Integrated care pathways homepage   Middle years

Schools are uniquely positioned to help identify mental health needs and support early intervention because children and young people spend much of their time there. Our RTRC work is about building and leveraging collaborations between health and education partners to create and implement strong, coordinated systems of care for young Ontarians.

Our path

RTRC began as a foundational resource with a shared vision for establishing responsive, integrated care pathways between schools and community-based child and youth mental health and addictions care agencies. It has grown into groundbreaking cross-sectoral work that will impact many young Ontarians and pave the way for future collaborations with other ministries.

Where we started

The important role that schools play in mental health promotion and prevention is reflected in our resources as far back as 2009, but it was the collaborative vision set out in our co-developed 2022 paper, Right time, right care: Strengthening Ontario’s mental health, substance use and addictions system of care for children and young people that caught the attention of the Ministry of Education. They used the resource as the foundation for a 2024 policy, working closely with the Ministry of Health to set out expectations for school boards and community-based mental health and addictions care organizations to jointly develop plans and strategies to ensure that children and young people receive the right level of care in the right setting. As an implementation partner, we have since facilitated consultations to identify tools and resources needed to make the RTRC vision a reality in Ontario communities.

Where we are now

RTRC is now understood as the vision and model through which coordinated mental health, substance use health and addictions care occurs within the education and child and youth mental health and addictions sectors. Our implementation coaches are working alongside our partners to engage with school boards and community-based agencies to prepare them to implement RTRC and ensure that children, young people and families have access to care that best suit their need(s).

Where we are headed

Implementation is not straightforward. The RTRC implementation process requires time and long-term commitment. Ongoing work with school boards and community-based agencies will guide implementation processes and improve collaboration between school and community-based mental health services.

From vision to reality

Together, the Knowledge Institute on Child and Youth Mental Health and Addictions (Knowledge Institute), School Mental Health Ontario (SMH-ON), Youth Wellness Hubs Ontario (YWHO), Children’s Mental Health Ontario (CMHO) and the Lead Agency Consortium (LAC) are working to move RTRC from a vision to reality in Ontario communities. 

A RTRC implementation support program was developed. All resources and coaching support are grounded in implementation science, developed and delivered through collaboration among the Knowledge Institute, School Mental Health Ontario, and Youth Wellness Hubs.

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Key resources