BC Children’s Hospital Emergency Department,

RICHER Program

And Community Partnership

No conflict of interest to disclose.

What is our initiative?

Who are our Vulnerable Youth? Youth who fall through the cracks

Youth who have needs which don’t fit into medical or mental health models of care

Youth who are displaced

Youth who have parents, responsible adults or guardians who are unwilling, unavailable or unable to provide

testimony to their needs

Youth who present to the Emergency Department and other responsible adults are not present or are unknown

Collaboration

Vancouver Aboriginal Child &

Family Children’s Society.

Child & Youth

Mental Health,

Child Protection,

Central Intake

RICHER Program,

Emergency

Department,

Child Protection

Service,

Mental Health

Program,

Social Work

Department

Vulnerable Youth and the

Emergency Department Vulnerable Youth use the Emergency Department (ED)

frequently

Sample of 60 youth had 388 ED visits over 5 years, median

4/youth.

37% were mental health or substance use as primary diagnosis;

21% seen for injury

Youth workers work with youth with high ED utilization

Where we arrived……

Where we need to be……

“SHARED”

Script for Community to

Emergency Department

Communication

Who is this available to? Vancouver Aboriginal Child and Family Services Society

Vancouver Costal Health - Youth Outreach Mental Health

Ministry of Child Family Department

Vancouver Parks Board - Youth Workers and Community Centers

Vancouver Public Library

Urban Native Youth Association

Covenant House

Directions Youth Services division of Family Services of Greater Vancouver

Watari Counseling & Support Services Society

Pacific Community Resources Services: IRAYL Outreach & Broadway Commercial Resource

Center

Nexus Boys and Girls Club

Reach Community Health Center

2 is the magic number, but how do we define

success?

Collaboration

Vancouver Aboriginal Child &

Family Children’s Society.

Child & Youth

Mental Health,

Child Protection,

Central Intake

RICHER Program,

Emergency

Department,

Child Protection

Service,

Mental Health

Program,

Social Work

Department

Taking our next steps

Thank-You Caroline Chilvers Quality and Safety Lead, Emergency Department BC Children’s Hospital, PHSA Caroline.Chilvers@phsa.ca Dzung Vo, MD Clinical Associate Professor RICHER Initiative, Division of Adolescent Health and Medicine University of British Columbia Eva Moore, MD, MSPH Clinical Assistant Professor RICHER Initiative, Division of Adolescent Health and Medicine University of British Columbia Amanda Pollicino Director of Programs Network of Community Inner City Services Society