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