“…Although ASD prevalence is reported to be rising globally, autism appears to be under-detected among First Nations children in BC, Canada (Lindblom, 2014). In a review of publications on Indigenous Peoples and ASD in the global context, possible reasons for under-detection of autism could possibly be diagnostic substitution (Coo et al, 2008), symptom representation (Roy & Balaratnasingam, 2010), ethnic or cultural, or effects of historical discrimination (Anthony, 2009; Begeer, Bouk, Boussaid, Terwogt, & Koot, 2009; Bernier, Mao, & Yen, 2010; Burstyn, Sithole, & Zwaigenbaum, 2010; Kapp, 2011; Kim, 2012; Leonard et al, 2011; Mandell & Novak, 2005; Mandell et al, 2009; Ouellette-Kuntz et al, 2006; Roy & Balaratnasingam, 2010; Tincani, Travers, & Boutot, 2009).…”