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Community Living British Columbia (CLBC) is a provincial crown agency of the provincial government of British Columbia.
CLBC is accountable to the provincial government of British Columbia through the Minister of Social Development and Social Innovation. CLBC is mandated under the Community Living Authority Act [1] to provide a range of supports and services for adults with developmental disabilities, or adults with fetal alcohol spectrum disorder, and autism spectrum disorder adults who have significant challenges in daily living. CLBC currently supports more than 13,000 individuals with developmental disabilities.
CLBC is governed by a board of directors which are appointed according to the provisions of the Community Living Authority Act. The board of directors, the CEO and CLBC executive govern CLBC in accordance with corporate governance best practice and in accordance with the provisions of the enabling legislation, the Community Living Authority Act and other legislation applicable to CLBC. The Board chair is the key link between government and CLBC, and advises the Minister of Social Development and Social Innovation on issues that materially impact CLBC business or the Minister's interests, and accountabilities. The Board guides senior management's implementation of CLBC's service delivery model.
CLBC was incorporated July 1, 2005 and assumed the policy, budgetary, contractual and operational responsibility for the delivery of community living services to children with special needs and adults with developmental disabilities and their families.
On April 1, 2009, policy and budgetary responsibility for all community living services to children with special needs was transferred to the Ministry of Children and Family Development (MCFD) and on October 31, 2009, full operational and contractual responsibility for these services was assumed by the MCFD including the transfer of the related regional staff and support infrastructure. In February 2010 CLBC introduced a new program called the Personalized Supports Initiative. The Personalized Supports Initiative provides services to adults who do not have a developmental disability but have significant limitations in adaptive functioning and have a diagnosis of either fetal alcohol spectrum disorder or autism spectrum disorder.
CLBC provides its program services through contractual arrangements with individuals and non-profit and private agencies throughout the province, through direct funding to families, and through the operation of the Provincial Assessment Centre. Management of CLBC's contractual relationships and the planning and support for individuals and their families is conducted through offices in eleven Quality Service areas and seventeen Community Living Centres distributed around the province of BC, supported by corporate offices in Vancouver.
CLBC has an operating budget of approximately $825 million. [2] 93% of CLBC's expenditures go toward contracted and direct program services to supported individuals.
Funding for CLBC operations is provided by contributions from the Province of British Columbia, recoveries from MCFD for expenditures on staff and services to support children with special needs, recoveries from health authorities relating to supported individuals with health related issues and miscellaneous income and recoveries.
The Community Living Authority Act mandates that CLBC not operate at a deficit without the prior approval of the Minister.
Asperger syndrome (AS), also known as Asperger's syndrome or Asperger's, is a term formerly used to describe a neurodevelopmental condition characterized by significant difficulties in social interaction and nonverbal communication, along with restricted, repetitive patterns of behavior and interests. Asperger syndrome has been merged with other conditions into autism spectrum disorder (ASD) and is no longer considered a diagnosis. It was considered milder than other diagnoses which were merged into ASD due to relatively unimpaired spoken language and intelligence.
The diagnostic category pervasive developmental disorders (PDD), as opposed to specific developmental disorders (SDD), was a group of disorders characterized by delays in the development of multiple basic functions including socialization and communication. It was defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM), and the International Classification of Diseases (ICD).
Developmental disorders comprise a group of psychiatric conditions originating in childhood that involve serious impairment in different areas. There are several ways of using this term. The most narrow concept is used in the category "Specific Disorders of Psychological Development" in the ICD-10. These disorders comprise developmental language disorder, learning disorders, developmental coordination disorders, and autism spectrum disorders (ASD). In broader definitions, attention deficit hyperactivity disorder (ADHD) is included, and the term used is neurodevelopmental disorders. Yet others include antisocial behavior and schizophrenia that begins in childhood and continues through life. However, these two latter conditions are not as stable as the other developmental disorders, and there is not the same evidence of a shared genetic liability.
Pervasive developmental disorder not otherwise specified (PDD-NOS) is a historic psychiatric diagnosis first defined in 1980 that has since been incorporated into autism spectrum disorder in the DSM-5 (2013).
The neurodiversity paradigm is a framework for understanding human brain function that recognizes the diversity within sensory processing, motor abilities, social comfort, cognition, and focus as neurobiological differences. This diversity falls on a spectrum of neurocognitive function. The neurodiversity paradigm argues that diversity in human cognition is normal and that some conditions generally classified as disorders, such as autism, are differences and disabilities that are not necessarily pathological.
The following outline is provided as an overview of and topical guide to autism:
Developmental disability is a diverse group of chronic conditions, comprising mental or physical impairments that arise before adulthood. Developmental disabilities cause individuals living with them many difficulties in certain areas of life, especially in "language, mobility, learning, self-help, and independent living". Developmental disabilities can be detected early on and persist throughout an individual's lifespan. Developmental disability that affects all areas of a child's development is sometimes referred to as global developmental delay.
Neurodevelopmental disorders are a group of mental conditions affecting the development of the nervous system, which includes the brain and spinal cord. According to the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, (DSM-5) published in 2013, these conditions generally appear in early childhood, usually before children start school, and can persist into adulthood. The key characteristic of all these disorders is that they negatively impact a person's functioning in one or more domains of life depending on the disorder and deficits it has caused. All of these disorders and their levels of impairment exist on a spectrum, and affected individuals can experience varying degrees of symptoms and deficits, despite having the same diagnosis.
Autism therapies include a wide variety of therapies that help people with autism, or their families. Such methods of therapy seek to aid autistic people in dealing with difficulties and increase their functional independence.
The Ministry of Children and Family Development (MCFD) is a ministry of the government of British Columbia in Canada. The MCFD is responsible for the child protection service across the province and is provided through 429 ministry offices in 5 regions and a number of delegated Indigenous agencies. The child protection staff are supported by the provincial office of the Child Protection Division.
Challenging behaviour, also known as behaviours which challenge, is defined as "culturally abnormal behaviour(s) of such intensity, frequency or duration that the physical safety of the person or others is placed in serious jeopardy, or behaviour which is likely to seriously limit or deny access to the use of ordinary community facilities". "Ordinarily we would expect the person to have shown the pattern of behaviour that presents such a challenge to services for a considerable period of time. Severely challenging behaviour is not a transient phenomenon."
Societal and cultural aspects of autism or sociology of autism come into play with recognition of autism, approaches to its support services and therapies, and how autism affects the definition of personhood. The autistic community is divided primarily into two camps; the autism rights movement and the pathology paradigm. The pathology paradigm advocates for supporting research into therapies, treatments, and/or a cure to help minimize or remove autistic traits, seeing treatment as vital to help individuals with autism, while the neurodiversity movement believes autism should be seen as a different way of being and advocates against a cure and interventions that focus on normalization, seeing it as trying to exterminate autistic people and their individuality. Both are controversial in autism communities and advocacy which has led to significant infighting between these two camps. While the dominant paradigm is the pathology paradigm and is followed largely by autism research and scientific communities, the neurodiversity movement is highly popular among most autistic people, within autism advocacy, autism rights organizations, and related neurodiversity approaches have been rapidly growing and applied in the autism research field in the last few years.
Intellectual disability (ID), also known as general learning disability and formerly mental retardation, is a generalized neurodevelopmental disorder characterized by significant impairment in intellectual and adaptive functioning that is first apparent during childhood. Children with intellectual disabilities typically have an intelligence quotient (IQ) below 70 and deficits in at least two adaptive behaviors that affect everyday, general living. According to the DSM-5, intellectual functions include reasoning, problem solving, planning, abstract thinking, judgment, academic learning, and learning from experience. Deficits in these functions must be confirmed by clinical evaluation and individualized standard IQ testing. On the other hand, adaptive behaviors include the social, developmental, and practical skills people learn to perform tasks in their everyday lives. Deficits in adaptive functioning often compromises an individual's independence and ability to meet their social responsibility.
Classic autism, also known as childhood autism, autistic disorder, (early) infantile autism, infantile psychosis, Kanner's autism, Kanner's syndrome, or (formerly) just autism, is a neurodevelopmental condition first described by Leo Kanner in 1943. It is characterized by atypical and impaired development in social interaction and communication as well as restricted, repetitive behaviors, activities, and interests. These symptoms first appear in early childhood and persist throughout life.
The Kennedy Krieger Institute is a nonprofit, 501(c)(3) tax-exempt, Johns Hopkins affiliate located in Baltimore, Maryland, that provides in-patient and out-patient medical care, community services, and school-based programs for children and adolescents with learning disabilities, as well as disorders of the brain, spinal cord, and musculoskeletal system. The Institute provides services for children with developmental concerns mild to severe and is involved in research of various disorders, including new interventions and earlier diagnosis.
The Barber National Institute is a nonprofit, multi-faceted organization that provides services to more than 5,400 children, adults, and families who are faced with autism, intellectual disabilities, and behavioral health challenges. The Institute's central facility was founded in 1952 and is located in Erie, Pennsylvania. The Barber National Institute now employs more than 3,000 staff members throughout the state.
The Family Movement, also known in the past as the Parent Movement, is an arm of the disability rights movement, a larger social movement. The Family Movement advocates for the economic and social rights of family members with a disability. Key elements include: social inclusion; active participation; a life of meaning; safety; economic security; accessibility and self-determination. The family movement has been critical in closing institutions and other segregated facilities; promoting inclusive education; reforming adult guardianship to the current supported decision-making; increasing access to health care; developing real jobs; fighting stereotypes and reducing discrimination.
Global developmental delay is an umbrella term used when children are significantly delayed in two or more areas of development. It can be diagnosed when a child is delayed in one or more milestones, categorised into motor skills, speech, cognitive skills, and social and emotional development. There is usually a specific condition which causes this delay, such as Cerebral Palsy, Fragile X syndrome or other chromosomal abnormalities. However, it is sometimes difficult to identify this underlying condition.
Autism, also called autism spectrum disorder (ASD), is a neurodevelopmental disorder characterized by symptoms of deficient reciprocal social communication and the presence of restricted, repetitive, and inflexible patterns of behavior. Autism generally affects a person's ability to understand and connect with others, as well as their adaptability to everyday situations, with its severity and support needs varying widely across the spectrum. For example, some are nonspeaking, while others have very proficient spoken language.
Michael J. Prince is a Canadian political scientist and public policy and administration scholar. Prince is the Lansdowne Professor of Social Policy at the University of Victoria in Canada.