In the News

Autism Care



“Future research needs to focus not only on the biological markers of ASD but also include data about functioning, participation, and environmental barriers and facilitators.”

Dr. Olaf Kraus de Camargo  //  Developmental Pediatrician


MacART is laying the foundation for creating a systematic way of linking scientific research on Autism Spectrum Disorder (ASD) at McMaster University to clinical practice at McMaster Children’s Hospital.

The physical proximity of McMaster Children’s Hospital, Hamilton Health Sciences, and McMaster University has a number of characteristics that provides the rare opportunity for collaborative research. Taking advantage of existing university and clinical infrastructure and cross-appointments for clinicians at the university, ASD experts from these organizations are coming together to integrate ASD research into clinical practice.

The focus of MacART members’ research is in the areas of basic science, clinical practice, clinical research, epidemiology and statistical modelling, knowledge translation and exchange, and social science research. By promoting the collaboration of stakeholders across disciplines, MacART is reducing barriers to implementing research in clinical practice, with the goal of advancing autism care through meaningful research.

Learn more about our research HERE.


MacART members are now supervising more than 50 research trainees at the undergraduate, graduate, and postgraduate levels, and are engaged in the mentoring of junior and intermediate faculty members.

In the future, we intend to establish research and clinical training programs for students in McMaster’s undergraduate medical, health sciences, and psychology programs, and for residents and fellows in Pediatrics and Psychiatry.

By training and mentoring emerging researchers and practitioners, we will help to solidify their understanding of and commitment to using basic science to inform their clinical practice, and to use their clinical experience to help formulate research questions. It is our belief that involving these learners in MacART educational activities will promote their use of practices that advance autism care through meaningful research.


“Our scientists are working collaboratively with local clinicians to generate the evidence needed to improve autism services. This symposium is a great example of McMaster’s community engagement efforts.”

Dr. Patrick Deane // President & Vice-Chancellor // McMaster University


The community engagement component of MacART strives to work with stakeholders and involve them as partners in every step of the research process.  By doing so, the questions that drive research begin to change. They become more meaningful because they address the real day-to-day challenges faced by children and their families, and the clinicians supporting them.

MacART aims to increase participation and involvement of members of the McMaster and Hamilton communities in the research process. With community members driving the research, new and relevant knowledge can be produced to bridge the research-to-practice gap in ASD and advance autism care through meaningful research.


“People whose lives are connected to the challenge of autism can share knowledge – from clinicians to educators to parents – and what an amazing opportunity that is. We have a real opportunity to translate challenges into research, and research into practice that will help families living with autism.”

Rob MacIsaac  //  President & CEO // Hamilton Health Sciences


Policies should be created using the best available evidence that make positive impacts on the lives of individuals with ASD, along with their families.

MacART’s founder, Stelios Georgiades, serves on both federal and provincial advisory committees about ASD treatment funding.  Along with the wide-ranging expertise of its many ASD experts, MacART is set to act as a highly credible source of evidence-based information to influence and inform public policy about the provision and funding of ASD diagnosis, treatment, and family supports.

MacART will continue to find ways to collaborate with policymakers to both learn more about the policymaking process, and to contribute our expertise and knowledge to inform policymaking, in order to advance autism care through meaningful research.

High School Health Research Bursary Award Student - 2019

The McMaster Autism Research Team (MacART) has had wonderful experiences with the Hamilton Health Sciences High School Research Bursary Program, where youth join a research team during the summer and have the opportunity to take part in research activities. Our participants for the past 5 years all made wonderful additions to our team, and this year’s student was no exception.

Our placement student in 2019 was Ana Spasojevic, who is entering Grade 12 at Colonel By Secondary School in Ottawa. Interested in neurology and mental health, she hopes to pursue a career in medicine. Ana spent the summer working with Dr. Stelios Georgiades and his research team at the Offord Centre for Child Studies, supporting the Pediatric Autism Research Cohort (PARC) Project, which aims to embed a standardized research protocol into the Ron Joyce Children’s Health Centre ASD Service.

She supported the development of a database, helped prepare study summary reports, engaged in data management tasks, and helped to create a study progress report. Through this placement Ana gained valuable research skills while learning about the state of scientific research in ASD and other neurodevelopmental disorders – and most importantly, she has seen the positive impact of research on families living with autism. We thank her for her contributions to our work this summer!



Post-Doctoral Research Fellowship opportunity!

Applications are invited for a 12-month Post-Doctoral Research Fellowship under the supervision of Dr. Eric Duku and Dr. Stelios Georgiades who are located at McMaster University, Canada’s most research-intensive university.
The position is based at the Offord Centre for Child Studies in Hamilton, Ontario. The start date for the position is September 2019. Candidates are not expected to teach and remuneration is based on the guidelines provided by McMaster University and the Canadian Institutes of Health Research. The fellow will work on the Pathways in ASD study (, which is a large sample, multi-method, multi-informant longitudinal study examining the developmental pathways in children with ASD. Data collection began at age of diagnosis and children are currently being followed into early adulthood. Our research team includes psychologists, psychiatrists, pediatricians, speech pathologists, epidemiologists, and statisticians.
Requirements include:
  • (1) a completed doctoral degree in clinical or developmental psychology, epidemiology, health sciences, or statistics; 
  • (2) demonstrated interest in childhood disabilities; and
  • (3) demonstrated strong quantitative and analytic skills using SPSS, Mplus software.
Applications will be reviewed starting July 1st 2019 and accepted until the position is filled. Salary will range between $50,000 to $60,000 Canadian Dollars. Successful candidates will have an opportunity to apply for a 1-year renewal based on performance and productivity. Interested candidates should send their curriculum vitae, statement of research, and three letters of recommendation to the Pathways in ASD National Coordinator, Mike Chalupka (

Senator Munson’s Visit to McMaster May 21, 2019

May 21st was a memorable day for the McMaster Autism Research Team (MacART) and for McMaster University. We were honoured to co-host a visit from Senator Jim Munson, and his wife Ginette, to McMaster in partnership with the Socrates Project. Their visit began with presentations by members of MacART to inform the Senator and his wife about some of the ground-breaking and collaborative autism-related research happening at McMaster.

In the afternoon, various leaders, stakeholders, family members and self-advocates – numbering over 120 – from the autism community across southern Ontario gathered in the Great Hall of the McMaster University Faculty Club for a Socrates Project event with Senator Munson. MacART trainees Dr. Vivian Lee, Dr. Mackenzie Salt, and Dr. Stephen Gentles participated in a conversation with the Senator around why Canada needs a national autism strategy, what a strategy might include, and the feasibility of such a plan. This was followed by questions from the highly engaged audience.

Senator Munson is notable for his advocacy for autism and developmental disabilities. It was his leadership in Parliament that led to the adoption of An Act respecting World Autism Awareness Day and, later, the 2007 Senate Report, Pay Now or Pay Later: Autism Families in Crisis. Soon after, the Canadian Autism Spectrum Disorder Alliance (CASDA) was formed, which has worked to advance the idea and outlines for a National Autism Strategy, the topic for the afternoon’s conversation. This past spring CASDA released its Blueprint for a National ASD Strategy, which provides a path for concrete federal action—relevant for all political parties given the federal election this fall. As the Senator said, “Autism is not just a provincial responsibility or a federal responsibility. It is a Canadian responsibility. We have to give hope to everybody. We have to give a place for everybody to participate.”

Senator Munson and MacART trainees speaking at the Socrates Project event.

Senator Munson and MacART trainees speaking at the Socrates Project event.

MacART at the International Society for Autism Research (INSAR) Annual Meeting - 2019

The International Society for Autism Research (INSAR) recently gathered in Montreal, Quebec, Canada for the annual 2019 meeting. From May 1st – 4th, scientists, researchers, clinicians, policy-makers, and self-advocates came together to share and learn about the latest scientific developments in autism research. This event – which included over 1,800 posters, oral presentations, and panels – exemplifies the international importance of advancement in autism care.

MacART was once again well represented at the 18th annual INSAR meeting, giving members an excellent opportunity to share our research findings, exchange ideas and collaborate with other members of the global autism community. This year MacART members contributed to 29 posters, 3 oral presentations, and 2 panel sessions, building on our representation from last year.

The following presentations include those with MacART members as contributors (click on the titles to view the abstracts):

Poster Presentations:


Oral Presentations:


Panel Presentations:


The McMaster Autism Team arriving at INSAR 2019 (pictured, left to right, are Amanda Assi, Anna Kata, Mohammad Zubairi, Vivian Lee, Peter Tait, Irene Drmic, Eric Duku, Ronit Mesterman, Stephen Gentles, Caroline Roncadin, Stelios Georgiades, and Irene O'Connor:


Stephen Gentles and Trudy Goold in front of Steve's poster, "Longitudinal Trajectory Studies of Children with Autism Spectrum Disorder: A Scoping Review":


Anna Kata representing the PARC Study team's poster, "Pediatric Autism Research Cohort (PARC): Towards a Learning Autism System":


Briano Di Rezze in front of his poster, "Content Validity Testing of the Autism Classification System of Functioning: Social Communication (ACSF:SC) with Toddlers and School-Aged Children with Autism":


Irene O'Connor representing the Job-Train Program team in front of their poster, "The Journey through Healthcare and Educational Services: Perspectives of Parents of Teens on the Autism Spectrum":

Innovation by Design students envisioning the future of autism care

Last year MacART acted as a project sponsor for the Health Leadership Academy’s Innovation by Design course, where worked with five undergraduate studentsusingdesign thinking methodology to address the lack of services for children with autism. That group created a prototype web portal for parents of children who have been referred for an ASD diagnosis and are waiting for an appointment. We were happy to act as a sponsor for the course again this year, which came with a different and unique framework - imagining problems in the year 2030.

A new group of students - Mia Cai, Timothy Choi, Zeba Khoja, Roham Sanaie, Isobel Sharpe, and Afraah Shirin - were tasked with envisioning the future of autism care, specifically around the transition period from pediatric to adult care.  A child with autism today may be aging out of the pediatric system in 2030 - what would their supports and services look like? 

The group interviewed numerous stakeholders, including a university student with autism, family members of those on the spectrum, a social worker assisting with the transition period, and others. Using design thinking methodology, such as exploring weak signals, insights, and generating future questions, the students developed a 'museum exhibit'  - a newspaper article - that portrays the realities of the current challenges in autism care. They described an inter-minsterial approach, where multiple Ministries took on responsibilities for autism care. Their poster outlines the current problem, how it might look in 2030, and why their chosen solution might work.  Their proposal is a timely one, which happened to coincide with an announcement from the current Ontario Ministries of Education, Health and Long-Term Care, and Children, Community and Social Services of a partnership approach to consultations on the Ontario Autism Program. 

Thank you to the students for their dedication and excitement about this topic - it was very exciting to see the innovative thinking and creative approaches they brought to this problem. Please explore their handout, poster, and final product for more information! 


Statement from MacART on World Autism Awareness Day 2019

World Autism Awareness Day is April 2nd – an annual observance day to recognize those living on the autism spectrum. Here in Canada, 1 in 66 children are diagnosed with autism spectrum disorder (ASD).


The McMaster Autism Research Team (MacART; is proud to celebrate World Autism Awareness Day. MacART is a partnership between McMaster Children’s Hospital, Hamilton Health Sciences, and McMaster University that aims to bridge the research-to-practice gap in ASD. MacART is designed to foster collaboration among individuals, families, researchers, clinicians, educators, and policymakers whose lives and work are touched by ASD.


Our team members and trainees continue to work on various innovative research projects. One example is a feasibility project exploring the adaptation of the Family Check-Up (FCU) program for caregivers of children with ASD. The FCU is a brief, evidence-based, assessment-driven intervention that uses a strength-based and motivational interviewing approach to engage caregivers in the prevention and treatment of child emotional and behavioural problems. MacART co-Director Dr. Terry Bennett, along with Drs. Irene Drmic and Vivian Lee and other MacART members, are the first research group to investigate the utility of the FCU program in Canada, in addition to testing its acceptability for families of children with ASD. “The healthy development and emotional well-being of children with ASD and their parents/caregivers is tightly linked. We know this,” Bennett says. “It’s time to act on this knowledge to create new programs of care that support and strengthen families. Children deserve it and so do all the important people in their lives.”


Further pioneering work is also being done by the next generation of autism researchers. Mackenzie Salt recently defended his PhD dissertation, which involved developing a new methodology using observations of people with ASD interacting with others in a naturalistic setting to make conclusions about how people with ASD interact in everyday life. There were distinct differences in how pragmatic language abilities were used depending upon who the person with ASD was interacting with – suggesting the pragmatic language deficits seen in ASD may not be deficits and may be more akin to cultural differences. “This study is the first to look at communication between adults with ASD,” Mackenzie says. “And being a person with ASD myself, I hope that this research can be used to give a more accurate picture of the communication abilities of people with ASD in everyday life and to improve acceptance and reduce stigma.”


These projects are just two examples of the many initiatives and collaborations MacART currently has underway – all with the overarching goal of advancing autism care through meaningful research.


Click here to download a copy of this statement.

MacART members to study feasibility of Family Check-Up program for ASD

Dr. Teresa Bennett and her postdoctoral fellow, Dr. Vivian Lee, are leading an investigation into the acceptability of the Family Check-up (FCU) program for caregivers of children with Autism Spectrum Disorder (ASD). The Family Check-up is a brief, evidence-based, assessment-driven intervention that uses a strength-based and motivational interviewing approach to engage caregivers in the prevention and treatment of child emotional and behavioural problems (EBP). Although this intervention has been well studied in the United States, Dr. Bennett and other MacART members are the first research group to investigate the utility of the FCU program in Canada, in addition to its acceptability for families of children with ASD and EBP.

With support from Hamilton Health Sciences through the Research Strategic Initiatives – Request for Applications award, this feasibility project will provide invaluable insight into the critical components to consider when implementing and adapting established intervention for a new population (i.e. ASD) as well as areas that require additional consideration when embedding a new intervention into a new healthcare system. The group hopes that the study will have an impact on our understanding of how modifying and supporting parental practices may have on changing problem behaviors and other mediating factors that benefit children with ASD with EBPs in toddlerhood or early preschool years.

MacART member awarded CIHR Health Impact Systems Fellowship

MacART is pleased to announce that one of our members, Dr. Stephen Gentles, has been awarded a Health System Impact Fellowship from CIHR for a project titled "Strengthening the health system to support caregivers of children with autism to engage in their child’s care". The HSI Fellowship creates opportunities for fellows to apply their research to critical challenges in healthcare that are addressed by health systems and related organizations.

The proposed fellowship project is a partnership with Autism Ontario, and has two aims. First, is a review of the literature using systematic methods to summarize what is known about the factors influencing parent involvement in their child’s care. Second is the development of a new measure of parents’ readiness and ability to meet these demands for involvement. Information for developing this measure will come from the literature review and from interviewing people on both sides—parents of children with ASD, and professionals that provide ASD services. The measure will then be tested to ensure it works well in a clinical setting. When ready, it will be made available, free of charge, for care providers across Canada to monitor and improve service delivery to families of children with ASD.

Autism Spectrum Disorder (ASD) is estimated to affect 1 in 66 children, or roughly 350,000 people, in Canada. The impact is far greater when one considers the complex needs of families affected by ASD. Autism Ontario is a non-profit organization whose goal is to strengthen support for caregivers and families of children with ASD, and it works with government to understand the needs and find solutions. More and more, parents or caregivers of children with ASD are being asked to play a role in their child’s intervention services and care. While research shows such involvement can be useful, the extra demands can be difficult for some caregivers for a variety of reasons. Health, education and other systems of care need a way to better understand, measure, and support parents’ readiness to meet demands of engaging in care. With the right knowledge and measurement tools, such systems can tailor and adjust how they involve caregivers to be more sensitive to their unique needs and strengths. This will prepare such systems to better support family health at a critical time, promoting better outcomes.

We are delighted to support this research program, which directly reflects the partnership between MacART and Autism Ontario and the vision to advance autism care through meaningful research.

Reframing Optimal Outcomes in Autism

A new Viewpoint article in JAMA Pediatrics speaks to the need to redefine the term ‘optimal outcomes’ in autism. The Viewpoint, written by MacART co-Director Dr. Stelios Georgiades and colleague Dr. Connie Kasari of the University of California – Los Angeles, argues for the need to rethink what is meant by “optimal outcomes”, which has tended to be defined as those people with autism who have experienced a decrease in symptoms to the point where they no longer meet diagnostic criteria.

However, rather than focusing on reaching milestones compared to ‘typical’ peers, optimal outcomes should instead be redefined in a more inclusive way, with a focus on progress measured by personal goals. Most importantly, those goals should be defined by individuals with autism and their families.

This is discussed further in a blog post on the Autism Speaks website, urging researchers and clinicians to reconsider the goal of autism services. In autism intervention research, knowing when to change something and to what are key questions that the research community is only starting to address. This makes this Viewpoint incredibly timely and important.  It fits within MacART’s framework and goals of advancing autism care through meaningful research; we consider this piece to be a guiding statement in how we can conduct research that is indeed meaningful to the autism community.

MacART at the International Society for Autism Research (INSAR) Annual Meeting - 2018

Advancing autism care remains a global priority, as over 2000 scientists, clinicians, trainees, and self-advocates gathered last week from May 9-12th at Rotterdam, Netherlands, for the 2018 International Society for Autism Research (INSAR) Annual Meeting. Now in its 17th year, INSAR brings together top ASD researchers and clinicians from around the world to exchange and disseminate the latest scientific progress in autism research.

Excellent representation of MacART at INSAR gave members the opportunity for extensive collaboration and exchange of research within the international autism community. We are pleased to see many more presentations by MacART members this year than last! 

MacART members took part in the following sessions - click on the title to access the abstract:

Oral Sessions: 


Poster Presentations:


Research was featured on a panel focusing on new methods and discoveries surrounding the female autism phenotype.


The McMaster Autism Team arriving at INSAR 2018 (pictured, left to right, are Stephen Gentles, Marg Spoelstra, Stelios Georgiades, Vivian Lee, Eric Duku, Ayesha Siddiqua, and Magdalena Janus): 


Dr. Stelios Georgiades presenting Pathways in ASD Data, "Examining 'Turning Points' in Trajectories of Symptom Severity in Children with Autism":

MacART trainee member Ayesha Siddiqua presenting her work with EDI data, "Social Determinants of Prevalence of Children with Autism Spectrum Disorder: A Population Level Study":