OTSLPQualitativeChild: care, health and development2026

Barriers and Innovations Towards Accessing an Autism Diagnosis in Rural Northern Ontario: A Qualitative Study.

Carly A Cermak, Jesiqua Rapley, Sherry Fournier and 1 others

PMID 41786458

WHAT IT FOUND

Families and clinicians in rural Northern Ontario described autism diagnosis delays from low autism awareness, confusing referral systems, travel and technology limits, and staffing shortages.

Shared information, community visits and culturally responsive assessment were described as facilitating access.

Key findings

01Participants described five themes: knowledge gaps, complex navigation, limited resources, staffing challenges, and interprofessional collaboration with culturally responsive care shaping autism diagnostic access.

02Parents described delayed referrals when physicians did not validate concerns if autism features were not evident during office visits.

03Interprofessional collaboration and culturally responsive care were described as facilitating the autism assessment process.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs

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What it does not show

The study is exploratory and qualitative, so it reports participant experiences rather than measured service outcomes. Findings reflect selected districts in Northern Ontario and may not transfer to other communities, resources, or funding models. Not all districts were equally represented, and fathers' experiences were not included.

Declared interests

The paper reports financial support from Empowered Kids Ontario. It does not report other conflicts of interest.

The easy way to misread this

Do not read the described collaboration, community visits, or culturally responsive assessment as evidence that these approaches improve autism diagnostic access. The study reports themes from interviews, not measured outcomes or causal effects.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →