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Table 6 Solutions to removing or decreasing barriers to integrated care

From: Integrating care for individuals with FASD: results from a multi-stakeholder symposium

Rank Response/Comment
1 Change eligibility criteria and flexibility to accept individuals with FASD for various programs and service. For example supports in school, community living, mental health and children’s disability.
2 FASD specific system navigator/advocate.
3 Family centred approach to care with case manager support (key workers) - acknowledgement of impact on family - family is the expert - empower families.
4 Create a centralized system for assessment and resources (e.g., housing, support programs, income assistance, health care, child welfare, corrections, and treatment programs). This could be a community based committee.
5 Expanding capacity of regional diagnostic and follow-up processes across the lifespan, including an expanded resource pool for a comprehensive assessment process (e.g. community physicians, school clinicians, etc.), across Manitoba including within Winnipeg (i.e. neighbourhoods). Systems should be interconnected.
6 Create FASD friendly environments in ALL systems - Individuals with FASD accessing services, living in the community.
7 System reform - “my health team” - interdisciplinary primary health care team.
8 Collaborative wrap around approach: more programs and accessibility for after school activities, life coach for the student and family, coordinated system for students as they move through the life span.
9 Some FASD expertise embedded in the criminal justice system to assist with communication, including having specialists in each area, e.g. Probation Services and a resource base for the research associated with FASD and what it really means for the legal assessment of the FASD individual’s status in the system.
10 Information system management -- province wide integrated client record across systems with access by individual/ PC system and linked across systems.
11 Re-evaluating the criteria for an FASD diagnosis (removing the maternal drinking confirmation if other indicators strong), including programs and resources for those who meet the criteria but don‘t’ have the actual diagnosis.