Caregiver-Mediated Early Years

Caregiver-mediated early years (C-MEY) programs support families with young children (aged 12 to 48 months) diagnosed with autism to learn new skills and meet individualized goals. 

TVCC has partnered with five organizations in southwestern Ontario to deliver the C-MEY program to parents and caregivers whose children are registered with the Ontario Autism Program.

In the Caregiver-Mediated model, parents and caregivers learn therapeutic strategies and specific techniques from professionals based on their child’s individual needs. The programs aim to build parents’ and caregivers’ capacity to support their child’s skill development in:

  • social interaction
  • play
  • communication
  • emotional development
  • adaptive development and self-help skills

The programs are play-based, child-led and developmentally appropriate. Programs are free of charge and available for up to six months per child.

Our Services

Pivotal Response Treatment (PRT) 

*Available Now!

For: children 12 to 48 months at start of intervention

Pivotal response treatment (PRT) targets pivotal areas of a child’s development and focuses on increasing a young child’s motivation to learn, play, communicate and engage in social interactions. PRT is implemented in a child’s natural setting with the caregiver to teach skills using Applied Behaviour Analysis (ABA) strategies. PRT coaches will provide instructions, model these strategies and then allow the caregiver to practice the skills with their child. 

The program targets many skills, including communicating using first words, expanding from single words to multiple words, eye contact, turn taking, play skills and other skills to increase social interactions.

Joint Attention, Symbolic Play, Engagement and Regulation (JASPER) 

*Available Now!

For: children 12 to 48 months at start of intervention

Joint attention, symbolic play, engagement and regulation (JASPER) targets core early developmental skills for young children with autism to improve age-appropriate play skills, engagement with others and communication development. Through JASPER, you will help your child develop targeted skills, including:

  • gestures for joint attention and requesting (such as pointing, coordinated looks between objects and people, and showing)
  • play diversity and complexity (such as using objects to represent something else in play)
  • social engagement (such as improving the child's engagement with others)
  • behaviour regulation (such as using strategies to handle behaviours that interfere with learning and engagement)
  • verbal communication (such as building on the child’s existing language, while also teaching them new words)

The program will show you how to use strategies at home with your child. The program is tailored to the abilities, motivations and needs of each child and caregiver.

Social ABCs 

*Coming Soon!

For: children 12 to 42 months at start of intervention and have social communication difficulties

Social ABCs is a Naturalistic Developmental Behavioural Intervention that focuses on supporting a toddler’s use of vocalizations to communicate and share positive emotions with others. Opportunities for teaching and learning come from your child’s natural interests during playtime and day-to-day caregiving routines.

You will work with a trained coach to learn how to create an environment that supports your child’s social communication in your child’s natural environment, using play-based activities and daily routines that your child finds the most motivating.

Social ABCs is an evidence-based, caregiver-mediated intervention for toddlers.

Access to Services

Please note, families must receive an invitation from the Ministry of Children, Community and Social Services through the Government of Ontario before participating in C-MEY.

Have you received an invitation? Remember to check your email spam and junk folders!

graphic with arrow showing example of the C-MEY invitation letter







Once you have received the letter of invitation, register for the Caregiver-Mediated Early Years program by completing TVCC’s online Intake and Referral form.

If you have questions or need help completing the form, contact Samantha O'Neill, C-MEY Program Coordinator, at:

  • Email: Samantha.Oneill [at] 
  • Call: 866-590-8822 ext 53777
  • Text: 519-953-5680

You will be asked for your OAP Client Reference Number when you register for the Ontario Autism Program.

Contact abs [at] for information about registering with the OAP.

What to Expect

If you register for C-MEY using TVCC’s online Intake and Referral form, we will call to speak with you about the programs we offer and help you decide which is the right fit for your child and family.

After choosing a program, you will be connected with an experienced clinician from TVCC and/or one of our five partner agencies providing C-MEY in southwestern Ontario.

Our Partners

Children’s Treatment Centre of Chatham-Kent

John McGivney Children's Centre

smallTALK - Huron-Perth's Preschool Speech/Language Initiative

Leaps & Bounds

Pathways Health Centre for Children

For More Information

Questions? Email us at abs [at] 

Sign up to receive the Autism & Behavioural Services e-newsletter using the Subscribe button below.