Seeing the Unseen: Advancing Bill S-234

My name is Angela Geddes, CYW, BA (Psychology), MSW, RSW. I am a Registered Social Worker, psychotherapist, educator, author, and founder of Geddes Specialized Supports and Integrative Wellness Inc. in Elgin County Ontario.

For more than 30 years, I have worked alongside individuals, families, and professionals across the province supporting people living with complex neurodevelopmental disorders, including Fetal Alcohol Spectrum Disorder (FASD), Attention-Deficit/Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), Learning Disabilities, Acquired Brain Injuries, Trauma, and Complex Mental Health Challenges.

My work allows me to witness firsthand the profound impact that undiagnosed, misdiagnosed, and unsupported brain-based disabilities have on individuals, families, communities, and public systems.

1. Executive Summary

Fetal Alcohol Spectrum Disorder (FASD) is one of the most prevalent yet under-recognized neurodevelopmental disabilities in Canada, affecting at least 4% of the population (1 in 25 individuals), with some studies estimating rates as high as 8% (1 in 12) (CanFASD, 2024).

Despite this, fewer than 1% of Ontarians receive a formal diagnosis, leaving the vast majority without access to appropriate supports (Popova et al., 2022).

Bill S-234 presents a critical opportunity to establish a National Strategy for FASD. However, meaningful impact requires coordinated provincial implementation, including mandatory cross-sector training, expanded screening practices, and system-wide capacity building.

Continue reading about Bill S-234 in English and French below