Where you belong

My name is Chelsea Ganam. I’m the President of Monarch House, and I’m a mother. And when I meet with parents and your child’s extended support network, I’m continually impressed by the strength and dedication caring for individuals with diverse needs and exceptionalities like Autism requires. 

Working with the entire family is essential to me because your child is only one person within your family dynamic, which is constantly evolving in your daily lives. 

My life’s work has been focused on creating a community where you always feel safe, you are afforded the highest level of care and support, and your child feels like they belong - because you all do.

As a single parent, dealing with my son Ethan's complex behavioural needs felt incredibly isolating. I worried constantly about his future, his schooling, and if he'd ever find a place where he was truly understood. Monarch House didn't just provide the behavioural therapy that made a real difference in how Ethan managed his emotions and stayed focused; they actually extended that support to his school. Their team worked hand-in-hand with his teachers, making sure everyone was on the same page, which really helped Ethan do well academically and with his friends. Knowing there's a team of experts who celebrate Ethan for who he is and help him be his best self. It's been absolutely life-changing. We finally feel safe, supported, and like we genuinely belong.
- Michelle, Toronto, ON

Therapy From The Start

Engaging early for better outcomes.

As a national leader in autism services and support, Monarch House collaborates with your family to create an environment that sets the stage for long-term success.
Research shows that children receiving multiple types of early intervention significantly improve cognitive skills, language development, and adaptive behaviour.
This is because early therapy capitalizes on your child’s neuroplasticity - the brain's increased adaptability and responsiveness to interventions during a child’s rapid brain development. 
Children learn new skills and develop neural pathways to help them better manage their responses. As with any skill, the earlier children establish their routines, the better they will adapt to change.

Sharing Your Goals

Everything begins with an open and engaging discussion, allowing us to assess your family’s strengths and the goals you’d like to achieve.

It Takes a Family

Everyone Benefits

You’ll hear the word ‘interdisciplinary’ a lot at Monarch House. We recommend that all of our programs include multiple clinical disciplines whenever and wherever possible. 
Additionally, a team meeting or family update should be held quarterly at various time points, based on the intensity of your child's program (at a minimum).
We also emphasize that you should regularly review your child’s progress through the client session notes. We will debrief you in the lobby (or your home) during hand-off meetings. Based on your child’s program, you can track progress on your child’s goals through the Central Reach portal. 
The more we engage with your child’s stakeholders and support network, the more integrated the program, plan, and support will be. Communication and consistency are critical for your family’s success.

Interdisciplinary Strengths

Helping your child build skills across communication, behaviour, and daily living can reduce social isolation and enhance your child's ability to form meaningful relationships and build independence. Therapy and development happen in unison, so the more we can focus on a holistic program, the more opportunities your child and family have to grow together.

Through early therapy, including Applied Behaviour Analysis (ABA), Speech and Language Pathology (SLP) and Occupational Therapy (OT), children learn important life and social skills, such as:

  • Understanding social situations
  • Engaging in conversations
  • Expressing needs and wants effectively
  • Becoming more independent 
  • Regulating emotions and sensory input
  • Increase independence

A Shared Vision

Aligned From The Start

No one knows your child as deeply as you do. Their gifts and challenges are uniquely their own. And we believe that their strengths and traits are their superpowers. 
We are at our best when we align with your goals and apply our expertise and experience to create your personalized, multi-disciplinary program grounded in evidence-based care. This program builds on your family’s strengths and supports the people around your child.
You know your child best. We know how to meet them where they are and support your whole family along the way, preparing everyone for a successful journey of growth and learning.

Who We Are

Each Monarch House employee shares in the common belief that You Belong. We are a team of specialized, interdisciplinary experts whose singular focus is creating an environment where your entire family can learn, grow, and thrive.
Instead of a world filled with judgment and isolation, Monarch House offers curiosity, acceptance and encouragement. Being different isn’t something to be scorned; it’s a strength that requires focus and repurposing and deserves understanding and support.
Your children are free to be themselves, and you have access to a world of support, where you can feel lighter as you let go of society’s expectations of what a ‘good parent’ should be.
We see families who want to be heard, accepted, supported, and safe. At Monarch House, our commitment extends beyond your child to your entire family. We focus on building a strong family system by empowering parents with the capacity and skills to support their child and ensuring siblings have the support they need as well.

What We Do

Autism Diagnosis Assessment

Research is clear that the earlier you address delays, the better the outcomes will be for your child. If you are interested in having your child assessed for autism, our team of pediatricians and psychologists is here to help. A timely assessment can help you access early intervention. Contact us for more information.

Benefits Related to Autism Diagnosis Assessment:

  • Early Identification and Access to Early Intervention: The primary benefit is the timely assessment, which can lead to an earlier diagnosis of autism. Research strongly indicates that early intervention is crucial for better long-term outcomes for children with autism.
  • Reduced Uncertainty and Anxiety: For parents who suspect their child may have autism, a clear diagnosis can ease the stress of the unknown and bring clarity to your next steps.
  • Informed Decision-Making: A diagnosis provides families with the information needed to understand their child's unique needs and make informed decisions about their care and education.
  • Access to Specialized Services: An official diagnosis often unlocks access to specialized early intervention programs, therapies, and support services funded by the government or insurance.

Get answers sooner, reduce worry, and access the support your child needs to thrive.

Caregiver Mediated Interventions

Our clinicians are experts in early development and natural developmental behavioural interventions. We offer groups to help parents learn strategies to support their child’s communication, play, and independence.The group format also provides a safe space that promotes a supportive space where parents can connect, share experiences, and feel less alone in their journey.

Some of the Caregiver Mediated Interventions include:

  • Early Start Denver Model (ESDM): A play-based therapy that helps toddlers and preschoolers with autism build important skills like communication, social connection, and early learning. It’s gentle, engaging, and designed to feel like part of your child’s daily life and not a clinical session.
  • Project Impact: A parent coaching program that helps you build your child’s social and communication skills during everyday moments—like mealtime, playtime, or getting dressed. You’ll learn simple, proven strategies to connect more deeply, encourage language, and help your child engage with the world around them.
  • Pivotal Response Treatment (PRT): A flexible, play-based therapy that helps your child build social and communication skills in a natural way. Instead of structured drills, PRT follows your child’s interests - using activities they enjoy to teach motivation, independence, and meaningful interaction. It’s fun, engaging, and proven to make everyday learning stick.

Helping You Feel Less Alone and More Equipped:

  • Empowerment and Increased Confidence: Parents feel more confident and capable as they actively participate in their child’s progres
  • Peer Support and Reduced Isolation: The group format provides a valuable "safe space" for parents to connect with others who have similar experiences. This can normalize their journey, reduce feelings of isolation, and provide emotional support.
  • Shared Learning and Resources: Learn from others, share tips, and build a strong parent support network.

One-to-One Services

We work with each family to identify the services that best support their child and family. Our team of experts includes Speech-Language Pathologists (SLP), Occupational Therapists (OT), Behaviour Analysts (BCBA), Physiotherapists (PT), as well as psychotherapists and counsellors. Program options include parent coaching, clinician sessions with your child, or sessions delivered by a trained therapist with the plans developed and overseen by our licensed clinicians.

Benefits Related to One-to-One Services:

  • Highly Individualized Support: Services are tailored to your child’s unique needs and your family’s goals, ensuring the most relevant and effective interventions are provided.
  • Access to a Multidisciplinary Team of Experts: Benefit from the combined expertise of professionals in speech, behaviour, occupational therapy, mental health, and more.
  • Flexible Program Options: We offer various delivery models (parent coaching, clinician sessions with the child, therapist-led sessions with expert oversight), allowing you to choose the best fit for your family’s lifestyle and needs.
  • Targeted Skill Development: One-on-one therapy can address specific challenges in communication, sensory processing, behaviour, motor skills, and emotional regulation in a focused manner.
  • Parent Involvement and Education: Learn strategies and tools alongside your child to help reinforce progress at home.
  • Support tailored just for your child: Get a program built specifically around your child’s unique needs and your family’s goals.
  • Access To Many Experts: Benefit from a whole team of specialists - from speech to occupational therapy and more - all working together.
  • Flexible Options: Choose the type of support that best fits your family’s schedule, whether it’s parent coaching or direct sessions for your child.

Focused Skill-Building: Target specific areas like communication, sensory challenges, or behaviour with dedicated, individualized attention.

Group Services

While one-to-one sessions build essential skills, group programs bring them to life through peer interaction and real-world practice.
In our groups, children learn alongside peers, share experiences, and navigate real-time social interactions with guidance from skilled facilitators. Participating in group services is a meaningful milestone in your child’s progress, and an exciting stage in each child’s journey with Monarch House.

Examples of our group learning include:

  • Social skills, communication and vocabulary
  • Vocational and independent living
  • Gross motor and coordination groups
  • Fine motor and printing groups.

Benefits Related to Group Services:

  • Naturalistic Learning Environment: Children learn and grow in an environment that mirrors everyday life - making it easier to apply new skills outside of therapy.
  • Social Interaction and Peer Learning: Children can develop social skills, learn from their peers, and build friendships in a supportive environment.
  • Cost-Effective Option: Group services can be a more affordable way to receive therapy while still getting expert support.
  • Generalization of Skills: Children practice their skills in new settings, helping them transfer what they’ve learned to the real world.
  • Development in Specific Skill Areas: Groups focus on key areas like social communication, daily living, and motor development - tailored to your child’s needs.
  • Learn With Peers: Your child can practice skills and learn from others in a fun, natural social setting.
  • Build Friendships: Develop social skills and connections in a supportive environment.
  • Real-World Practice: Help your child use their new skills in a variety of situations beyond therapy.

Target Specific Skills: Focused groups help children develop in key areas like social communication, daily living, or motor skills.

Many children and families begin their journey with Monarch House with one-to-one sessions, building the foundational skills they need for success. As your child grows, our aim is to help them take the exciting next step into our group programs - the heart of our service model. Groups offer a rich setting designed for connection, confidence, and real-world learning. In groups, children have the opportunity to practice their skills alongside peers, make friends, and enjoy shared experiences, all within a supportive and structured environment. Reaching group service readiness is a milestone to celebrate - it reflects the progress your child has made and opens the door to new opportunities for challenge, growth, and connection.

Mental Health Support

Along with our professional services designed to support individuals and families with ASD, Monarch House also supports individuals of all ages in building emotional well-being. Regardless of the challenges and whether your child needs ongoing support or is learning to use strategies on their own, we provide custom-tailored programs and teaching tools for building healthy minds. 

It’s important to know that autistic children often experience higher rates of anxiety and depression than the neurotypical population? Teaching mindfulness strategies and coping mechanisms is an important way to help autistic individuals navigate the world as they grow.

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We help with the following:

  • Emotional Literacy
  • Talk therapy, including cognitive behavioural therapy
  • Creating routines for mental wellness
  • Body-based self-regulation strategies
  • Environmental support for emotional regulation
  • Family guidance plans to practice at home

Benefits Related to Mental Health Support:

  • Comprehensive Approach to Well-being: The clinic recognizes that mental health is crucial for individuals with ASD and their families, offering support beyond just behavioural and developmental interventions. 
  • Emotional Literacy Development: We help children understand, name, and express their feelings in healthy ways.
  • Evidence-Based Talk Therapy: Access to therapies like Cognitive Behavioural Therapy (CBT) or Acceptance and Commitment Therapy (ACT) can help reduce anxiety, depression, and emotional distress.
  • Strategies for Emotional Regulation: Children learn practical tools and techniques to manage their emotions in a healthy manner.
  • Environmental Modifications for Mental Wellness: We offer strategies to create calming, supportive spaces at home and in the community.
  • Family Guidance for Home Practice: Parents receive support and plans to reinforce mental wellness strategies at home.
  • Support for Individuals of All Ages and Abilities: Mental health support is tailored to the specific needs of individuals across their lifespan and varying levels of independence in emotional regulation.
  • Support For The Whole Person: Address emotional well-being alongside developmental goals for a complete approach.
  • Understand And Express Feelings: Learn tools to help your child recognize and communicate their emotions in healthy ways.
  • Develop Coping Strategies: Gain practical techniques to manage stress, anxiety, and big emotions.
  • Guidance For Families: Get plans and support to create a mentally healthy environment at home for everyone.

Monarch Academy: A School That Meets Your Child Where They Are

Some children thrive when learning looks a little different. Monarch Academy is a specialized school for school-aged children with autism and other neurodevelopmental differences, designed for families seeking asupportive, customized educational setting that integrates behavioural therapy with academic growth.

If your child hasn’t found success in a traditional classroom, Monarch Academy may be the right next step.

What makes Monarch Academy different:

  • Small class sizes for individualized attention (maximum ~8 students per class)
  • ABA-informed, modified curriculum that adapts to each learner’s needs
  • Supportive, inclusive environment where neurodivergent children feel respected and safe
  • Project-based, experiential learning that builds real-world understanding
  • Integrated life skills and pre-employment preparation
  • Flexible placement - ideal for children who need more structure, support, or behavioural integration during the school day

Monarch Academy is rooted in the same values as Monarch House: compassionate care, evidence-based practice, and support for the whole family.

Integrated Service Team

Each family is supported by a collaborative team, bringing together specialists from different fields to meet your child’s unique needs.
Our team of professionals that work together to address each child’s unique needs includes:

  •  Board Certified Behaviour Analysts (BCBAs) / Registered Behaviour Analysts (RBAs)
  • Speech-Language Pathologists (SLPs)
  • Occupational Therapists (OTs)
  • Physical Therapists (PTs)
  • Psychotherapists and Counsellors
  • Therapy Assistants, Instructor Therapists, and Behaviour Interventionists
  • Registered Psychologists
  • Pediatricians

Service Benefit Summary

In summary, Families who choose Monarch House expect benefits such as:

  • Early and accurate diagnosis leads to timely intervention.
  • Evidence-based therapies tailored to their child's unique needs.
  • Development of their child's essential communication, social, and daily living skills.
  • Increased independence and a better day-to-day life for your child.
  • Empowerment and skill-building for parents to support their child effectively.
  • A supportive community and reduced feelings of isolation through parent groups.
  • Access to a multidisciplinary team of experts.
  • Whole-family care that addresses developmental needs, mental health, and family well-being.

At Monarch House, we understand that beginning therapy for your family can feel overwhelming, emotional, and full of questions. That’s why we’ve designed a clear, consistent, and expert-led process from day one.

We are not a tutoring service nor a drop-in clinic - we are a centre of clinical excellence grounded in science, driven by outcomes, and centered around your entire family’s long-term progress.

What to Expect, Step-by-Step

1. Getting Started
From your first call or online booking, our streamlined intake process ensures our team reaches out within 24 hours. Within 1–2 weeks, your child is assessed, and services are underway. Simple, transparent, and efficient.

2. Assessment + Planning
We don’t treat your child in isolation. Your journey begins with a holistic, interdisciplinary assessment (where possible). We listen to your family’s needs and priorities. We consider what you’re able to manage, emotionally and practically. And we craft a therapy plan that aligns with your family's current situation and goals for the future.

3. Therapy Begins
Therapy at Monarch House is evidence-based, highly structured, and in multiple settings. Your child benefits from predictable routines, peer interactions, and access to the best clinical talent in the country.

You’ll hear from us often. Our clinicians share session notes and updates regularly, and our teams meet with you quarterly (at minimum) to review goals, track progress, and make adjustments based on your child’s evolving needs.

4. Progress & Plateaus
It’s important to realize that progress in therapy is not always fast or linear. It can be slow, hard to see, and emotionally demanding.

In the first year, many families see the most visible growth. After that, gains continue - just at a slower pace. 

This doesn’t mean services aren’t working. It means your child is learning foundational skills that take time to build and even longer to master. Have patience with the process.

5. A Long-Term Relationship
This isn’t a quick fix. We’re here for the long haul - supporting your family through transitions, sibling changes, school advocacy, and even your own growth as a parent.

Over time, your capacity to participate may shift — and that’s okay. Whether you’re all-in or simply trying to make it to appointments on time, we’ll meet you where you are. 

We ask that you keep us in the loop. Life changes? Tell us. That’s how we keep your child’s program effective and aligned.

Why Structure (and Consistency) Matters

At Monarch House, we follow structured service models because that’s what leads to the best outcomes. We try to maximize every opportunity we have with your child. It’s why we require regular attendance. It’s why we uphold standards around therapy frequency. And yes - it’s why we have a clear cancellation policy. 

Think of it like missing a swimming lesson. The instructor is still there, the pool is reserved, and the time was set aside just for your child. Therapy is no different - it’s a dedicated moment for learning and growth.

If your child misses a session, their clinical team still uses that time to plan, review progress, and adjust goals.

This structure allows us to:

  • Retain top-tier clinicians who know your child well
  • Deliver consistent, meaningful care
  • Collaborate in a stable, supportive setting where your child can thrive

At Monarch House, we believe in a true partnership. You are the expert on your child, knowing their unique personality, strengths, and challenges better than anyone else. We complement your deep knowledge with our clinical expertise, providing evidence-based therapy to help your child and family thrive. 

What We Ask From You

We take our responsibilities seriously. Your family’s progress, process and goals are foremost on our minds. We need your help and commitment as we support your journey. 

We ask:

  • Your child attends sessions regularly and on time
  • That you keep us informed of any major life changes or challenges
  • That you participate in progress reviews and planning meetings
  • That you stay open to the process - even when progress feels slow

     

As your family grows with us, we’ll invite you to take the next step - whether it’s parent coaching, strategy sessions, or using tools at home.

The more you engage in the process, the greater your child’s chances for lasting progress and confidence as they grow.

You’re Not Alone

We also offer:

  • Respite “Date Nights” - for you to rest, reconnect, or simply exhale
  • Support groups and info nights on practical topics like financial planning, mental health, and life transitions
  • Sibling support groups that help brothers and sisters feel seen, heard, and understood
  • Support through all the ups and downs - from the first word, to the first meltdown, to the first time your child gets invited to a birthday party

     

Your path won’t be straight. It won’t always be easy. But it will be worth it - and we’ll walk it with you.

Our integrated service team of experienced professionals is the driving force behind Monarch House's commitment to a family-first approach in autism care. We bring a wealth of expertise and a shared passion for making a meaningful difference in the lives of the families we serve. Learn more about the individuals who guide our mission, ensuring every family receives the support and guidance they deserve.

Leadership
Alberta
BC
Ontario
Leadership
Alberta
BC
Ontario
Admin staff
Burlington
Markham
Mississauga
Oakville
Toronto - North York
Toronto - Leaside
Waterloo
Whitby
Admin staff
Burlington
Markham
Mississauga
Oakville

Sidrah Karim
Clinic Manager, RBA

Sidrah has been with Monarch House for 9 years in various roles, such as Research Assistant, Supervised ABA Therapist, Lead Therapist, Behaviour Analyst, and Clinic Manager. She have experience with a variety of age ranges and diagnoses and have supported within clinic settings and school-based settings. She is passionate about supporting families and their children in a holistic and collaborative approach to ensure goals are relevant, impactful, and significant.

Amanda Thompson
RBA

Amanda is a Registered Behaviour Analyst and ABA Therapist Supervisor at our Oakville clinic. Amanda spends her time overseeing learners in 1:1 and group settings, as well as providing day-to-day support and guidance to ABA Therapists. Joining Monarch House in September 2020, Amanda has held various roles, moving from ABA Therapist, to Lead Therapist, and now, since receiving her master's degree from Western University in August 2024, a Registered Behaviour Analyst.

Arathi Soundaraj
SLP

Arathi is a licensed and experienced Speech-Language Pathologist with over five years of clinical experience working with pediatric, adult, and geriatric populations presenting with a variety of communication and language disorders.

She holds a Master’s degree in Audiology and Speech-Language Pathology, which has provided her with a strong foundation in both the assessment and management of speech, language, hearing, and communication disorders.

She has served as a Clinical Supervisor in an outpatient setting, where she was responsible for delivering comprehensive, evidence-based assessment and intervention services. In this role, she worked collaboratively with interdisciplinary teams to ensure holistic and high-quality care. Additionally, Arathi has played an active role in training both undergraduate and postgraduate students to deliver competent and ethical services. Since 2025, Arathi has been a registered SLP at Monarch House, where she primarily supports children with speech and communication difficulties. She is also deeply passionate about helping adults navigate and overcome communication disorders, ensuring they receive the guidance and care they need to thrive.

Catherine Rinaldi
OT

Catherine is a Pediatric Occupational Therapist with a passion for helping children thrive in their everyday lives. For the past two years, she has been working in private pediatric care, supporting kids in building the skills they need for greater independence, confidence, and joy.

In sessions, she focuses on fine motor skills, gross motor skills, and activities of daily living, always tailoring her approach to each child’s unique strengths, interests, and needs. Her goal is to create a supportive, fun, and empowering environment where each child feels motivated to learn and grow. She also works closely with families to provide strategies, accommodations, and practical tools that make a difference in daily routines—both at home and in the community.

Outside the clinic, she can be found playing soccer, diving into a good book, or spending time outdoors.

Grace Demerling
Psychotherapist

Grace is a Registered Psychotherapist supporting all neurotypes! Her goal as a Psychotherapist is to help clients try new ways to cope with distress while also exploring themselves- not to change what makes them different. She holds a MA in Counselling Psychology from the University of Western Ontario as well as a MA in Educational Psychology (specialized in Special Education) from the University of Victoria. Grace is  passionate about creating a supportive and safe environment for neurodivergent kids, teens, and adults, where her clients' goals and strengths are centered in her practice.

Natalie Barker
RBA

Natalie Barker is a Registered Behaviour Analyst (ON) and BCBA with extensive experience supporting individuals with Autism and developmental disabilities through the lifespan. Over the years, Natalie has worked in a variety of clinical and leadership roles, with a focus in skill acquisition and the assessment and treatment of complex behavioural needs. She began her journey in ABA delivering intensive behavioural intervention to young children and youth with Autism Spectrum Disorder. Since then, she has worked across a wide variety of settings including in-home, school, community and group living environments. Natalie brings a wealth of knowledge in functional behavioural assessment and functional analysis of challenging behaviours. Her work is rooted in evidence-based practices and a strong passion for helping individuals with complex needs thrive. She has also previously contributed to the development of Ontario Scientific Expert Task Force for the Treatment of Challenging Behaviour (OSETT CB, 2019) a report by ONTABA for caregivers and other stakeholders who play a role in supporting individuals with complex behavioural needs. Most recently, Natalie’s professional interests have expanded to explore the intersection between sleep and behaviour. When she is not supporting individuals and caregivers in achieving their ABA goals she spends all of free time with her husband and two kids.

Teija Opitz
RBA

Tejia is a Registered Behaviour Analyst (RBA) who has been certified since 2021. They began their journey in the field of Applied Behaviour Analysis in 2018 at Monarch House, starting as a practicum student. Dedicated to the field of Applied Behaviour Analysis, they were happy to be hired as an Instructor Therapist and progressed to a Lead Therapist role until ultimately becoming a Behaviour Analyst. They are also an Ontario Certified Teacher (OCT), with a background in Child and Youth Studies as well as Education. With experience supporting children and youth, they have worked with individuals with a wide range of diagnoses, such as Autism Spectrum Disorder, Intellectual Disabilities, Down Syndrome, and Cerebral Palsy. Clinical interests include the assessment and treatment of stereotypy, development of daily living skills, navigating the complexities of puberty in neuro-diverse populations, and supporting functional communication through Augmentative and Alternative Communication (AAC) systems. They are passionate about creating individualized, evidence-based programs that promote independence and meaningful engagement in all areas of life. In their spare time, they enjoy being outdoors going for hikes with their dog, sailing on their boat, kayaking through the lakes, and cozying up with a good book.

Toronto - North York
Toronto - Leaside
Waterloo
Whitby

Family Activities & Scheduled Breaks

At Monarch House, our family-oriented approach includes planned events and dedicated breaks for parents and the primary caregivers.

When you need a few hours for yourselves - to rest, attend appointments, spend time with friends, or simply reconnect with each other - whatever the reason, Monarch House is a welcoming, safe place to leave your child.

Many clinics offer a wide range of events and opportunities, including: 

  • Halloween Socials & Trick-or-Treat Coaching - fun seasonal events with extra support for sensory or social challenges
  • Family Fun Days - casual gatherings to connect with other families and celebrate progress together
  • Friday Night Drop-Ins - evening respite sessions so parents can enjoy a few hours to themselves
  • Parent Appreciation Week - a week of small celebrations and scheduled breaks just for you

Check your clinic’s calendar for upcoming activities and registration details.

Calgary
Abbotsford
Burnaby
Coquitlam
Langley
Surrey
Burlington
Markham
Mississauga
Oakville
Toronto
Waterloo
Whitby

Running a Little Late? Here's What to Expect

We understand that life with children can be unpredictable, and sometimes, despite your best efforts, you might run a few minutes behind schedule. Our priority is always to provide the best possible care for every child and family.

If you arrive late for your appointment, please know that we'll still do our best to make the most of the remaining time. However, to ensure fairness and maintain the flow for all families visiting us, your session will still need to end at its originally scheduled time. This means your child might not receive the full amount of valuable therapy time we've set aside specifically for their needs.

We also want you to be aware of the ripple effect lateness can have. Our clinic operates on a carefully planned schedule, and a late arrival can sometimes impact subsequent appointments. This can, in turn, contribute to increased stress for other parents waiting, for our dedicated staff who are trying to keep everything running smoothly, and even for other children in the clinic.

We appreciate your understanding and efforts to arrive on time. It truly helps us provide a calm, supportive, and efficient environment for everyone.

Understanding Our Cancellation Policy.

At Monarch House, we deeply value the trust you place in us to support your child's development. Our goal is to provide consistent, high-quality care, and our cancellation policy is in place to help us achieve that for all families.

If an appointment is cancelled or if you miss an appointment entirely, it will be considered a missed appointment, and you will be charged the full fee for that session.

Here's why this policy is so important:

  • Dedicated Expertise: Every session reserves time with a specific team member, scheduled just for your child - whether it's a Speech-Language Pathologist, Occupational Therapist, Behaviour Analyst, or Psychotherapist. This ensures that the expert is ready and available exclusively for your child. 
  • Impact on Other Families: There is typically a waiting list for many of our services. A missed appointment means that another child, who is also waiting for crucial support, misses an opportunity to receive care. Our goal is to serve as many families as effectively as possible.
  • Continuity of Care: Consistent attendance is key to your child's progress. Regular sessions build momentum and reinforce learning, leading to better outcomes.

We understand that unforeseen circumstances can arise, and we always aim for empathy and flexibility where possible. We encourage you to communicate with us as soon as you know there is a challenge, so we can work together. 

Shared Expectations

Our Agreement to Each Other 

Expectations of you as clients

Aside from timeliness & being actively involved in your child’s progress, these are a list of essential actions that will lead to better outcomes for your child:

  • Consistency in attending services.
  • Communicating your various needs across settings and stakeholders (e.g., school, community).
  • Communicating about stressors, changes in family dynamics, and living situations.
  • Working with us to regularly review and update goals as your child grows and your family’s needs evolve.

When we first brought Sarah to Monarch House, I was completely drained. The daily meltdowns, the communication barrier—it felt like we were living in a constant state of chaos. We had tried other therapies, and honestly, I was cynical. I thought we were just signing up for another round of disappointment. Her care team was so patient, but it was hard for me to believe that anything would truly change. We’d had so many false starts.

The progress wasn't a straight line. There were days she refused to use the picture cards, and I’d feel that familiar sense of hopelessness. But we kept at it, following the care team’s advice and using the picture exchange system at home. Then came that incredible day when she pointed to the park and said, "Slide." It was the first time she had ever said a word, and I just broke down in tears. She's now able to communicate with us using a tablet, and the meltdowns are so much less frequent. We can finally go out as a family and enjoy simple things again. It wasn't easy, but sticking with the program at Monarch House gave us our daughter back.

Vicky ZhangBurnaby

I remember the feeling of helplessness when Daniel's sensory issues dictated our lives. The sound of a leaf blower outside could send him into a panic, and finding clothes he would tolerate was a daily battle. School was a constant struggle. We felt so isolated, and it was heartbreaking to see our son so anxious and withdrawn. When we began working with the care team at Monarch House, I was hopeful but also cautious. I wasn't sure if anyone could truly understand what we were going through.

The journey was marked by small steps, rather than big leaps. There were times when we felt like we were backsliding, like when he had a meltdown over a new texture we introduced. But the care team’s Behavioural Analyst reminded us that these were expected bumps in the road, not failures. She helped us create a "sensory diet" for him and gave us tools to use at home and school. Now, he’s not just tolerating new things; he's enjoying them. He’s in gym class and has even started making friends. I still get emotional thinking about how far he's come.

Milana HorvatOakville

Mornings with Maya were pure chaos. Getting her dressed and ready was a marathon of frustration and tears—mostly mine. Mealtime was a mess, and I worried constantly about how she would ever be independent. The thought of her starting kindergarten filled me with dread. When we met our care team at Monarch House, I was so relieved to find Occupational Therapists who not only understood our struggles but also had a clear plan. However, I was also so tired of trying new things that I was worried this would just be another thing that didn't work.

The first few weeks were a challenge. We had to be incredibly consistent, and there were days when Maya would just refuse to cooperate. It took so much patience and a lot of repetition. Our Monarch House care team kept encouraging us to celebrate every tiny success, and we did. We'd cheer for a successful tooth-brushing or for her putting her socks on the right way. Now, Maya dresses herself, brushes her teeth, and eats with a fork and spoon. She has a sense of pride and confidence that she didn't have before. The road wasn't smooth, but every effort was worth it. Watching her get ready for kindergarten now, I feel nothing but pride and gratitude for sticking with Monarch House.

Priya JainToronto

Success Has Many Authors

No single person, clinic, or expert can have all the answers. Supporting your child and family is an ongoing journey - not a one-time solution. We’ve built a growing video library that answers common questions, offers expert advice, and supports you through every step of your journey.

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Video Library

Never Be Afraid to Ask

Your questions help us prepare, plan, and support you better—so you feel confident and informed at every stage of your parenting journey.

FAQs 

Here are answers to some of the frequently asked questions we hear from parents, designed to give you a deeper understanding of how we operate and why we do things the way we do at Monarch House.

That’s one of the most common questions we hear - and the honest answer is, it depends. Our goal isn't just to provide services indefinitely, but to equip your child and your family with the skills and tools you need to thrive independently. The duration of service really depends on your child's individual needs, their specific goals, and how quickly they achieve them. We'll work closely with you through regular progress reviews to discuss your child's journey and make informed decisions about their ongoing support. It's about finding that balance that empowers your child while ensuring they get the comprehensive support they need for as long as it's truly beneficial.

Each service model at Monarch House is designed with specific goals in mind to best support your child and family:

  • Early Start Denver Model (ESDM) or Project IMPACT Parent Group: These groups are designed to empower you - offering practical, evidence-based strategies to support communication, play, and independence. We teach you practical, evidence-based strategies to help your child with communication, play, and independence skills in your daily life. It's also an excellent space to connect with other parents, share experiences, and realize you're not alone. The purpose is to build your confidence and give you the tools to support your child directly at home.
  • One-to-One Services: This is where we offer highly individualized, intensive support. When a child needs really focused attention on specific skills, whether it's related to speech, occupational therapy, or behaviour, these sessions provide a tailored program. It allows our credentialed experts to work directly with your child, or to coach you as parents, creating a customized plan that targets their unique needs in a very precise way.
  • Group Services: Group services give your child the chance to apply skills in real-life social situations - building friendships, communication, and confidence. While one-to-one is crucial for foundational skills, group settings allow children to practice and generalize those skills with their peers. This is where they learn to socialize, communicate in a group, and apply what they've learned in a more dynamic setting. It helps them build friendships, understand social cues, and gain confidence in interacting with others, making it a vital step in their development.

It's a great question, as assessments serve different but equally crucial purposes:

  • Diagnostic Assessment: This is the initial step if you're seeking to understand if your child meets the criteria for an autism diagnosis. Our team of pediatricians and psychologists conducts a thorough evaluation using standardized tools. The primary purpose is to provide clarity and a formal diagnosis, which is essential for accessing early intervention services and specialized support, as well as providing you with peace of mind and direction.
  • Treatment Planning Assessment (or Functional Assessment): Once a diagnosis is made, or if your child already has a diagnosis, this type of assessment helps us understand your child's specific strengths and challenges in detail. Our therapists will observe your child in various settings, analyze their skills across different developmental areas (like communication, social skills, daily living), and understand the function of any challenging behaviours. The purpose here is to gather the precise information needed to create a truly individualized and effective treatment plan, setting measurable goals that are meaningful for your child and family.

While an initial diagnostic assessment provides a label, a new or repeated assessment when starting services helps us ensure the treatment plan is perfectly tailored to your child right now. Children grow and change rapidly, and their needs evolve. A current assessment allows us to:

  • Capture their most current skills: Your child grows and changes quickly - what was true six months ago may no longer reflect their current needs. We need to know exactly where your child is currently to build on their existing strengths.
  • Identify precise targets for intervention: We look beyond the diagnosis to pinpoint specific areas where your child needs support and growth.
  • Measure progress accurately: Having a baseline from a fresh assessment allows us to objectively track how well your child is progressing in our programs.
  • Ensure highly individualized care: A current assessment helps every member of your care team work from the same up-to-date picture of your child.

Your involvement is absolutely vital—it's the cornerstone of effective intervention and lasting progress. We view you as the most important members of your child's team. Here's why:

  • Consistency is key: What your child learns here needs to be reinforced at home and in other environments. When you're involved, we can ensure consistent strategies are used across all settings, which helps your child generalize skills faster and more effectively.
  • You're the experts on your child: No one knows your child like you do. Your insights into their preferences, history, and daily routines are invaluable in creating truly meaningful and effective treatment plans.
  • Empowerment: We want to equip you with confidence and tools to support your child’s journey - at home and beyond. Our parent coaching and group programs aren't just for your child's benefit, but for yours, helping you navigate challenges and celebrate successes with greater ease.
  • Long-term success: Our aim is for your child to thrive independently. Your active participation helps build a strong foundation for their ongoing development long after they may transition from our direct services.

With so much advice online, it’s natural to feel unsure. But there’s an important difference between strategies backed by science, and those that simply sound good.

  • Evidence-Based Treatment: At Monarch House, we use evidence-based therapies - meaning they’ve been rigorously studied, peer-reviewed, and proven effective for children with autism.. Our team relies on interventions like Applied Behaviour Analysis (ABA), Speech-Language Pathology, Occupational Therapy, and Physiotherapy, which have a strong body of research supporting their efficacy. It's about using approaches that have demonstrated real, measurable positive outcomes, not just anecdotal success.
  • New Fads or Social Media Information: Online tips can seem promising, but they often lack the scientific backing and safety evidence needed to guide meaningful progress. Some can even delay the right care. Relying on unproven methods can not only be ineffective. Still, it can sometimes be harmful, wasting valuable time and resources that could be spent on strategies that truly make a difference for your child. At Monarch House, we are committed to providing the highest level of care, which means sticking to what the science tells us works.

In fairness to your child, other children and staff, sessions should be canceled if your child shows new or worsening symptoms of illness. Signs of illness include, but are not limited to, fever, cough, congestion, diarrhea, and vomiting. 

Sessions should continue to be cancelled until symptoms are improved (e.g., residual cough following resolution of other symptoms) or resolved, and for a minimum of 24 hours after diarrhea and vomiting last occurred. 

In the event of a region-specific health advisory, Monarch House will provide further communication if further precautions are required.

We understand that life happens, and sometimes appointments need to be cancelled. However, charging for cancelled appointments is a standard practice in specialized care for a few key reasons:

  • Staff Time and Availability: Our highly skilled therapists dedicate their time specifically to your child's scheduled session. When an appointment is cancelled, that time slot is very difficult to fill with another family, meaning the therapist's time goes unutilized.
  • Continuity of Care: Consistent therapy is vital for your child's progress. Cancellations can disrupt the flow of their learning and make it harder to achieve their goals effectively. 
  • Operational Costs: Like any specialized service, we have operational costs to maintain our facilities, resources, and expert team. Cancellation policies help ensure we can continue to provide high-quality services to all families.

Our policy aims to balance understanding with the necessity of maintaining a sustainable service model that benefits all children in our care.

We know waiting can be hard - especially when you’re ready to get started. Here’s why it sometimes takes time:

  • Matching Expertise: We carefully match each child with the right therapist for their needs, which can take coordination - especially with a multidisciplinary team.
  • Therapist Availability: Our therapists have full schedules, and we work to integrate new clients into existing timetables while ensuring everyone receives consistent, quality care.
  • Customized Planning: Each program is custom-tailored. Before services begin, our team often needs to review assessments and collaborate internally to create the most effective initial plan, which adds to the intake timeline.
  • Ensuring Quality: Our priority is always to provide the highest standard of care. This means taking the necessary time to ensure all logistical and clinical elements are perfectly aligned before we begin.

We understand that building a strong connection with your child's team is so important, and sometimes, a change might be needed. If you ever have concerns or feel that a different team member might be a better fit, we encourage you to:

  1. Speak with your current team lead or primary clinician: They are your first point of contact and can often address concerns or facilitate a smooth transition.
  2. Contact your clinic manager: They are there to listen, understand your needs, and help navigate any changes.
  3. Collaborative approach: We believe in open communication. We'll work with you to understand the reasons for the request and find a solution that best supports your child's progress and your family's comfort, aiming for a seamless transition. Our goal is always for your child to feel safe and connected to their support network.

Measuring progress is fundamental to our approach at Monarch House. We want to ensure that the interventions we're providing are truly making a difference for your child. Progress isn’t just about data - it’s about growth you can see, feel, and celebrate. Here’s how we track it:

  • Individualized Goals: We set measurable, personalized goals based on your child’s strengths, challenges, and family priorities
  • Data Collection: Our therapists systematically collect data during sessions to track progress on these specific goals. This data provides objective evidence of skill acquisition and behavioural change.
  • Regular Reviews: We schedule regular meetings with you to review your child's data and progress, discuss observations, and make any necessary adjustments to the treatment plan. Your input as a parent is invaluable here.
  • Functional Outcomes: Beyond data, we look at real-world improvements. Are they communicating more effectively at home? Are they engaging more with peers? Are they managing their emotions better? We celebrate these tangible successes that improve your child's quality of life.

It's completely natural to have questions about all your children's development, especially when you're already navigating the journey with one child. While our direct services are focused on your child enrolled with us, we are a resource for families:

  • Initial Guidance: We can offer initial guidance and direct you to appropriate resources for developmental screening.
  • Developmental Screenings: We are happy to offer no-cost developmental screenings, which can be a great first step if you have any concerns about another child's development.
  • Referrals: If a more in-depth assessment or specialized support is needed, we can certainly help provide referrals to trusted professionals within the community. Our goal is to support your entire family's well-being.

That's wonderful to hear! The best way to refer a friend is to encourage them to visit our website, MonarchHouse.ca, or have them call us directly. This allows us to gather their specific needs and guide them through our intake process, starting with understanding their concerns and help them schedule a no-cost developmental screening. They can also explore the services we offer and get a feel for our approach. We're always here to help families find the support they need.

ONTARIO

Autism Ontario

Provincial society that provides support to autistic individuals and their families. Free tool kits, funding information, training, and resources available.

Autism Community Training (ACT)

ACT works to be a world-leader in sharing content on evidence-based information, resources, and free training for autistic individuals and their families, in BC and globally.

The National Professional Development Centre on Autism Spectrum Disorder (NPDC)

Best practice guidance, research summaries, and free training on a range of intervention topics.

Association for Science in Autism Treatment (ASAT)

Website with research summaries of all autism treatments, offers a monthly news letter and responds to autism treatment information in the media.

Organization for Autism Research (OAR)

Family and individual-led organization that funds and disseminates research to improve quality of life for autistic individuals.

 

BRITISH COLUMBIA

Family Support Institute of BC

Provincial society that provides support to families of persons with disabilities. Free tool kits available for education, health, and other key topics.

Autism Community Training (ACT)

ACT works to be a world-leader in sharing content on evidence-based information, resources, and free training for autistic individuals and their families, in BC and globally.

The National Professional Development Centre on Autism Spectrum Disorder (NPDC)

Best practice guidance, research summaries, and free training on a range of intervention topics.

Association for Science in Autism Treatment (ASAT)

Website with research summaries of all autism treatments, offers a monthly news letter and responds to autism treatment information in the media.

Organization for Autism Research (OAR)

Family and individual-led organization that funds and disseminates research to improve quality of life for autistic individuals.

 

ALBERTA

Autism Society Alberta (ASA)

Provincial society that provides support to autistic individuals and their families and links to regional autism societies. Free tool kits, training, and resources available.

Autism Community Training (ACT)

ACT works to be a world-leader in sharing content on evidence-based information, resources, and free training for autistic individuals and their families, in BC and globally.

The National Professional Develpment Centre on Autism Spectrum Disorder (NPDC)

Best practice guidance, research summaries, and free training on a range of intervention topics.

Association for Science in Autism Treatment (ASAT)

Website with research summaries of all autism treatments, offers a monthly news letter and responds to autism treatment information in the media.

Organization for Autism Research (OAR)

Family and individual-led organization that funds and disseminates research to improve quality of life for autistic individuals.