Care

• Make available capital funds to build the necessary residential options for youth and adults to begin the gathering of evidence based residential services.

Page 25: Shifting responsibility from the individual to communities

Programs Needed1. Transition services for youth with FASD to adult

services2. Continuum of residential options3. Emergency placements4. Residential addictions programs for homeless

pregnant women and girls.5. Post secondary programs for adults with FASD.6. Letting go of the stigma!

Page 26: Shifting responsibility from the individual to communities

“The tragedy is not the child with the disability, but how we as a society respond”. (parent)


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