# 2024-073 Medical and Dental Care, Spectrum of Care

Case summary

F&R Date: 2025-08-22

The grievor challenged the denial of their request for an Autism Spectrum Disorder (ASD) assessment referral under the Canadian Armed Forces' (CAF) Spectrum of Care (SoC), arguing that the requirement to undergo psychological testing was an unnecessary barrier to appropriate medical care. As redress, they sought authorization for the ASD assessment and requested that such assessments be included under the SoC for all CAF members.

The Surgeon General, acting as the Initial Authority, determined that the grievor had been treated fairly in accordance with CAF policies, citing the Directorate of Medical Policy's conclusion that the referral could not be approved due to the grievor's failure to complete required preliminary testing.

The Committee noted that while no specific diagnostic tool is mandated for ASD referrals, psychological assessments are commonly required for diagnostic clarity. The Committee found that the requirement for preliminary psychological testing was reasonable, and CAF medical authorities exercised their discretion appropriately in requiring preliminary testing to assess the need for an ASD referral. The Committee found no definitive evidence to conclude whether the grievor fully understood the implications of refusal.

Ultimately, the Committee concluded that since the grievor did not complete the required assessments, the decision to not authorize an ASD referral was justified and aligned with CAF policy. The Committee recommended that the Final Authority not afford the grievor redress.