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In early 2024, we began developing a quality standard to help enhance live-in mental health treatment for children and young people in Ontario. This standard will help establish a consistent, evidence-informed framework that guides the delivery of high-quality, intensive care. The standard aims to support the best care outcomes, reduce system inequities and promote continuous improvement of live-in treatment programs across the province. 

Our path

Where we're at

We have now closed our public feedback campaign and are in the process of reviewing and incorporating input from across the sector. We’re grateful to everyone who completed the survey or took the time to meet with us to share their insights on how to strengthen the standard. 

Our team is currently consolidating all feedback received and identifying key themes and considerations. This input will be brought forward to our next Quality Standards Advisory Committee (QSAC) meeting this spring, where members will have a final opportunity to review and provide input before the standard is finalized.

Where we're headed

Our next major milestone is the public release of the finalized quality standard. Following its release, we will invite the sector to learn more about the standard and explore how it can be implemented and applied within organizations and communities. We will also be sharing resources and supports to help guide implementation and support uptake across the sector.

What do we mean by live-in treatment?

Live-in treatment provides intensive, around-the-clock care for young people facing complex mental health challenges. However, current live-in services vary widely in approach, accessibility, and outcomes. By establishing a clear, province-wide standard, we aim to improve the quality and consistency of care and create pathways that address both the needs of young people and the diverse contexts in which care is delivered.

Background and context

The Ontario Intensive Treatment Pathway (OITP) is part of the Ontario government’s commitment to improving intensive mental health treatment for children and youth. Under this initiative, regional hub organizations will work with local networks to adopt and implement the live-in treatment standard and adapt it to specific community needs across Ontario. Alignment between OITP and the quality standard helps create a more cohesive, consistent, and comprehensive approach to intensive mental health care provincewide.

Stay informed

As this quality standard takes shape, we will regularly update this page with resources. Service providers, caregivers, young people, and other partners are encouraged to stay informed and provide feedback to support the development process.

Subscribe to our monthly e-newsletter for the latest updates and ways to get involved!

FAQs:

Who is involved in developing the quality standard?

We’re working with a diverse Quality Standard Advisory Committee (QSAC), which includes youth and caregivers with lived experience, service providers, researchers, topic experts, and system leaders. Together, this group helps ensure the standard is grounded in real-world needs and responds to the most pressing gaps in the sector.

How can I provide feedback or get involved?

We encourage all partners—service providers, families, youth, and community members—to subscribe to our e-newsletter for updates and invitations to provide feedback during consultations and co-development activities.  

You can send your questions directly to us at standards@cymha.ca.

How is this quality standard related to the work of OITP?

OITP is one of the main ways this standard will be put into action across the province. As OITP build a more coordinated, equitable system of intensive treatment, this standard will serve as the foundation for how services are designed, delivered and monitored.

This alignment helps reduce variation in care, improve access, and ensure all children and youth receive, consistent, evidence-informed treatment.

Why are we focusing on live-in treatment? (LIT)?

We’re starting with LIT because it’s a key area of need for children and youth with intensive mental health challenges. Intensive services, including LIT- were short-listed during our last topic selection process for quality standards, demonstrating that it is a priority for leaders, service providers, young people, and families across the sector. It also builds on our recent work, including the development of the Levels of Care quality standard, making it a logical next step in strengthening the system.

This focus also aligns with broader government commitments like Roadmap to Wellness, the Lead Agency Consortium’s Provincial Priorities Report, and other longstanding recommendations. Service providers have also highlighted that they often divert resources from other services to meet high demand for LIT. Improving access and streamlining care pathways may help strengthen resources across the entire system.

How will OITP and this quality standard help improve live-in mental health services?

The OITP will help create a more seamless and equitable system. It will do this by improving access, coordinating services at a regional level, and ensuring care aligns with the provincial quality standard. It’s one of the key ways we’ll support the implementation and monitoring of that standard—helping reduce gaps and variability in service delivery across Ontario. To ensure consistency between the quality standard and other portions of OITP’s work, a member from each OITP working group is also a member of the QSAC.