Video summary
The video features an inspiring conversation with Lori Sheiley Yuna, the CEO of the Council of Autism Service Providers (CASP), a trade association that recently celebrated its tenth anniversary. Originally starting as a simple annual conference for a dozen executives around twenty years ago, the organization officially incorporated in 2016 to become a formal nonprofit association dedicated to supporting members through advocacy and the sharing of best practices. Today, CASP has grown organically to include nearly 500 member organizations rather than individual members, reflecting a focus on serving the diverse needs of individuals with autism across the entire lifespan, from infants to adults. This growth was driven not by aggressive recruitment strategies but by a commitment to improving services for members, which naturally attracted new organizations seeking to deliver higher quality care in a rapidly evolving field.
A central theme of the discussion is the critical importance of evidence-based care within the autism sector, a standard that CASP enforces strictly during the membership application process. The organization operates in a dynamic environment where research, treatments, and theories change frequently, requiring leaders to stay on the cutting edge of science while managing a large network of providers. Lori's personal journey as a mother whose child was diagnosed with autism deeply influenced her leadership style and mission; she entered the nonprofit sector without formal training in association management but learned by building the organization as she flew it. Her background in law proved invaluable, particularly during the pandemic when she quickly produced legal memos to help members determine their status as essential workers, demonstrating how specialized expertise can solve immediate crises for a broad community.
Beyond daily operations, the conversation highlights a unique advocacy strategy known as "favors, fishnets, and facts," which Lori developed to secure health insurance coverage for autism therapies in her home state of South Carolina. This approach involved asking legislators for personal favors, utilizing informal networks like wearing fishnet stockings to gain access to offices, and presenting hard data to support legislation. Looking toward the future, CASP is entering a new phase of strategic planning aimed at expanding its lobbying presence beyond Washington D.C. to every state capital, as many critical issues like Medicaid and education are regulated at the state level. Additionally, the organization plans to establish outcome measures to better define success in autism interventions, addressing a significant gap in how payers and providers currently evaluate effectiveness. The episode concludes with a reflection on the power of collaboration among nonprofits, emphasizing that by uniting diverse voices and resources, the sector can create a stronger, more resilient support system for families affected by autism.
Read the full video transcript
[music]
Welcome back everybody. I've been
waiting for this episode for quite a
while. We have on Lori Sheila Yuna uh
with us today. She is an executive
director of a trade association that
deals with autism and the nonprofits,
so many nonprofits that serve in this
environment. So, this is going to be a
great show. Lori, welcome.
>> Thank you so much, Julia. You know, it's
a fascinating take on what everybody's
doing. And we were talking in the green
room. We've done more than 1600
episodes. We've had very few people in
your leadership type of position to talk
about how to bring nonprofits together
from this like trade association
concept. So, I am really excited to to
learn what favors and fishnetss and
facts and how they all work together and
in flow. You know, we have a lot of flow
each and every day on the nonprofit show
because we have amazing partners. They
include Bloomerang, American Nonprofit
Academy, Staffing Boutique, JMT
Consulting, Third Sector Company, your
part-time controller, and Martis. These
are the folks that stand with us day in
and day out. I'm Julia C. Patrick, CEO
of the American Nonprofit Academy. And
again, Lori Sheiley Eunum. I pronounced
that right.
>> You did. Well done.
Woo. Uh Lori is the CEO of CASP, the
Council of Autism Service Providers.
They have they're just celebrating their
10th year of anniversary. Um
what a lot of things I would say, Lori,
have changed in the environment of of
autism in 10 years. So, not only it
seems to me, are you dealing with a new
trade association, you're dealing with a
topic that's in flux. Is is that fair to
say?
>> Absolutely. Every day is different.
Every month is different. And that's a
good thing. We're learning more and more
about autism. The research is improving.
Treatments are improving. So, it's a lot
to keep up with, but I I'm I'm happy to
steer this organization through a time
of great change.
>> Yeah, it's really exciting. And I think
um no matter what you do in the
nonprofit sector, you can watch this
episode and really apply it to your
sector, your your niche uh because it's
such a fascinating way to think about
organizing different people serving in
the same direction across the country.
So let's get into this and let's have
you share with us. I like to call it
your origin story, but like what your
mission is and how this kind of you know
has has coalesed to where you are today.
>> Sure. The Council of Autism Service
Providers or CASP sort of had two
beginnings if you will. We started as
just a conference about 20 years ago,
but we weren't an association. There was
no official incorporation, no official
organization. It was just a handful of
executives from autism provider
organizations
who said, you know, we should get
together yearly and share stories,
discuss strategies, talk about how we
can do a better job serving people with
autism. So it started with literally
like a dozen people just getting
together annually and then that dozen
grew to a couple dozen and more dozens.
And then around 2015
the people who were coming to that
conference, the executives who were
coming to that conference said, you
know, we really ought to make it
official. We ought to incorporate. We
ought to become an association and be
open to as many provider organizations
as want to get together and share
strategies. So, the Council on Autism
Services Conference became the Council
of Autism Service Providers Nonprofit
Association officially in 2016 and
adopted as its mission to support its
members by cultivating, advocating for,
and sharing best practices in autism
services.
So it was this like predominantly
born in a regional from a regional part
of the country or a certain type of
provider or was it just like a whole
bunch of different folks trying to
share?
>> Yeah, it's a great question. It wasn't
really regional because we had founding
members from the northeast and we had
founding members from uh California and
kind of everywhere in between. uh these
are people who kind of knew each other
from other conferences. So right they
they would be at other conferences or
other ABA conferences. Applied behavior
analysis was kind of the common
intervention type thread. So they knew
each other and it's interesting they
they would say you know the best part
about that conference is when we all sat
down in the bar together and just
talked. Right. So, right. So, so the
thought was let's pull together a
conference that is us just sitting
together and talking.
>> Um, and so that's that's really it
really is meant for the executives who
run those organizations to figure out
how they can do it in a more sustainable
way and deliver higher quality services.
About how many members do you have?
>> Just about 500. And oh my gosh, if you
if you had asked me like how many
members do you think we have, I'd be
like
kindly wishing you had a hundred 500.
>> That's amazing.
>> And and only organizations can join.
Individuals cannot join the
organization.
>> So um so yeah, I mean we we have really
grown quite organically.
>> Yeah.
>> As autism, I mean you said it at the
outset, right? you hear about autism all
the time. There's so much um new
information coming out all the time
about autism. And so um we I'll have to
say I don't think I've done a very good
job trying to recruit new members
because I'm too busy um to think about
it and we just grow organically. We
really focus I know you told me that a
lot of your interviews are 501c3s and
we're a 501c6 but we're kind of C3ish in
mentality I have to say. So, we focus on
what can we do to make things better for
our members so that they're delivering
better services to individuals with
autism. And so, instead of thinking
about how can we grow our membership, we
think constantly about how can we do a
better job for our members. And guess
what? That grows membership.
>> Yeah. It's absolutely riveting. my
saintly sister Jamie Patrick I mentioned
in the green room. She is a tremendous
educator and has dedicated her life um
and her professional career towards
working with with her students with
autism in a public school district um
here where we live in Arizona. And um we
were just talking about in the
trajectory of her career how much the
science, the technology, the theories,
everything have changed. And um I've got
to believe a group like yours really
helps kind of everybody to understand
what are some of the new things going on
um so that you can advocate properly. Is
that fair to say that you have to be
running on that hamster wheel of change
just as fast as everyone else?
>> Absolutely, if not faster. Right.
Because we've got to disseminate the
information for our members and for the
families. So
>> the the litmus test to become a member
of CASP for an organization to be
admitted to membership is that they have
to demonstrate a commitment to
evidence-based care. And so if an
organization is utilizing some
intervention that um has been disproven,
we will not admit them to membership and
we do in fact have to turn applicants
away on that basis. So now now what is
evidence-based changes over time, right?
>> So that's why we have to stay on the
cutting edge of that. But we are quite
strict in ensuring that our
organizations are committed to
evidence-based care.
>> So you're really in a in a whirlwind of
thought of theory of science and
practice discovery and yet you're so
you're so young. You're such a young
organization.
Um how do you keep all those those balls
in the air? I mean, I've got to believe
that because everything's changing so
quickly, it's got to be hard to just
focus in and managing, you know, the
practice of of association management,
which is a a unique thing. It's a very
very unique skill and operational
structure within the 501, you know, uh
the C structure. It is. And you know, I
came from a background of advocacy. I
I'm a lawyer by training and I practiced
law with the United States Department of
Justice when I was young. Then I went
into teaching law school for a while at
two different law schools and during
that time my firstborn child was
diagnosed with autism. So that is what
led me into this professional path.
It is a completely new thing for me to
for my job to be running and managing an
association.
>> But you know the how do you do it? Um I
I would say a couple of things. One um
I'm incredibly passionate about the
subject matter and about what our
members do because it's impacted me
personally. my my child um has benefited
tremendously from um quality
evidence-based intervention for autism.
And so I care very much I I care very
much about our mission and the the
families that we serve. And then also
because of our growth, we have been
privileged to grow from one staff member
myself seven years ago. Uh there there
was a a a former executive director
before me for three years and it was
just her. Um and then when I was hired
it was just me and now we have 25
full-time staff. So, uh, we can better
keep up with the advances in autism and
better serve our members because we have
one person focused on government affairs
and another person focused on clinical
standards and another person focused on
educa educating and um, creating
resources for our members etc. Wow, this
is remarkable. Um because I think of
those lost years of CO um and that
you've been able to do this during a
slowdown
where especially your population had
such um your your service providers
worlds were turned upside down because
in a lot of cases they couldn't get out
or work with clients, right? I mean, you
know, they couldn't have their schools.
If they were running a school, they
couldn't have their school in session. I
mean, all these different things. Um,
it's remarkable that you have been able
to be on this trajectory through in just
a short period of time. I just keep
going coming back to that.
>> Well, it's very insightful of you to
bring up COVID. Interestingly,
I think the pandemic allowed CASP to
shine and demonstrate value to our
members more so than we would have been
able to otherwise
because
the early days of the pandemic, uh, all
these rules and regulations were issued
that you you can't be out on the street,
you've got to close down this, you got
to close down that unless you're an
essential health worker. Well, my
members said, not my members, cast
members said, "Are we essential health
workers? We're not sure." And so I
reached out to my legal friends, you
know, I I hired a lawyer to say, "Give
us a memo. I want to know, can we
qualify as essential workers so that we
continue serving the the children that
we serve?" And um so being able to
produce a a legal memorandum in very
short order was of immense value to our
members. The kind of thing that they
couldn't have done on their own and it
was uniform nationwide because we
disseminated nationwide.
>> That's fascinating. And I love that you
could take your background and put it
into action very quickly and solve uh
some phenomenal problems and stop those
discussions like okay we are we're we
are part of this journey and so we got
to keep working right leaning in.
Brilliant brilliant brilliant that's
super super cool. So now you've like
moved through, you're thriving, um
you're getting more and more outreach,
you're
doing all sorts of amazing things,
you've built a significantly sized team.
Let's be real about the the world of
autism and only because I see this with
my sister and my dear friend
Danny Openend who is the CEO of SARKC
which is um a autism Southwest autism
research and resource center here in the
valley. Um there are a lot of theories,
there are a lot of practices, there are
a lot of populations. Are you dealing
with children, babies, seniors, adults?
I mean, how do you keep this umbrella up
over so many different people with
different ideas? Because again, all this
changed, but yet you have different
opinions on things.
CASP is a big tent and we welcome all
sorts of providers,
all kinds of models again as long as
they're committed to evidence-based
care. We um serve multiple populations.
We serve infants, toddlers, children
throughout um the the early childhood
years and the middle and elder childhood
years. We serve adults. We have
providers who are delivering ABA therapy
uh to children with autism. We have
providers who are providing 247
residential care to adults and seniors
with autism. We have providers who are
delivering day services to adults who um
don't work or maybe have nowhere to go
during the day. So, we really run the
gamut and we want to be that way. We
want to think we want to acknowledge
autism as a lifespan issue and serve the
full range with the the full paniply of
provider types that a person with autism
might need to interact with over their
life over their lifetime.
It's really a I love your phrase uh
lifetime of services because what a
family needs in the beginning when
they've just received a diagnosis to as
their their child ages and goes through
the different phases of life. Um wow,
that's an awesome and heavy lift. It's
not going to be the same organization
that you start with probably, right? I
mean, you're g you're going to have to
go out and find other folks to work
with. Well, it depends. Sometimes um you
have organizations who just work with
children with autism from birth to six
or birth to eight or birth to 18 other
and then you have other providers who
just do adult services. But then you al
we have many members who do serve the
full range and that's one of my personal
goals is to get more of our members to
serve the entire lifespan. Um because
once you get to know children with
autism are so relationship dependent. Um
and so for for my own son, he has been
able to stay with the same provider.
He's now 25 years old and he's with the
same provider that he was with in
elementary school. And I treasure that
because they know him so well. They know
his whole history and he knows them. Um
trusting relationship. So I it's it's my
goal to see more lifespan type services.
>> That's fascinating and I I applaud you
for that. Um you know we don't have a
lot of time left but I I've been so
enchanted by your story and the work
that you're doing. Um, I want to talk to
you a little bit on the personal side,
like leading an organization, a national
organization with a lot of different
voices, as we were just talking about,
um, and something that's in the news a
lot. How do you keep your passion up and
imbue your leadership with that? Um,
because that's got to be a heavy lift.
I gotta say I am blessed with
board members. A CASP has 13 board
members who are so committed, so
passionate about the work. It is not a
one of those board service things that's
just a resume builder and you just kind
of do it.
>> It's not that at all. They are they are
so engaged and they and they they work
on projects and really lead us forward.
and and likewise with our staff. We just
have been blessed with people who want
to do this more than anything else and
are so grateful for the opportunity. So,
um you know it for for many of us it is
personal. Uh many of us have family
members impacted by autism and we've
seen the difference that quality
intervention makes. So, we're dedicated
to ensuring that future generations have
access to that care. Yeah, you know,
there's I always have said in the
trajectory of my work in philanthropy um
never get in between a a mother and her
child. The organizations that I look at
across this nation that have been
founded or led by women that have moved
into this space not of their own
choosing but because they had a child.
The power of those mothers is just
astonishing and the journey that they
take. Um, generally people that were not
educated whatsoever in navigating the
nonprofit sector, right? you know, and
yet they like you, an attorney, and then
all of a sudden you move into something
um that uses your legal mind and your
legal framework, undoubtedly, but you
didn't go to school for this. You didn't
go to school for nonprofit management,
right?
>> You're so right. And I I recall um CASP
actually sort of recruited me to the CEO
role. And when I interviewed with them
and they offered me the job, I said,
You know, I'm thinking about this, but
let me just be clear.
I'm not a provider, and you're asking me
to run a provider association.
>> Yeah.
>> And I don't know how to run an
association, but if you still want me,
I'll take it. So, it's um I think they
just saw through those two pieces and
said, "Well, we actually like the idea
of a parent running a provider
organization because we know that you
really don't care about anything other
than what we should care about, the
mission and serving the individuals with
autism." And they're right about that.
>> And uh you know, I think they just said,
"You'll you'll figure out how to run the
association."
>> [laughter]
>> So, I'm I'm [clears throat]
building the plane as I fly it, I guess.
But we're we're doing well. And
>> and as I said, I came, you know, people
are probably wondering about the title
of this session, which is favors,
fishnetss, and facts. I I came from an
advocacy background. As I said, when my
child was diagnosed with autism, there
was no health insurance coverage for the
type of therapy that the doctors
recommended for him. And so, um, like
you said, don't get between a mom and
her child.
We paid privately for his therapy for a
few years, but it was $70,000 a year. My
my son is very severely impaired. And so
after a few years of that, I it's a long
story, but the short version is I I sat
down and wrote legislation in my home
state of South Carolina to require
health insurers to cover evidence-based
therapy for kids with autism. And we um
I I also didn't know anything about
passing legislation, but we came up with
a strategy called favors, fishnetss, and
facts. And it all started with um just
reaching having families reach out to
their legislators and asking for a favor
and saying, you know, it I would really
appreciate it if you would support this
bill. It impacts my family. Can you just
do that as a favor to me? And you can't
believe how many sponsors of the bill,
supporters we got just by asking for
favors. And then uh the fishnetss part.
I I had a mom friend of mine working
with me at the state capital and one day
she showed up in fishnetss at the state
house and I thought, "Oh gosh, I'm going
to have to tell her that's appropriate."
But you know what? I decided not to tell
her. I decided
>> she's a citizen. She can show up however
she wants to. And that turned out to be
a very good decision because she got
into a lot of door got into a lot of
office that way. Um and then at the end,
you know, we we we did have the facts on
our side and we shared the facts with
the legislators before getting um
approval of of the legislation. So
that's the little advocacy u piece of
it. And the the slogan favors fishnetss
facts is what got us here.
>> I love it. I'm so impressed and I'm so
delighted that you know your tribe found
you and the tribe is flourishing and
really expanding
um as a unit. so many nonprofit sectors
um could really learn from your message
and from your journey because um as you
see this every day I'm sure you you have
members they work so damn hard with such
integrity with so few resources and if
they just got that leg up from that
trade association
um got you know leadership what a
difference it can make and obviously
we're stronger together right I mean um
a small voice in the south matched with
somebody in the Midwest with the
Northeast, you know, I mean, goes on and
on and on. That really becomes powerful.
Super cool to be talking with you today.
Okay, so you're celebrating your 10th
year and what's up for the next 10
years? Like what are you thinking about
or seeing as is that future looking
like? Well, your timing in asking that
question is absolutely perfect because
we're going into strategic planning one
week from today. Our board gathering uh
on on the West Coast and spending
several days in strategic planning and I
think one of the things we want to do is
strengthen and increase our advocacy
presence. Right now, we have full-time
uh we have lobbying presence in
Washington DC at the federal level, but
so many of our issues, whether they be
health insurance or Medicaid or
education or even residential care, are
really regulated at the state level. And
so, we'd love to grow our lobbying
presence to make sure that our voice is
being heard effectively um in every
state capital. Um, we're working really
hard to establish outcome measures and
to benchmark for our members so that it,
you know, it can be hard for payers,
whether they're insurance companies or
Medicaid or school districts, to know
what success is in autism.
We know that ABA therapy is incredibly
effective in uh individuals with autism,
but what exactly does success mean? and
who has achieved good outcomes and who
has not. That's something that our field
has not fully grappled with yet. And so
that's on our agenda for the coming
years.
>> Wow. That's a heavy lift, but that
ultimately will be the best investment
that you can make in your organization
in terms of that advocacy. Um, wow.
Congratulations. I have really enjoyed
this. I'm I'm so grateful that my
neighbor Dr. Danny Open [laughter] would
recommend us. Um I I think he uh told me
about you months ago and he's like
you've got to get her on the nonprofit
show. And um yeah, so it's really great
to learn about what you're doing. And
again, I think other nonprofit sectors
could really uh glean a lot of
information from your your approaches
and what you're doing. So, thank you so
much for sharing your time with us.
>> Thank you so much for giving us the
exposure and I enjoyed talking to you
and learning about what you do as well.
And shout out to Danny. Thank you for
>> Danny Openen. Like I said, he's my
neighbor and he's a great guy. Well, we
are just so thrilled that we've been
able to get Lori uh Sheileley Unun on.
She is the CEO extraordinaire of CASP,
the Council of Autism Service Providers.
And you can learn more about the
organization at casp
r o i v ds.org.
They're celebrating their 10th
anniversary and they'll walk you through
on the website about what they do, where
they're spending their energy and their
efforts. It's fascinating to watch the
trajectory of their growth and uh really
to to be a part of something like this
is magical and so very needed. Um we
have been so blessed over the last seven
years uh to have amazing partners. Most
of these folks have been with us since
we started day one. They include
Bloomerang American Nonprofit Academy,
Staffing Boutique, JMT Consulting, Third
Sector Company, your part-time
controller, and Martis, our newest
sponsor that's joining us. Um we Lori,
we end each episode with this mantra.
And wow, it to when I say it today, it's
really going to s mean something
different to me. And it goes like this.
To stay well so you can do well.
[music]