Not sure if this service is right for you?

Contact our Fraser Health Access Line: Mental Health and Substance Use (Home of Access Central for Substance Use Services). We will help you connect with the service that best fits your needs.

We are open 7 days a week from 8:30 a.m. to 8:30 p.m., 365 days a year.

A specialized community mental health service for adults (19+) with co-existing intellectual disabilities and mental illness.

Developmental Disabilities Mental Health Services (DDMHS) provides specialized community mental health services for individuals who are age 19 and over, who live with co-existing intellectual disabilities and a mental illness with recent worsening of mental health symptoms. The person may also struggle with significant behavioural challenges in addition to the mental illness.

Clients can expect:

  • A plan of care that includes the initiation or management of psychiatric medication, along with short-term therapy, psychoeducation, and recommendations for other care services in the community.
  • Resource recommendations and advocacy
  • Nursing assessment
  • Possible short-term behavioural consultation and support
  • Possible short-term adapted counselling / skills development
  • Education to care networks (i.e. families, service providers)
  • Medication monitoring and education
  • Supporting clients to live and participate in their community, with recommendations to client’s network and community stakeholders to utilize appropriate community living supports as needed.
  • Virtual, home, and community visits
  • Psychoeducation groups (see end of document for details)

Group services

Our psychoeducational groups provide practical skills, emotional support, and a safe space for participants to learn alongside others. Most groups require both client and caregiver participation.

Eligibility includes:

  • Mild intellectual disability (IQ 50–70)
  • Age 19 or older
  • Individual must be under a doctor’s supervision if they have psychiatric medications (can be a family doctor or a nurse practitioner)
  • Ability to participate in group discussions and attend sessions consistently

Dealing with feelings (DWF)

This supportive group helps individuals experiencing anxiety or depression build skills to understand and manage emotions.
Participants learn relaxation strategies, emotional awareness, and coping techniques for anger, fear, and sadness. Caregivers learn how to support skill development and reinforce strategies in daily life.

Healthy relationships and sexual health

This relaxed, conversational group helps participants build safe, respectful, and meaningful connections. As the only group that does not require caregiver involvement, it provides a private and comfortable space for learning.

Participants explore social and communication skills, including boundaries and healthy friendships; dating and relationship safety; and essential sexual health education focused on consent, personal choice, and staying safe. The group supports participants in developing confidence, understanding their rights and responsibilities, and making informed decisions in their relationships.

Grief and loss

This group offers a compassionate space for individuals coping with the death of a loved one or other significant losses. Participants explore understanding grief by recognizing the emotional, physical, and social impacts of loss, and develop healthy coping strategies that support healing at their own pace.

The group also emphasizes connection and shared support, providing an environment where participants can express their experiences and feel understood by others navigating similar challenges.

Keeping up with feelings of anxiety and depression

This group is a continuation of the Dealing With Feelings program and offers deeper practice and reinforcement of emotional regulation skills. Participants build on relaxation and grounding strategies, strengthen emotional awareness, and further develop coping skills to manage difficult feelings more effectively. KUWF is ideal for individuals who have completed DWF and want continued support as they apply and refine these skills in daily life.

Skills for building emotional resilience

This two-part program is grounded in Dialectical Behaviour Therapy (DBT) principles and supports participants in developing practical tools to manage emotions and navigate everyday challenges.

The group focuses on mindfulness to stay present and grounded, distress tolerance to manage crises safely, emotion regulation to understand and influence emotional responses, and interpersonal effectiveness to communicate needs while maintaining healthy relationships and self-respect. Part 1 introduces foundational skills, while Part 2 deepens practice and supports ongoing application in daily life.

Access

Eligibility

This service is for those who are:

  • 19 years or older
  • Have a diagnosed intellectual disability (IQ of 70 or less)
  • Are experiencing mental health concerns and/or complex, challenging behaviors
  • Live in the Fraser Health or Vancouver Coastal Health region

This service may not be for those who are:

  • Experiencing worsening of mental health symptoms and/or behavioral concerns.
  • Seeking counselling or behavioral therapy as their only resource.
  • Seeking residential, job-related or life skills supports.
  • CLBC eligible clients who fall under the Personal Supports Initiative (PSI).
  • Seeking Autism or Fetal Alcohol Spectrum Disorder diagnosis.
  • Seeking a Psychological or Psycho-Educational Assessment.
  • In remission and seeking long-term monitoring.

Referral

Anyone can make a referral to DDMHS by submitting a referral form.

Please note: A physical examination and approval from the individual’s family doctor/nurse practitioner is required for the referral to be considered complete.

Language(s) Offered

Services are provided in English. Fraser Health Language Interpreter services are utilized as needed.

X

Cookies help us improve your website experience.
By using our website, you agree to our use of cookies.

Confirm
X

Cookies help us improve your website experience.
By using our website, you agree to our use of cookies.

Confirm