Adult Mental Health Services Project with BC Mental Health and Substance Use Services

Name*
First Last
Home Community*
Email*
Phone
Do you have any lived experience in tertiary* adult mental health services as a patient or family member?*
- Yes
- No
*Tertiary mental health services are the highest level of mental health inpatient services across the province, and provide care for patients/clients who require assessment, stabilization, treatment and rehabilitation and support beyond what is offered in community.
If no, please briefly describe any lived experience you may have in the adult mental health system as a client or family member?*
Please describe your interest in contributing to work focusing on improving the adult mental health system including any special skills, background or perspective that might be useful for this project*
Do you provide consent for the BCPSQC (PVN) to share your name, email address & phone number, in addition to your RSVP answers, with the health care partner at this time?*
- Yes
- No
The BC Patient Safety & Quality Council will collect personal information via Word Press under section 26 (c) of the Freedom of Information and Protection of Privacy Act for the purposes of operating the Patient Voices Network. Personal Information submitted by volunteers will be saved and stored on file by BCPSQC for 5-10 years upon submission. If you have any questions about the collection of your personal information please contact: Ben Ridout, Director of Patient and Public Engagement, 201-750 West Pender St., Vancouver, BC, at 604-668-8211.

Save what you wrote and continue filling the form later

From Our Community

Terri McKinlay

Patient Partner, Penticton

The Patient Voices Network has provided Rylee and me the ability to channel our experience into positive change for others. Our voice in decision making, planning and partnerships for mental health care is having a profound impact on our healing process.