Work on the new pediatric service trajectories began over two years ago, but will be effective from January 29, 2023. There will still be work to do to achieve our improvement goals, but we will be ready to offer services and waiting lists will be harmonized.

NO. From the age of 16, services will be offered through another integrated service trajectory called Transition to Adulthood.

Like an episode of a television series, an episode of services has a duration that can vary a little, but it always has a beginning and an end. The goals of the service episode are to help you through some bigger or more complicated challenges and to give you strategies so that you and your child can, eventually, continue your story on your own. Also, as in a television series, a child's service trajectory may include more than one episode. The introduction of services episodes is a way for us to provide services to a greater number of Laval families during the year and, therefore, to reduce the waiting time to receive our services.

For the vast majority of our users, the offer of services by episodes will apply and will meet their needs. On the other hand, among our users are certain children as well as families who have more complex needs and require specialized equipment or interventions that cannot be stopped without their health or safety being compromised. Cases like these are analyzed by our clinical teams and, if necessary, services are adapted to meet their needs.

NO. Your child’s enrollment date and the prioritization criteria from the original waiting list have been retained in the new waiting list. However, since the new lists are not exactly the same as before, it is possible that the same number of children will no longer appear in front of your child's name. Some users will benefit from this change, others may be disadvantaged, but we do not anticipate any major impacts. If you have any questions or concerns you can call 450-622-4478 # 63530 or write to support.ditsadp.jeunesse.cissslav@ssss.gouv.qc.ca.

NO. As answered in the previous question, the position your child was in should not change as much since we have kept the same criteria for classifying the children.

The orientation of children waiting for the Agir tôt program was determined by professionals based on the information contained in their request for services as well as the information available in their file (e.g. doctor's referrals, evaluation reports or of the screening platform, services previously received, etc.).

The vast majority of children referred to our department's Agir tôt program needed help to develop their language and social skills or their behavior with other children or adults. They were therefore directed to the “ social Interactions and communications ” service trajectory that would meet their needs.

Children referred to the Language and communication trajectory where those for whom there was no indication of need in any other area of their development, except language.

Children directed towards the Developmental trajectory are those who could benefit from stimulation in several areas of their development or especially in the area of motor skills (e.g., children who should be walking, but who are not yet doing so).

By March 2023, a letter confirming your child's orientation will be sent to you by email or by mail if we do not have your email. Until then, if you have any questions or concerns about your child's orientation on the waiting list, you can call 450-622-4478 # 63530 or write to : support.ditsadp.youth. cissslav@ssss.gouv.qc.ca.

The orientation of children waiting for services was determined according to the program where they were waiting.

Children waiting for services in the preschool and school language impairment (LD) programs, as well as in the Stuttering program were referred to a waiting list for the Language and communication trajectory.

Children waiting for services in the Motor Impairment (DM) program, as well as in the Developmental Coordination Disorder (DCD) program, were referred to a Developmental trajectory waiting list.

By March 2023, a letter confirming your child's orientation will be sent to you by email, or by mail if we do not have your email. Until then, if you have any questions or concerns regarding your child's orientation on the waiting list, you can call 450-622-4478 # 63530 or write to support.ditsadp.youth. cissslav@ssss.gouv.qc.ca.

The orientation of children awaiting a service to early intervention services (SIP) or child and youth services (SEJ) of the CRDITSA was determined according to their age, diagnosis and according to their profile requirements.

Children ages 6 and under with a diagnosis of global developmental delay (GDD), trisomy 21 or another diagnosis that is accompanied by an intellectual disability or motor difficulties were referred to the Developmental  trajectory that can meet their requirements.

Children ages 6 and under with a confirmed or temporary diagnosis of autism spectrum disorder (ASD) have been directed to the trajectory of Social Interactions and communications 0-6 years which will be able to meet their requirements.

Children aged between 7 and 15 years, 364 days with a confirmed or temporary diagnosis of autism spectrum disorder (ASD), have been directed to the trajectory of Social interactions and communications 7-15 years which will be able to meet their requirements.

Children aged between 7 and 15 years , 364 days with a diagnosis of global developmental delay (GDD), trisomy 21 or another diagnosis that is accompanied by intellectual disability without significant motor difficulties were referred to the trajectory Social Interactions and communications 7-15 year  which will be able to meet their requirements..

Children between the ages of 7 and 15 years, 364 days with a diagnosis that is accompanied by an intellectual disability and who require specialized interventions or equipments for movement or mobility (e.g. motorized wheelchair) have been directed to the Developmental trajectory that can meet their requirements.

By March 2023, a letter confirming your child's orientation will be sent to you by email, or by mail if we do not have your email. Until then, if you have any questions or concerns about your child's orientation on the waiting list, you can call 450-622-4478 # 63530 or write to support.ditsadp.youth. cissslav@ssss.gouv.qc.ca.

From now on, users will receive all the services they need from a single trajectory. If you were waiting for services from the 0-21 youth front-line team for psychosocial services (e.g. social worker) or for grant applications, you and your child will be referred to one of our three trajectories in order to receive these services. To find out which trajectory you were directed to, refer to question 8. If your child was waiting for or received services from the Jewish Rehabilitation Hospital (JRH), or to question 9, if your child was waiting for or received services from CRDITSA.

By March 2023, a letter confirming your child's orientation will be sent to you by email, or by mail if we do not have your email. Until then, if you have any questions or concerns about your child's orientation on the waiting list, you can call 450-622-4478 # 63530 or write to support.ditsadp.youth. cissslav@ssss.gouv.qc.ca.

Children awaiting diagnostic evaluation, remain pending on a single list. However, obtaining a diagnosis is no longer required to receive services in either of our trajectories. If the confirmation of a diagnosis becomes a priority, the workers will discuss it with you, as well as the different options that could apply.

YES. By March 2023, a new waiting confirmation letter will be sent to you by email or by post if we do not have your email.

Shortly before the start of the services, you will receive an invitation to participate in a meeting with parents so that we can present our services to you, then a worker will call you to discuss your needs and to set up an initial meeting. It is possible that the services for which you are waiting for do not involve a parent meeting. In this case, a worker will communicate directly with you.

By the beginning of March 2023, you should have received by email (or by post if we do not have your email) a letter by which we will inform you on which waiting list your child has been placed on.

If in March 2023, you have not received a call from us or a new confirmation letter, please contact us by email at the following address: Acces-serv-ped.DITSADP.cissslav@ssss.gouv.qc .ca

You must first ask your questions to the professional assigned. They should be able to reassure you and answer most of your questions. If not, or if his explanations raise questions that are not immediately answered, he can inquire and get back to you later.

The assigned professional should be able to answer these two questions and explain to you what is coming for your child. If not, or if his explanations raise questions that are not immediately answered, he can inquire and get back to you later.

IT'S A POSSIBILITY. If you and your child were receiving intervention services on an ongoing basis (e.g., weekly, monthly, etc..), without interruptions or scheduled breaks during the year, it is very likely that your services will be offered differently in the new trajectories, unless your child's special needs require ongoing services (refer to question #4).

Depending on the needs of your child and his family, the interruption or end of his services will be planned with you. The purpose of a break might be for you and your child to practice the strategies you have been taught. For another family, the break could allow their teenager to focus all their energies on their new summer job, or to breathe a little when they are going through major changes (e.g. moving). If the needs are still present after the break or the implementation of the strategies, a new service episode could start again.

Your assigned professional should be able to discuss with you what is coming up for you and your child. If not, or if his explanations raise questions that are not immediately answered, he can inquire and get back to you later.

Some programs in our direction are already offering their services in episodes (e.g.: blocks of 6 meetings in speech therapy). If this is what you are currently receiving and your episode of service began before January 29, 2023, it will not be cut short due to the reorganization of services. We will also do our best to complete your last meetings with your current professional. You may share your concerns with him. If you have questions that are not immediately answered, he will be able to inquire and get back to you at a later date.

Services will continue to be offered at home, in the community or at the various service points of the CISSS de Laval. However, with the reorganization of services, some teams have been relocated. For example, if your child received services at the CRDITSA and was referred to the “language and communication” or “developmental” trajectories, it is possible that your meetings with certain professionals will take place at the Jewish Rehabilitation Hospital. We invite you to discuss this with your current professional. If you have questions that are not immediately answered, he will be able to inquire and get back to you at a later date.