Child and Youth Mental Health Collaborative


Local Action Teams

Local Action Teams (LATs) are a key component in the structure of the Child and Youth Mental Health and Substance Use (CYMHSU) Collaborative. They provide the foundation for improving timely access to support and services for local children, youth and families experiencing mental health and substance use challenges.

Teams are comprised of a diverse cross-section of mental health and substance-use service providers, stakeholders, and youth and families from the local community.

How it works

Each Local Action team commits to tackling one or two key objectives within a particular timeframe to address system barriers in their community. A Collaborative Coach supports the team to help them successfully achieve their goals and measure their outcomes.

A Local Action Team is working in your region. Click the link below to see details of who’s involved in your community, their improvement objectives, and how they’re planning to measure success.

  • Vancouver


Polypharmacy Risk Reduction Initiative


Vancouver physicians have been engaged in Polypharmacy Risk Reduction and are moving forward with the initiative in residential care facilities in their community.

Richmond has Polypharmacy Risk Reduction physician mentors who are skilled in mentoring their physician colleagues in meaningful medication reviews in residential care.


Transitions in Care Initiative


Complex, Co-Morbid Chronic Disease Management Strategy

Communication on admission and discharge between internal medicine and family physicians; accurate identification of family physicians; shared care planning; focus on patients with a higher risk of admission.


Partners in Care Initiative


Improving access to psychiatric consultation through UrbanDoc

UrbanDoc is a website created by family physicians affliliated with St Paul's Hospital that coordinate activities and share information ( to improve access to psychiatric consults.

With UrbanDoc, a psychiatrist may see referred patients either in hospital, private clinic, or in the family physician’s office.  A written consultation is provided with specific recommendations for the family physician. Patients continue treatment with their primary care physician, and the psychiatrist may provide further assistance over the phone or via a secure messaging system on the UrbanDoc website. In some cases, the psychiatrist may follow the patient jointly for a period of time. There are currently three psychiatrists involved with a total of 32 of the 60 UrbanDoc physicians. Thirty-one of them receive site visits and are practicing in multi-doctor clinics.

Rapid Access to Consultative Expertise (RACE)

Providing family physicians with rapid telephone access to a wide range of specialist services for patient consults.


Spreading shared care processes (e.g. referral acknowledgement) into VCH ambulatory clinics.

E-Mental Health

Creation of a web-based tool to assess the needs of patients, direct them to appropriate web-based resources, and provide psychiatry or psychology support if needed.

Group Medical Visits and Email - completed

To provide better access to care for Langara students with ADHD and increase the capacity of students with ADHD to manage their condition.