Prior to commencing our initial program development
BRODIE Community & Residential Services Inc. sent
out a questionnaire to over 120 community agencies
in Durham. This questionnaire indicated that we were
coming to their community and welcomed their feedback
regarding existing programs and new initiates they
would like to see. The feedback received was very
informative as it was abundantly clear that the need
for our services were evident.
The following is an overall summary of the survey
results submitted based on a 60% response rate from
• Semi Independent Living was the most common current
trend in placement.
• Average age of both Male and Female service users
was 35 years old.
• Common reasons for placement were dual diagnosis
/ mental health, special needs, family breakdown,
parent client conflict, low income, demands of care.
• Common identified services that were lacking: Day
Programming for young adults and persons with disabilities,
mental health services and speech and language assistance.
• Presented concerns with repeat service users: lack
of appropriate services, communication breakdowns,
clients poor community judgment, and budgeting.
• On average Transitional Aged Youth have been somewhat
successful in securing Independent Living, as well
as somewhat have enough supports available for the
• 95% indicated that there were not enough services
available to Transitional Aged Youth.
• 90% indicated that Self Care Assessments were the
only assessment tool completed with current service
• 100% indicated that they would utilize a Day Program,
also indicating that many if not most are waitlisted.
It was also indicated that Life Skills / Independent
Living Preparation, Social / Recreational / Activity
Based programming would be most utilized. It was identified
that Day Programming would be beneficial on a Full
week basis, however would be utilized on an average
of 4 days per week, with 20% indicating they would
utilize the service for a combination of full and
half days. Having lunch, snacks and transportation
provided would be an incentive of accessing a Day
Program. Many also indicated that if transportation
was available they would be more likely to utilize
a Day Program.
• 95% indicated that there were not enough Day Program
/ Day Treatment options. The same percentage was identified
for not enough Respite Homes.
• Of the categories presented for being essential
for Day Treatment / Day Programming, consistently,
aromatherapy and pet therapy were the only 2 categories
that were identified as not being essential.
• Vocational Programs were the only identified program
that was included in current per diems.
• The overall top 5 areas that are looked at when
searching for a long term placement for an individual
1) Individualizing Care Plan and Programs offered,
2) Staff to client ratio,
5) Supports / Safety.
• The overall top 5 areas that are looked at when
searching for a Day Program for an individual are:
2) Realistic and adaptable programs including flexibility
for each individual,
3) Staffing consistency
4) Transportation and Lunch
5) Staff to client ratio.
• Overall current need areas / areas that require
more focus within agencies partnered with are as follows:
Cultural diversity and understanding, medication training
and accountability, behaviour management, accessible
locations, inconsistency in staff / staff turnover,
costs, education, overall programming for individuals
between 18-55 years with disabilities.
• Gaps in services were identified as being the following:
residential and day programs, long waiting lists,
clients remaining in hospital due to limited resources
and the overall continuum of care.
• Receiving assessment homes were indicated as being
non-existent or not applicable.
• The average response for having enough Outside Professionals
involved for the client indicated that it varied by
caseload, leaning towards not enough.
• The Outside Professionals involved in each clients
caseload were identified on average as Behaviour Therapist,
Psychiatrist, Neurologist, Physical Therapist, Individual
Counsellors (on occasion), Psychologist and Educational
Assistants. The professionals that were preferred
to be involved were Behaviour Therapist, Psychologist
and Physiotherapist. Fees for these services varied
by caseload to be included in the per diem.
• The identified client populations that were considered
to be the most underserviced were: behaviourally challenged,
dual diagnosed, mental health, physically disabled,
special needs, and ABI.
• The client populations that would benefit the most
from utilizing more community supports were; physically
disabled, behaviourally challenged, dual diagnosed,
mental health, ABI and senior citizens.
• Residential placement needs were identified for
the ABI, Physically disabled, behaviourally challenged
and mental health.
Of all agencies that participated in the survey (60%)
response rate, all requested the summary of results
and also indicated they would like to participate
in a survey of this nature in the future.