The BC EPI Training Program and Community of Practice is funded by Fraser Health, the Ministry of Health, the Ministry of Children and Family Development, and the Vancouver Island, Interior, Northern, Vancouver Coastal, and Provincial Health Services Authorities of British Columbia, Canada.

The development and coordination of the BC EPI Training Program and Community of Practice is done through the Fraser EPI Program.

Early Psychosis Intervention Program Fraser Health BC Ministry of Health BC Ministry of Children and Family Development Vancouver Coastal Health Vancouver Island Health Interior Health Northern Health Provincial Health Services Authority

The Early Psychosis Community Care Pathway

Through the Early Psychosis Intervention Program in the Fraser South Area of British Columbia, Canada a care pathway for early psychosis was developed and implemented across all community mental health centres in the region -- for both Adult and Child & Youth Mental Health.

A care pathway is a plan that outlines the sequence and timing of clinical interventions for professional staff caring for a specific client group. Terms such as "pathways to care, care maps, clinical pathways and critical pathways" are used interchangeably to describe care pathways. While there are differences across the format, level of detail and instructions for use, the vast majority of all care pathways have the following goals:

  1. Provide a practical "best practices" guide to care that fits within the system in which care is being offered
  2. Standardize care and reduce variation in practice and in documentation
  3. Provide a method for evaluating and improving quality of care

The care pathway developed for early psychosis includes prompts for interventions and standardized assessments and has ultimately replaced the charting system used in the mental health centres for early psychosis clients in Fraser South. One-year evaluation revealed that the care pathway was associated with improvements in care.

The tools associated with the care pathway are provided below.

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Progress Forms and Assessment Templates

These are electronic templates that allow you to type the information in using MS Word.

  • Initial Assessment
    Download the document here.
  • Client Goal Plan
    Download the document here.
  • Family Goal Plan
    Download the document here.
  • Quarterly Update
    Download the document here.
  • Substance Use Assessment
    Download the document here.
  • Recovery Progress Form
    Download the document here.
  • Relapse Progress Form
    Download the document here.
  • Medication Record
    Download the document here.
  • Termination of Services Report
    Download the document here.



The selections above are electronic Microsoft Word Forms for the care pathway.

The forms are currently "locked". When forms are locked you can fill in information but not modify the form itself. If you want to unlock the form to adjust formatting or add into the header, you can do so by going to "Tools" and then "Unprotect Document". After making any modifications, you will need to "relock" the form in order for it to be completed electronically.

Note: These forms contain macros and in order for them to be read properly on your computer, you must set your MS Word macro security level to "medium". To do this go to "Tools" - "Macro" - "Security" and make sure the Security Level checked off is "Medium". Then when you attempt to open one of these documents, a pop-up box will appear with a few options - click on "Enable Macros".

Assessment Tools

    Download the document here.
  • 2-Com PDF
    Download the document here.
  • Mental Status Exam
    Download the document here.
  • Exploratory Questions about Family Impact
    Download the document here.
  • Exploratory Questions about Psychosis
    Download the document here.
  • Discharge Review (Revised)
    Download the document here.

Educational Materials