Psychiatric Emergency Services

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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).

PES Patient Experience Survey

Focused work is underway by Island Health to improve the way services are provided to individuals seeking care for a mental health or substance use crisis at Royal Jubilee Hospital’s Psychiatric Emergency Services (PES). Hearing directly from patients who are, or have, experienced care in PES is essential to this work.

As part of a broader engagement strategy to capture the voices of those who have, or are, experiencing services in PES, Island Health is conducting a Patient Experience Survey focused on PES. Patients can complete the survey online. This can be done by patients either while they are still in hospital or after they have been discharged. 

The survey is completely anonymous and consists of 20 questions. This means the survey should not take very long to complete.  If you have a specific patient care concern related to the care you received, please contact the Patient Care Quality Office.  

Find more information about the quality improvement work underway in PES, including the workstreams and recent activities to support improvements. A summary of accomplishments over the 12 months has been developed and can be accessed here: PES Annual Highlights.


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.

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General Information on Psychiatric Emergency Services

Referral Required?
Not required

Learn About

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