Grandview Kids’ Extensive Needs Service is a new program offered in partnership with Holland Bloorview Kids Rehabilitation Hospital and is designed to provide intensive and coordinated wrap-around services to children and youth with complex and interfering behaviours. Eligible clients include children and youth whose needs are not being met by services currently available in Durham Region. This integrated pathway helps simplify the process for families with children and youth living with multiple medical, social, physical and developmental needs, so that they can receive highly personalized care closer to home.
Families participating in the program can connect to a team of professionals, including physicians, social workers, occupational therapists and behavioural consultants, who work together to provide tailored support based on the individual needs of the child or youth and their families.
Services are individualized, trauma-informed and can include:
- Adjusting medications
- Personalized behaviour therapy
- Social work, such as counselling for parents and caregivers
- Other specialized interventions to support children and youth to reduce challenging behaviours and treat underlying health concerns.
Holland Bloorview Kids Rehabilitation Hospital also partners with Michael Garron Hospital and Surrey Place to support clients and their families living in Toronto neighbourhoods. Services offered by Grandview Kids are provided in the Durham Region and are now open for referral.
If you have questions, please contact Joshua Theodore, Director, Clinical Services (Early Years), at Joshua.Theodore@grandviewkids.ca.
Eligibility Criteria
- Geographic criteria: Children and youth living in Durham Region.
- Age criteria: Newborn (0) to 18 years (inclusive).
- Diagnostic criteria:
- 12-month (approximate) history of severe interfering behaviours
- Six -month (approximate) worsening course of severe interfering behaviours
- The child or youth has received or is receiving community services, and needs are unmet
- The child or youth has had three or more providers and needs are unmet
- Presence of complex maladaptive/interfering, severe behaviours affecting safety
- Presence of co-occurring neurodevelopmental, physical, medical or mental health conditions
- May have immediate or at-risk safety concerns (self/others) and significantly impaired functioning that is a barrier to engagement at home, school or in the community
- May have significant caregiver or family complexities (e.g., period of significant transition and change, finances and financial pressures, language or cultural barriers, family capacity or living arrangements)
Referral Process – How to access Grandview Kids Extensive Needs Service
Only physicians and nurse practitioners can complete referrals to the Extensive Needs Service.
Physicians and Nurse Practitioners: Click here to refer a child or youth to Grandview Kids’ Extensive Needs Service via Ocean eReferral. Please specify that you are referring to the “Extensive Needs Service” within Ocean.
About Ocean eReferral
Ocean eReferral digitizes the paper-based fax referral process of requesting care, service and support from a healthcare provider. Ocean eReferral is available to health service providers in Ontario free of charge as part of the Ontario Ministry of Health-funded Ontario eServices Program. This new process improves the efficiency of the referral process.
For all general inquiries, information on additional resources, or to speak with a team member about making a referral or eligibility criteria, please visit our Referral Page. Our Service Navigation team will happily answer your questions and connect your child or youth with the appropriate services to meet their needs.
New to Ocean eReferral?
Click here to learn more about Ocean, how to create an account and how to submit an eReferral.
Frequently Asked Questions
Which organizations are leading the implementation of Extensive Needs Services across Ontario?
In 2023, the Ontario government announced its investment into a new program at Holland Bloorview, the Children’s Hospital of Eastern Ontario and McMaster Children’s Hospital to support children with extensive, urgent and co-occurring medical, physical and developmental complexities and/or social vulnerabilities. It’s called the Extensive Needs Service.
How is the program funded?
The program is funded by the Ministry of Health and the Ministry of Children, Community and Social Services (MCCSS).
What is the cost?
There is no cost for families enrolled in the program.
Can I refer myself or someone I know to this program?
Referral by a physician or nurse practitioner is required. Please refer to the Extensive Needs Service eligibility and referral information detailed at the top of the page before initiating a referral.
How were Holland Bloorview’s partners selected?
Data shows that both the Durham Region and parts of east Toronto have a high concentration of children, youth and families who need this essential service.
By partnering with Grandview Kids, located in the Durham Region, and Michael Garron Hospital, based in east Toronto, families currently receiving care from those health-care institutions can access this critical service closer to home now.
Holland Bloorview’s partnership with Surrey Place will provide seamless access to service through specialized coordinated service planning for children, youth and families currently receiving care through Holland Bloorview’s Extensive Needs Service program.
Extensive Needs Service Tri-Agency Lead Partners
