Regulation - LGIC

School Health Professional Services

Regulation Number(s):
Bill or Act:
Home Care and Community Services Act, 1994
Summary of Proposal:
In the 2018-19 fiscal year, contracts administered by Local Health Integration Networks (LHINs) with service providers for physiotherapy services, occupational therapy services, and speech-language pathology services in publicly funded schools will transition from LHINs to Children's Treatment Centres funded by the Ministry of Children and Youth Services (MCYS). This is consistent with the implementation of the integrated delivery of rehabilitation services, which is part of the government's Special Needs Strategy.

The proposed amendments to the Regulation would remove physiotherapy services, occupational therapy services, and speech-language pathology services from the definition of "school health professional services" in section 5 of the Regulation, but only in relation to the provision of these services by LHINs in publicly funded schools. LHINs would continue to provide these services to children in private schools and children being home-schooled. The proposed amendment to the Regulation would be effective September 28, 2018. There would be no impact on the ability of LHINs to contract with service providers for services in private schools and to provide these services to children being home-schooled.

In 2014, the government launched the strategy to help children and youth with special needs receive the timely and effective services they need to fully participate at home, at school, and in the community, as they prepare to achieve their goals for adulthood. The strategy involves the MCYS, MOHLTC and the Ministry of Education (MEDU).

A key initiative of the Special Needs Strategy is the integrated delivery of rehabilitation services, specifically physiotherapy services, occupational therapy services and speech-language pathology services for children and youth from birth to school exit. Implementation involves transitioning responsibility for funding and delivery of previously LHIN-delivered services in publicly funded schools from MOHLTC to MCYS.

With the implementation of the Special Needs Strategy, children and youth with rehabilitation service needs and their families will have:

-A seamless service experience from birth to school exit, with no gaps in service as children transition to publicly funded schools or between service providers;
-Child, youth and family-centred service as parents and children/youth work together with service providers to set goals based on their individual needs and strengths;
-Access to a broad range of high quality interventions (classroom, parent training, educator consultation) in settings that are most appropriate to their needs, and as convenient as possible to families; and
-Continuous and consistent service throughout the calendar year regardless of who delivers them in the community.
Analysis of Regulatory Impact:
There are no anticipated administrative costs to business that will occur as a result of the proposed regulatory amendment.
Further Information:
Proposal Number:
Posting Date:
February 20, 2018
Comments Due Date:
March 19, 2018
Contact Address:
Ministry of Health and Long-Term Care
Home and Community Care Branch
1075 Bay Street, 10th Floor, Suite 1001
Toronto, ON
M5S 2B1
Comment on this proposal via email