My family’s adventure to the United Nations to share our view on rights-based approaches to disability in Canada

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By Susan Cosgrove

When my son Liam was three years old he couldn’t carry a conversation, exist in a crowd without getting overwhelmed, or interact with new people without panic. So much of my time and energy was consumed with accepting the things he could not do that I just couldn’t imagine that we would welcome his 15th birthday together, celebrating the biggest accomplishment of his life.

Attending the Civil Society Forum

Attending the Civil Society Forum

The United Nations Convention of the Rights of Persons with Disability (CRPD) is an international law that protects and promotes the rights of people with disability; made up of global guiding principles to ensure that people with disability can access the same rights and opportunities as their fellow citizens. One hundred and seventy-seven (177) countries have agreed to the convention – and Canada is one of them.

Two weeks ago, the 11th annual Conference of the States Parties to the Convention on the Rights of Persons with Disabilities took place at the United Nations Headquarters in New York City. Attended by both National governments and civil society organizations from around the globe, the goal of the event was to share knowledge about how people with disability are living with their rights in participating countries.

This brings us to my proudest experience as Liam’s mom. Over the past decade Liam has learned how to use his unique skills and interests to become an ambassador for children with disabilities. He has shared his thoughts with doctors, families, health care administrators, donors and policy makers in Toronto. When we were invited to participate together on a panel in New York City discussing rights-based approaches to disability in Canada, we did a happy little dance together.

Liam with Kirsty Duncan, Minister of Science and Minister of Sport and Persons with Disabilities

Liam with Kirsty Duncan, Minister of Science and Minister of Sport and Persons with Disabilities

As a team, Liam and I have a lot of experience to draw on. I have been engaged in research for years as an advisor, co-investigator and spokesperson. I recently began working for the CHILD-BRIGHT Network as their first Parent Mentor. As I begin this role I am focused on learning from the parents involved in the network about how they have engaged in the different projects and programs, and about their hopes for the future of research. I plan to build on these learnings to help connect and inform parents. And it is through this role that I had the opportunity to join the group attending this important landmark event.

Liam has come into his own thanks, in part, to the research world. He began as an enthusiastic participant who loved the activities and personalities of the researchers and health care providers he interacted with. We quickly discovered that he was a skilled ambassador who uses his unique charms to share his thoughts with policy makers and politicians. The opportunity to do so on such a grand scale – at the United Nations – was Liam’s dream come true.

For such a young person, Liam didn’t take the opportunity to influence global leaders lightly. He was there to show them what was possible for a young person when his rights were respected and enforced and to share his hopes for his adult life. He talked about his rights as a Canadian youth with disability and his hopes for the future. He dreams of one day being a mechanic, with a family and a home. He knows that he will require more assistance and support than his non-disabled peers for his entire life. He is willing to put in that extra effort and plans on using his future voting rights to encourage governments to match his efforts with their support. That was his message, that was his voice.

Liam takes Manhattan

Liam takes Manhattan

By being engaged in research in so many capacities over the years, I have learned a lot about the power of lived experiences. It’s as important to bring first-hand perspectives to every aspect of health care and policy development, as it is to bring them to research. Our personal stories keep goals in perspective and remind those in positions of influence why their decisions matter. It’s imperative for both families and professionals to understand the power of engagement. In the past, disability research and policy relied heavily on numbers, trends, reports and data, but lacked the human influence of those living with disability. But now people with disability and their families are becoming an essential part of the team and having direct influence on their own futures. And this is what we felt by being in this global forum. We joined other people with disabilities from all corners of the world: families, youth, adults, side by side with government officials and UN members to share our perspectives and discuss what we think and know is important.

Families may read this and think “Well, I’ve never been invited to the UN and I don’t like public speaking – so this isn’t something I can do.” But influence happens on many levels and from all types of people. It can be as simple as being informed and exercising your right to vote for a government that promotes the well-being of people of all abilities. It could be sharing information with other parents, your child’s school or people in your neighbourhood about the existence of the Convention of the Rights of Persons with Disability (CRPD). In reality, by raising children with disability who are informed of their rights and how to advocate for themselves, we are taking the first steps towards creating a more inclusive future for them.

Rachel Martens’ presentation

Rachel Martens’ presentation

At the UN we were part of a delegation that included scientists and policy makers, Liam and me, another youth delegate and another parent. Rachel Martens is a mom from Alberta who is raising a 12-year-old son with multiple disabilities. She works with the Kids Brain Health Network as a Parent Engagement Facilitator for the online group “Parents Partnering in Research”. In her writing on our experience Rachel asks an important question that relates back to a policy brief compiled by two of our team members: “What if the CRPD was the start to the conversation to ensure that Canadian children living with a disability get the best start in life?" 

Such was a question posed by Dr. Keiko Shikako-Thomas and Dr. Jonathan Lai in the research brief and research presentation they gave during the Canadian event at the UN conference. The event brought together a partnership between two pan-Canadian networks focused on brain-based disabilities: CHILD-BRIGHT Network and the Kids Brain Health Network to facilitate the opportunity to share this research work and more importantly: to bring the voices of parents and youth into this arena. I am thankful for having been provided an opportunity to be a part of the delegation that went to share what we are learning through research on the rights of children with disabilities, and through our everyday lived experiences in Canada. The Canadian event was hosted in partnership with the Government of Canada through the Canadian Minister of Disability and Sports and Science, and I was privileged to be able to share a glimpse into what life is like parenting my son with multiple disabilities and what I felt about his rights as a Canadian citizen.

Our Team (from left to right: Rachel Martens, Nikolas Harris, Kirsty Duncan, Keiko Shikako-Thomas, Susan Cosgrove, Liam Cosgrove, Jonathan Lai)

Our Team (from left to right: Rachel Martens, Nikolas Harris, Kirsty Duncan, Keiko Shikako-Thomas, Susan Cosgrove, Liam Cosgrove, Jonathan Lai)

I was grateful to get to know and work with Rachel. Her son’s challenges are so different from Liam’s, yet we found we shared a sense of sisterhood – an almost automatic understanding of the unique challenges that come with raising special families – no matter how they present. This comes to show the power of connecting with others, sharing experiences, and learning from each other – a lesson I wish to share with other parents in my Parent Mentor role at CHILD-BRIGHT. While we were there, Liam naturally turned to her as another mom figure and sought her out when he felt unsure. This is a tiny example of the power of unity in our special community. I felt comfortable sharing with her the intimate details of Liam’s care and she felt comfortable stepping in as needed. Through our relationships with other families living with disability we create a stronger whole, a louder voice. When parents like Rachel and me have the opportunity to speak for our community, we can feel the power of Canadian families and are humbled to be their representatives. I want to finish with a thank you to those families:

To all those parents – just like me – up at 4am and then spending the day wondering if the school will call, I am so grateful to you for all that you do and your infinite strength. Together we will change our city, our country, and our world!

To learn more about getting involved at CHILD-BRIGHT, visit our Get Involved section.

Collaborating to Find an Accessible and Welcoming Venue for Youth

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In preparation for an upcoming meeting where we plan to gather some of our network members, including youth with brain-based developmental disabilities, we recently set out to book a venue. Knowing that we wanted our venue to be accessible, comfortable and work-conducive for all guests, including our younger members, we invited Avi Karp, a 19-year-old student and entrepreneur with personal knowledge about accessibility, to help us evaluate our leading venue.

Corina d’Alesio-Worth (left) & Avi Karp (right)

Corina d’Alesio-Worth (left) & Avi Karp (right)

"I have been living with Multiple Sclerosis (MS) since I was 12 years old and my MS has affected my mobility at times in the past,” says Avi. “When CHILD-BRIGHT asked me to help them select a good venue for others with similar issues, I was excited and honoured. I felt my personal experience would be an asset."

“Avi provided very insightful feedback and observations as we were touring the venue,” says Corina d’Alesio-Worth, from the CHILD-BRIGHT Administrative team. “Some of the tips he shared were:

  • To visualize the space from different perspectives, like imagining we were navigating the room in a wheelchair. Would the space between the tables be too narrow?  

  • To test EVERYTHING: a broken automatic door button could be a big problem for someone using a wheelchair.

  • To pay attention to the user experience. For example, one ‘accessible’ path was very narrow and led us past dumpsters. How would that impact the user experience?

  • Not to overlook smaller details like access to a casual meeting space, to good food, to a strong Wi-Fi signal and to the ports needed to connect a PlayStation. These smaller but great extra touches would help our younger guests be more productive and feel more satisfied with their overall experience at our event.”

“This was my first time being called to help a network in this way, and I think it was a great idea,” says Avi. “It makes much more sense to have someone with a brain-based disability evaluate the venue for an event for others with brain-based disabilities.”

We want to sincerely thank Avi for his time and insight. We have already been in touch with our venue manager to ensure key technical fixes are completed before our meeting, and we are rethinking the path by which our guests will enter the venue to ensure that the user experience is welcoming for all equally. Partnering with Avi was very helpful in guiding our preparations, and we hope that by sharing some of his expert tips, you can also benefit from them (and share them with venue managers too!).

Announcing the winner of our first KT Innovation Incubator grant competition!

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We are pleased to announce the winner of the CHILD-BRIGHT KT Innovation Incubator:

Child-Sized KT

The Child-Sized KT project is led by Dr. Shazhan Amed, Stephanie Glegg, Rosa Livingstone, Dr. Ian Pike, Dr. Elodie Portales-Casamar, John Jacob and Dawn Mount. Meet the team here:

What is Child-Sized KT?

The Child-Sized KT team will use the KT Innovation Incubator grant to develop an online platform that will provide opportunities for youth and families to actively participate as partners in research, from developing the question, to designing the study, to sharing new knowledge.

More specifically, the Child-Sized KT team will:

  • Document child and family partner stories about the value of research engagement

  • Gather feedback from children and their families, and assess the usefulness of the stories in motivating child and family research engagement

  • Co-design an online family portal for the Child-Sized KT platform that uses these stories and gaming features (e.g. point scoring, badges, missions, communities) to motivate children and families to learn about health research, why their involvement is important, and how to access research opportunities.

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This portal will be innovative in its use of gamification (i.e. elements of game playing to improve engagement) to motivate children and families to learn about the benefits and logistics of research involvement. The portal will offer an alternative to lengthy written materials, in-person workshops and online learning on patient-oriented research and serve those without previous intention to engage in research.

The CHILD-BRIGHT KT team, including the expertise of the KT Advisory Committee, will also conduct a case study about innovation in knowledge translation and propose an appropriate evaluation framework for the Child-Sized KT team.

Child-Sized KT will transform the way we engage children, youth, and their caregivers in the research, making our research at BC Children’s Hospital and Sunny Hill more responsive, relevant and meaningful to the patients we serve. We are thrilled to receive this support from CHILD-BRIGHT which will galvanize our efforts in creating a fun, engaging, and easily accessible platform for patients and families.
— Dr. Shazhan Amed

The Child-Sized KT team was established two years ago as a collaboration of researchers and clinician-scientists at BC Children’s Hospital (BCCH) interested in advancing knowledge translation (KT) in pediatrics. All aspects of Child-Sized KT up until now have occurred in partnerships with children and families, researchers and health professionals, so that it truly meets the needs of its end-users. Through their family partner (Rosa Livingstone) and co-PI (Stephanie Glegg), they are focused on engaging children with brain-based disabilities and their families, giving them an opportunity to inform the development of Child-Sized KT.

Congratulations to the Child-Sized KT team, and we would like to thank all of our applicants to our very first CHILD-BRIGHT KT Innovation Incubator grant competition as well as our review panel, which was composed of parents, researchers, clinicians, educators, trainees, and youth with expertise in KT research, childhood disability research, occupational therapy, mental health services, communications, and advocacy, who had the difficult task of selecting only one winning project out of the 15 submissions.

CHILD-BRIGHT Principal Investigator Featured on CTV W5

Watch CTV W5 & meet Dr. Jan Gorter, Director of CanChild & Principal Investigator of CHILD-BRIGHT's 'READYorNot' Moving Ahead with Transition of Care from Adolescence to Adulthood project & learn why his work trying to address the gap in transition from paediatric to adult care for children with disabilities in so important in Canada.

The families of severely disabled children dedicate their lives to nurture and protect them, but what happens when the funding and services they rely on are cut off? W5's Sandie Rinaldo investigates the uncertain future faced by disabled children when they become adults.
Learn More about our READYorNOT project
Dr. Jan Willem Gorter

Dr. Jan Willem Gorter

Supporting families of preschoolers with suspected developmental delays

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March 12-18 is Brain Awareness Week, and here at CHILD-BRIGHT, we are taking this opportunity to highlight the important work being done in our network to better support families of children with brain-based developmental disabilities. One such example is our collaboration with the Children’s Hospital Research Institute of Manitoba on the BRIGHT Coaching study where together, we aim to help better support families of preschoolers with suspected developmental delays.

Children develop important skills during the preschool years, however some children have difficulties or delays in developing these skills. For families with children experiencing delays, an assessment by a developmental specialist can be an important part of their journey. This can take time and the process of assessment, diagnosis, and accessing care and services can be stressful for families.

The BRIGHT Coaching study is developing a coaching program to help families of young kids with suspected developmental delays during their preschool years. The coach intervention will offer a comprehensive set of tools to support and help empower families. These tools will include:

 
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A coach will help parents as they wait for assessment, by talking them through different challenges as they arise.

 
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Online education tools will complement coaching sessions, covering topics on child development, service providers, family support, and community resources.

 
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Parents will be able to connect with other parents and families in similar situations, and share questions, experiences, advice, and more.

The study will take place at four different sites and four different cities across Canada: Montreal, Vancouver, Halifax, and Winnipeg. The BRIGHT Coaching research team is led by Dr. Annette Majnemer (McGill University Health Centre Research Institute) in Montreal, and co-led by Dr. Maureen O'Donnell (Child Health BC) in Vancouver. The team is made up of clinicians, researchers and parents, with team members spread out across the country.

Dr. Kristy Wittmeier, Dr. Ana Hanlon-Dearman and Dr. Gina Rempel are researchers at the Children’s Hospital Research Institute of Manitoba and they share the role of lead investigators for the Manitoba CHILD-BRIGHT Site. “We are excited to be a part of this national network, and to make sure that the opportunity to be involved in this trial is open to parents in Manitoba” says Dr. Wittmeier.  “We are pleased that parents have had, and continue to have an important role in developing the coaching intervention. Waiting for assessment and diagnosis can be a stressful time for families and we hope to learn more about what is most effective in helping support parents during this time.”

The BRIGHT Coaching team partners with an incredible group of 10 Canadian parent advisors, who provide essential insight, guidance, and feedback about how to make all aspects of the study relevant and helpful for parents. For example, last spring, an online parent survey was launched to gather feedback from 250 Canadian families, to help develop the best content for the program.

“The BRIGHT Coaching team members at the Children’s Hospital Research Institute of Manitoba have been an incredible asset to the study, partnering with parent advisors, researchers and stakeholders at the local and national level to develop a coaching program that has impact for Canadian parents,” says Dr. Annette Majnemer, BRIGHT Coaching Principal Investigator and CHILD-BRIGHT Nominated Principal Investigator and Scientific Director.

Dr. Annette Majnemer

Dr. Annette Majnemer

Dr. Maureen O'Donnell

Dr. Maureen O'Donnell

Dr. Kristy Wittmeier

Dr. Kristy Wittmeier

The study pilot is anticipated to launch this spring and the official study will be launched in the summer. You can learn more about CHILD-BRIGHT and the BRIGHT Coaching study here.

If you are – or know of – a parent interested in the BRIGHT Coaching study, please share this article and have them reach out via email to Manitoba Site Coordinator, Shayna at spierce@rccinc.ca.

“I feel a sense of excitement at the end of the teleconference meetings because I feel I’m part of something that could truly make a change, make a difference. That momentum stays with me and fuels me to dive back into the daily ritual of therapy and appointments and schedules that support my son”
— Sasa Drover, Mother of 4-year-old boy with ASD and VACTRYL association disease

Share your experiences and thoughts with us on social media by tagging @ChildBrightNet and @CHRIManitoba and using the hashtags #BrainAwarenessWeek and #BrightCoaching.

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