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Metabolic Program

We provide specialized management for children and youth with mental health and endocrinology / metabolism complications.
COVID-19 and Children - Information for Parents

Who we treat

Examples of endocrinology / metabolism complications include: significant weight gain (especially around the waist), high blood pressure, abnormal lipid profile (elevated cholesterol, LDL, triglycerides and low HDL), elevated insulin and blood sugar levels.

Access to the Provincial Mental Health Metabolic Program is by referral only and requires the following:
  • A recent physical exam
  • A recent psychiatric assessment
  • Before- and after-care support by a health care provider
  • Parent / caregiver involvement
Services we offer
  • Consultation
  • Assessment
  • Diagnosis
  • Treatment
  • Education / family support

Download a copy of the Metabolic Program brochure.

The program has an interdisciplinary team comprised of a psychiatrist, pediatric endocrinologist, nurse practitioner, dietitian and physiotherapist. The first appointment may include visits with the physician, nurse, dietitian and physiotherapist. The goals of treatment are focused on improved health and active living.


Research into the underlying mechanisms and optimal treatment strategies for metabolic side effects in children and youth treated with second-generation (or atypical) antipsychotics is the main research focus. In addition, we perform research to understand how best to transfer our research knowledge into the community to ensure that new research findings are incorporated into clinical practice. All research is performed following informed consent and protocols have been reviewed and approved by the University of British Columbia Research Ethics Boards and Hospital Ethics Committees.

Learn more about our research at Child & Family Research Institute.

Student placements and training opportunities are provided to students at all levels and from a variety of disciplines including nursing, medicine, dietetics, physiotherapy, and psychiatry. The program also offers training for metabolic screening and monitoring for clinicians working with this population in the province on request.


During treatment

Patients who are referred to the Mental Health Metabolic program will be contacted for an assessment appointment with the health care team. 

The first appointment may include visits with the physician, nurse, dietitian and physiotherapist. 

The goals of treatment are focused on improved health and active living. 

Frequency of follow up visits is determined on a case by case basis and ranges from 3-6 months on average.


The first visit is the longest and can last up to 2 hours.

Follow up visits range from 30-60 minutes.


Please be sure to bring a list of all current medication and past / current care providers. Wear comfortable clothes and footwear (may be asked to walk on the treadmill). Gym strip can be brought or worn to the appointment.

After treatment

We provide a "healthy living plan" that is developed with the patient and parents / caregivers, as well as communication updates to the referring source at discharge and as appropriate throughout care in our service. In addition, transition planning to adult services is facilitated as needed.
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