Ledger House

The Ledger Program is an island-wide resource that provides acute, in-patient, hospital based psychiatric services for children and youth. We provide stabilization, assessment, treatment planning and short-term interventions for children and youth aged 6 to 16 years. Learn more about Ledger House in the welcome brochures on the right.

Admissions are either (1) urgent or (2) planned.

1. Urgent Admissions

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:

a. Florid psychosis
b. Active mania
c. Suicidal with previous, serious suicide attempts
d. Require intensive 24 hour monitoring

Locations Served

The Ledger program serves all Island Health children, youth and families.


Physicians and mental health clinicians can make referrals to the Special Care Unit. Please contact Intake at 250-519-6720 to discuss a potential referral to this unit (please see below for more detailed information about referrals).

2. Planned Admissions

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.

1. Children's Unit - inpatient assessment, intervention and discharge planning for children ages 6-11 with complex psychiatric problems

2. Youth Unit - inpatient assessment, intervention and discharge planning for ages 12-16 with complex psychiatric problems

Locations Served

The Ledger Program serves all Island Health area children, youth and families.


Family physicians, pediatricians and mental health clinicians may make referral (PDF) to Ledger House. Find out more about the referral process.

To discuss a potential referral or obtain more information, please contact Child, Youth & Family Mental Health Services at 250-519-6720.