Psychiatric Emergency Services

holding hands

Royal Jubilee Hospital PES in Victoria 

PES is accessible 24 hours/day, 7 days/week to provide specialized emergency psychiatric and substance use care to adults (17-75 years) experiencing emergent mental health and substance use-related crises, in alignment with legislative requirements of the Mental Health Act. 

Types of Services Offered

  • Thorough and rapid specialized assessment, crisis management, and initiation of treatment for mental health and substance use-related crises
  • Diagnosis, support and education, and crisis intervention:
    • De-escalation and symptom management
    • Medication initiation
    • Recovery planning
    • Review of individuals’ existing resources/support networks in the community
  • Substance-use screening, risk assessment, and determination of the most appropriate intervention including harm reduction services
  • Referrals to the most appropriate level of care, including inpatient admission or referral to outpatient services and community resources
  • Safety and discharge planning

Eligibility Criteria 

  • No referral is necessary to come to the Royal Jubilee Hospital Emergency Department; transfers to PES are determined by the Emergency Room Physician following assessment 
  • Adults 17 years or older experiencing emergent mental health and/or substance use-related crises

How to Access 

  1. Go to Royal Jubilee Hospital Emergency Department
  2. Speak to the Emergency Triage nurse who will assess current emergency health needs
  3. Remain in the main Emergency Department for further assessment and treatment for any physical health conditions 
  4. The Emergency Department physician will determine if a patient is to be assessed by a psychiatrist (not every patient who presents to PES will be assessed by a psychiatrist).

Acute Care Mental Health and Substance Use Services Public Engagement

To inform how Island Health can improve services, we are engaging with patients, family members, staff, and clinicians.

Are you a patient, family member, or someone with lived/living experience? Are you a physician, clinician, staff member, or first responder working in acute mental health and substance use services?

The engagement will take place from April 25 to May 31, 2022.

We want to hear from you to understand:

  • What is going well and what could be improved about acute mental health services delivery?
  • What does safe, person-centred, and helpful acute mental health services look like?
  • What considerations should we be taking into account as we plan the new Young Adult Unit?

To participate, we invite you to Take an online survey

Please note the survey is one of several ways that Island Health is seeking information to improve acute mental health and substance use services in Victoria.

Focused work is underway by Island Health to improve the way services are provided to individuals seeking care for mental health or substance use crisis at Royal Jubilee Hospital. The goal is to make mental health services more accessible, supportive, and safe for patients, families, staff, and clinicians. This is part of ongoing work Island Health’s Acute Mental Health and Substance program has been working to improve care for those accessing mental health care in hospital in Victoria over the past year.  A key part this work will be to create a service model for young adults aged 17-26 years, including an inpatient unit.

For more information about this acute mental health services engagement, read our FAQ.  

To learn more about how you can participate, watch this video below.


If you are in a situation that involves immediate risk of harm to self or others, please call 9-1-1.

As always, please remember to use your EMERGENCY DEPARTMENT wisely.


General Information on Psychiatric Emergency Services

Referral Required?
Not required

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