In Senator Kirby’s 2006 report, Out of the Shadows at Last, children’s mental health was labeled the “orphan’s orphan” of Canada’s health care system. For over two decades, the systems-of-care philosophy in children’s mental health has recognized the need to respond to a fragmented service system through greater integration and coordination. Continuity of care, which is how a patient experiences care over time as coherent and linked, has been identified as an indicator of health system performance and is considered an ethical principle of care.