Team-Based Care & Recovery Services

Team-based care and recovery services (also known as “case management”) provide person-centered care to individuals experiencing severe mental health and/or substance use issues.

Collaborative efforts within these services include a case manager who assesses the unique needs of each client, coordinates treatment and support services and facilitates access to community resources.

Team-based services vary by community and are adapted to individual need. 

Services provided may include: 

  • Assessment and care planning
  • Treatment, psychosocial rehabilitation and skill development
  • Referral to community services
  • Relapse prevention and harm reduction services
  • Psychiatric and psychological treatment

How to access services

Most programs have specific eligibility criteria and require a referral to access services. Please contact your local Mental Health and Substance Use team for information on the referral and admittance process.

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Assertive Community Treatment

Assertive Community Treatment (ACT) provides a specialized team-based approach to care that is person-centered, wrap-around and recovery-oriented. ACT teams are mobile in most communities and provide individualized, community-based support for adults (19 years or older) living with complex mental health or concurrent mental health and substance use disorders. Inclusion and exclusion criteria are available through referral.  

Services and Treatment Offered

Services vary in each community and may include:

  • Intensive case management
  • Psychosocial rehabilitation (activities include social inclusion, vocational training, relationship building, etc.)
  • Family-centered service that includes support and education

Find more information about ACT in BC.

How to access ACT in your community

Contact your local Mental Health and Substance Use team for information on the referral process. 

Most programs and services require a referral by a mental health provider (via Pathways).

Early Psychosis Intervention (South Island)

The Early Psychosis Intervention (EPI) program in Victoria provides support to individuals aged 13-35 who are experiencing their first episode of psychosis (e.g., schizophrenia, bipolar 1 or severe depression with psychotic symptoms). Services are also provided for families and caregivers of those affected. 

Our multidisciplinary team works with clients to reach their wellness goals, including helping to reduce symptoms of psychosis, promote health, decrease social isolation and enhance positive coping skills. 

Services provided:

  • Rapid psychiatric consultation and assessment
  • Medical and psychosocial treatment of psychosis
  • Psychosocial rehabilitation
  • Psychoeducation and counselling support
  • Community education on psychosis and early psychosis programs
  • Peer support

How to get a referral:

Referrals are required and can be accessed through one of the following three channels: 

  1. Email or fax a referral form to:
  2. Call the Intake Clinician: 250-519-3856
  3. Submit internal referrals via Pathways
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Additional resources
Intensive Case Management Teams

Intensive Case Management (ICM) teams provide case management to individuals with persistent and severe substance use issues, with or without co-occurring mental health concerns. This voluntary service collaborates with community and healthcare partners to support individuals in improving their quality of life and independence, addressing their social relationships, physical health and mental health needs.

ICM teams consist of clinical and non-clinical members, including individuals with lived experiences. They work together to provide intensive and individualized case management and outreach services. 

How to Get a Referral 

Contact your local Mental Health and Substance Use team for information on the referral process. 

General Information on Team-Based Care & Recovery Services

Referral Required?

News & Events

Crisis response team and community café win 2024 mental health and substance use awards

Crisis response team and community café win 2024 mental health and substance use awards

In conjunction with Mental Health Week (May 6-12), Island Health is recognizing two groups for their efforts to help people experiencing mental health and substance use challenges.

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Young Adult Mental Health Unit established at Royal Jubilee Hospital

A new Young Adult Mental Health Unit at Royal Jubilee Hospital is providing specialized and age-appropriate care for young adults experiencing acute mental health challenges.

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Medical detox services coming to Campbell River

Detox offers medical care and oversight in a secure environment.

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