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Issue: Following the completion of CARIBOU-1, the "CARBIOU by CAMH" care pathway is now the standard of care at CAMH in Toronto, ON. Although it is currently being investigated for its clinical and implementation effectiveness across community mental health agencies within Ontario, the extent of readiness to implement this pathway remains unknown among mental health agencies in other Canadian provinces. Aim: To investigate whether mental health organizations across Canada (Quebec, Alberta, and British Columbia) have the need, fit, and capacity to deliver an Integrated Care Pathway for the treatment of depression in adolescents. Community-based and academic mental health agencies across Quebec, Alberta, and British Columbia will be invited to participate in the study. Consenting agencies will receive extensive detailed information about "CARIBOU by CAMH" and each of its components. Site-level group interviews, known as Readiness Assessments, will be conducted with teams at each site to evaluate their readiness to implement CARIBOU by CAMH. Questions about need, fit, and capacity will be covered during the 2 Readiness Assessment meetings, which typically last 1.5 hours each. Site-level group interviews will be conducted among mental health agency personnel. Contribution: Where gaps in readiness exist, mental health agencies can advocate for needed resources and the "CARIBOU by CAMH" developers can make program modifications to enhance the fit for future implementation. |