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Struggles for therapy - Trinidad and Tobago Newsday

DR RADICA MAHASE

“When my son was diagnosed with autism, the paediatrician recommended that we take him for speech, occupational and behavioural therapy. We were also told to do a hearing test and to see a dietitian. We were overwhelmed.

"We are not rich or anything; my husband and I were both working and saving and making sure that we provide for our two children, as best as we could. I thought we were doing good enough, until we started looking for therapists. We started with speech and occupational therapy and the assessments alone cost us almost $10,000 and then an average of $1,500 a week. Within six months our savings started disappearing.

"Both our insurance companies did not cover the cost of therapy so we could not even claim back for that. As savings got less and less, and as I had to resign so I could stay home to care for our son full time, things got worse. With only one salary, we had to cut down on the therapy – which to choose? We ended up taking him for speech because that’s all we can afford for now. It makes me so sad that we have to choose between therapies for our son, especially as we know he needs both but that’s all we can afford right now.”

Autism is a lifelong condition. It doesn’t go away when a child becomes an adult. It cannot be "healed" or "fixed" or "cured." Individuals diagnosed with autism will have various types of developmental challenges throughout their lives – some may have difficulties with speech and socialisation, others might be sensitive to sounds and lights, and so on. While the challenges will always be there, in one way or the other, various types of therapy can help people with autism to manage their behaviours and aid in their development. They can teach life skills and coping strategies. Various forms of therapies can help those diagnosed with autism to develop, to become more independent and help them to live a fulfilling life.

[caption id="attachment_998440" align="alignnone" width="750"] Therapy is inaccessible to many autistic children because of the high cost. - courtesy Rahul's Clubhouse[/caption]

However, there are too many obstacles in the way of accessing therapy in TT. Most definitely, the biggest hurdle is the high cost of all forms of therapy. Before a child can start therapy, an assessment must be done – the cost of an assessment varies from $800 to $5,500, depending on the therapist and the type of therapy. A single session is usually an average of 30 minutes to one hour and cost ranges from $250 to as high as $500 a session, sometimes more, depending on the therapist. The number of hours of therapy needed varies according to the individual, but as therapy is so crucial to an individual’s development, the recommended amount can be between five to 20 sessions per week.

In TT, many parents struggle to afford one or two sessions because of the high cost. The majority of parents have to choose which therapy they believe is a priority because they cannot afford to take their children for all the dif

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