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Ford government to overhaul autism services, give cash directly to families

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The Ford government is planning to overhaul children’s autism services by taking money away from regional agencies and putting funding directly into the hands of families to choose the care they want, the Star has learned.

Major autism service providers have already been informed of the changes that will also address the massive wait-list of 23,000 children and target money and services to those under the age of 6, which research has shown to be the most crucial time for treatment.

Funding will not be cut, but redistributed, sources told the Star.

An announcement is expected in the coming days.

“I would applaud them — early intervention is really important,” said one service provider. “These kids get on a wait list, and they miss a key window.”

“Everyone in the sector would be happy to support something that improves the wait list,” the provider said. “But we are not sure how they are going to change the wait list.”

Senior government sources told the Star the Ministry of Children, Community and Social Services is going to focus on the wait lists — for diagnosis, funding and treatment — as well as providing more equitable services and better oversight of therapy providers.

“The scope of the problem we inherited — this was a significant problem,” said one source, noting three of four children are currently not receiving the autism supports they need, calling the wait lists “unconscionable.”

“Those are valuable days, weeks, months, and the one piece of science we know in this area … is that having behavioural intervention below the age of 6 is when you make the biggest impact and have the most likelihood to make a difference,” said the government source.

Many parents like the idea of choosing where the funding is spent, rather than having to deal with service providers who can be in a conflict-of-interest when they control the funding. The current system is a mix of the two, with agencies controlling the wait lists and who gets the money.

But rumours the Ford government is planning to move back to funding based on age have struck fear in both clinicians and families, said Tracie Lindblad, clinical director at Monarch House, an Oakville clinic that offers services for children with developmental disabilities, including applied behaviour analysis (ABA) therapy for kids with autism.

Lindblad says Monarch House, which also has clinics in Waterloo and Ottawa, as well as British Columbia and Saskatchewan, has experience working with families in B.C. where the government imposes arbitrary funding caps based on a child’s age. And, she says, the approach is failing.

(In B.C., children under 6 diagnosed with autism spectrum disorder receive $22,000 a year for autism services while those between the ages of 6 and 18 get $5,000, regardless of their needs.)

“We know it’s not working there. Why would the Ford government want to bring it here?” she asked.

Lindblad said the previous Liberal government was “on the right track” when it increased funding and extended eligibility for ABA beyond age 5, and allowed parents to choose between agency-based therapy or privately purchased services.

Milton mom Maria Garito doesn’t like the current system — she does not believe service providers spend money efficiently — but nor does she think moving to a direct-funding model for parents is the answer.

Her 4-year-old son Max has been on a wait list for more than two years and right now her family can’t afford the behavioural therapy he needs, so she takes time off work to care for him and they pay out-of-pocket for speech therapy and other programs.

A direct-funding system means “some children get many hours of service, and many children get none,” said Garito, who believes it is open to abuse. She also doesn’t think there are enough services as is for families to spend any money they receive.

“The worst part of this model is that many of the private centres sign off on unnecessary services, because they (stand) to make profits knowing full well the government” will pay hundreds of thousands of dollars, she added, wondering if money would be better spent on more staffing and programs — and better oversight — of government-funded regional centres.

New Democrat MPP Monique Taylor, her party’s children services critic, said direct funding is not an option for everyone. “In Northern Ontario — the services just would not be available … they have nowhere to spend (the money). That’s a real issue in smaller communities in the north.”

And she said stressed families don’t have the time, knowledge “or the energy to be an employer,” which is what the direct-funding option would essentially entail. “For a lot of reasons, a lot of families just won’t be able to manage. It’s very concerning.”

Lindblad said the new Ontario Autism Program, introduced by the former Liberal government, while successful in some areas, failed to provide government regulation of autism professionals, no quality assurance oversight or peer review of outcomes.

But those are things that could have been fixed, Lindblad said.

“I am concerned we’re going to go from one mistake to another mistake and not achieve our goal of ensuring all individuals achieve their best outcome,” she said.

A PC government source said oversight of professionals will be part of the coming changes. “There’s no list that says where you should go for service” as there is in other jurisdictions like B.C.

In 2016, the Liberals had pledged $533 million over five years for autism.

Minister Lisa MacLeod announced $100 million in emergency funding after the PCs took office, to keep the system going, which government sources describe as “verging on the brink of bankruptcy.”

“The most responsible way to use publicly funded dollars is to consider each child’s need,” said Nancy Marchese, a psychologist and ABA therapist in Richmond Hill, adding that a “rate card” for services would protect families and ensure public funds are spent responsibly.

The parent-led Ontario Autism Coalition stormed the Legislature in 2016 under the previous Liberal government over age-based funding caps, and coalition president Laura Kirby-McIntosh, said her group will fight any provincial move to the B.C. model.

PC MPP Amy Fee, in an opinion piece for the Star, said “early diagnosis will be one of our key areas of focus.”

“We need to respect families. We need to work to clear these wait-lists and put the decision-making back in the hands of parents. We need to get the youngest children into autism services as soon as possible.

Fee — who has two children diagnosed with autism spectrum disorder — is the parliamentary assistant to MacLeod and has spoken to parents across the province about services.

“We’re going to put families in control, and bring equity to a broken system,” she wrote.

Kristin Rushowy is a Toronto-based reporter covering Ontario politics. Follow her on Twitter: @krushowy

Laurie Monsebraaten is a Toronto-based reporter covering social justice. Follow her on Twitter: @lmonseb

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‘We’re back’: Montreal festival promoters happy to return but looking to next year

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In downtown Montreal, it’s festival season.

In the city’s entertainment district, a musical act was conducting a sound check on stage Friday evening — the second day of the French-language version of the renowned Just For Laughs comedy festival. Tickets for many of the festival’s free outdoor shows — limited by COVID-19 regulations — were sold out.

Two blocks away, more than 100 people were watching an acoustic performance by the Isaac Neto Trio — part of the last weekend of the Festival International Nuits d’Afrique, a celebration of music from the African continent and the African diaspora.

With COVID-19 restrictions continuing to limit capacity, festival organizers say they’re glad to be back but looking forward to next year when they hope border restrictions and capacity limits won’t affect their plans.

Charles Décarie, Just For Laughs’ CEO and president, said this is a “transition year.”

“Even though we have major constraints from the public health group in Montreal, we’ve managed to design a festival that can navigate through those constraints,” Décarie said.

The French-language Juste pour rire festival began on July 15 and is followed by the English-language festival until July 31.

When planning began in February and March, Décarie said, organizers came up with a variety of scenarios for different crowd sizes, ranging from no spectators to 50 per cent of usual capacity.

“You’ve got to build scenarios,” he said. “You do have to plan a little bit more than usual because you have to have alternatives.”

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MELS new major movie studio to be built in Montreal

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MONTREAL — MELS Studios will build a new film studio in Montreal, filling some of the gap in supply to meet the demand of Hollywood productions.

MELS president Martin Carrier said on Friday that MELS 4 studio construction will begin « as soon as possible », either in the fall or winter of next year. The studio could host productions as early as spring 2023.

The total investment for the project is $76 million, with the Quebec government contributing a $25 million loan. The project will create 110 jobs, according to the company.

The TVA Group subsidiary’s project will enable it to stand out « even more » internationally, according to Quebecor president and CEO Pierre Karl Péladeau. In the past, MELS Studios has hosted several major productions, including chapters of the X-Men franchise. The next Transformers movie is shooting this summer in Montreal.

Péladeau insisted that local cultural productions would also benefit from the new facility, adding that the studio ensures foreign revenues and to showcase talent and maintain an industry of Quebec producers.

STUDIO SHORTAGE

The film industry is cramped in Montreal.

According to a report published last May by the Bureau du cinéma et de la télévision du Québec (BCTQ), there is a shortage of nearly 400,000 square feet of studio space.

With the addition of MELS 4, which will be 160,000 square feet, the company is filling part of the gap.

Carrier admitted that he has had to turn down contracts because of the lack of space, representing missed opportunities of « tens of millions of dollars, not only for MELS, but also for the Quebec economy. »

« Montreal’s expertise is in high demand, » said Montreal Mayor Valérie Plante, who was present at the announcement.

She said she received great testimonials from « Netflix, Disney, HBO and company » during an economic mission to Los Angeles in 2019.

« What stands out is that they love Montreal because of its expertise, knowledge and beauty. We need more space, like MELS 4, » she said.

There is still not enough capacity in Quebec, acknowledged Minister of Finance, the Economy and Innovation Eric Girard.

« It is certain that the government is concerned about fairness and balance, so if other requests come in, we will study them with the same seriousness as we have studied this one, » he said.

Grandé Studios is the second-largest player in the industry. Last May, the company said it had expansion plans that should begin in 2022. Investissement Québec and Bell are minority shareholders in the company.

For its part, MELS will have 400,000 square feet of production space once MELS 4 is completed. The company employs 450 people in Quebec and offers a range of services including studio and equipment rentals, image and sound postproduction, visual effects and a virtual production platform.

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Anglais

Birdhouse Wingerie & Bar is the Latest to Hatch in West Island’s Bubbling Restaurant Scene

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Wings are the thing at the latest restaurant to make its mark on Montreal’s West Island: Birdhouse Wingerie & Bar.

At the buzzy new Dollard-Des Ormeaux eatery, the bird limbs come aplenty, with a menu listing eleven “wet & messy” wings, including smoked apple habanero, sriracha lime, and cherry cola BBQ; and four — cacio e pepe, ketchups chip, Nashville hot, and the garlicky, lemon pepper “vampire slayer” — dry rub flavours. They come 10 for $18 or 20 for $34, plus the option of ranch, parmesan, or blue cheese dipping sauce.

Tacos, nachos, poutines (one made with bone marrow, another with tater tots), smashed burgers, salads, and a classic buttermilk fried chicken dinner are just sampling of the other dishes that round out the offering. On the drinks side, there are cocktails, sangrias, and spiked milkshakes in popular chocolate bar flavours: After Eight, Skor, Bounty, or Reeses.

Opened on July 5, Birdhouse is among a recent influx of restaurants to grace the island’s western end, including birria taco slinger Tacos Don Rigo and barbecue joint Smoke Box — a double whammy in the same Pierrefonds area strip mall. That comes in addition to plans for Fairview Pointe Claire’s incoming “District Gourmand” (slated to usher in Tommy Café), and, of course, a number of the area’s longer-standing stalwarts — from southern belle Bistro Nolah to old-school casse-croûte Smoked Meat Pete — that have helped bolster the West Island’s culinary credentials.

The brand-new Brunswick Boulevard restaurant is the brainchild of Montreal entrepreneur Lorne Schwartz, restaurateur George Massouras (of Madisons and Arahova Souvlaki), and among the other partners involved, Brahm Mauer, son of the founder of beloved buffalo hot wings expert Wings ‘n’ Things. Mauer has tried his hand at reviving the original Wings ‘n’ Things recipe — the restaurant originally opened in 1986 — over the years, including with a Royalmount Avenue location in 2012, then as a roaming summertime food truck and NDG pop-up. That same truck has now been made over with a Birdhouse-branded livery to be deployed for private events.

A likely draw to many, Birdhouse is reprising the “famous flavours, untouched” of the once-upon-a-time NDG staple, represented on its menu as “The Legendary WNT Buffalo” chicken wing.

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