Ledger House - Children, Youth & Families

Ledger House - Children, Youth & Families

The Ledger Program is an island-wide resource that provides acute, in-patient, hospital based psychiatric services for children and youth serving all Island Health children, youth and families.

We provide stabilization, assessment, treatment planning and short-term interventions for children and youth aged 6 to 16 years. 


Admissions are either urgent or planned.

Urgent Admissions

Special Care Unit (SCU)

Clients admitted to the Special Care Unit generally require urgent service and/or short-term stabilization for any of the following:

  • florid psychosis
  • active mania
  • suicidal with previous, serious suicide attempts
  • require intensive 24 hour monitoring


Physicians and mental health clinicians can make referrals to the Special Care Unit. Please contact Intake to discuss a potential referral to this unit.

Planned Admissions

Children's and Youth Units

Clients admitted to these two units require in-patient, multi-disciplinary, tertiary mental health assessment and treatment planning. Upon admission, clients must have a secure placement and community discharge plan in place.

Children's Unit 

Inpatient assessment, intervention and discharge planning for children ages 6-11 with complex psychiatric problems

Youth Unit 

Inpatient assessment, intervention and discharge planning for ages 12-16 with complex psychiatric problems


Family physicians, pediatricians and mental health clinicians may make a referral to the Comprehensive Assessment Units (CAP) at *Ledger House.

Learn More

Find out more about the referral process
Frequently Asked Questions

*Ledger House is also known as the Jack Ledger Building or Jack Ledger House.

Queen Alexandra Centre for Children's Health

2400 Arbutus Rd
Victoria, B.C. 
V8N 1V7



Sooke Region, West Shore & Urban Greater Victoria