
High school
The HORS-PISTE anxiety prevention program is an initiative of the Centre RBC d’expertise universitaire en santé mentale destiné aux enfants, aux adolescents et adolescentes et aux jeunes adultes. Since 2020, the CISSS de la Montérégie-Centre has put together a support team specifically dedicated to launching the HORS-PISTE program. The team is responsible for rolling out the program across Québec, in partnership with health and social services institutions and schools, with a focus on integrating services from within the youth mental health continuum. The team is also tasked with helping institutions to introduce the program in high schools, working proactively to adapt it to the reality of the different parts of Québec.
To implement the HORS-PISTE program, contact programme.horspiste.cisssmc16@ssss.gouv.qc.ca

The HORS-PISTE program at school
- General program overview
- This promotional brochure will give you a quick overview of the various components of the HORS-PISTE program.
Promotional brochure - These placemats will give you a quick overview of the competencies to be developed and the objectives to be worked on through the various components of the HORS-PISTE program.
Overview of the HORS-PISTE – Exploration program
Overview of the HORS-PISTE – Expedition program - To attend a presentation of the program, contact programme.horspiste.cisssmc16@ssss.gouv.qc.ca
- This promotional brochure will give you a quick overview of the various components of the HORS-PISTE program.
- Implementation support
- Our role: The CISSS de la Montérégie-Centre has been selected to launch the HORS-PISTE program throughout Québec. Our team is tasked with supporting health and social services institutions and high schools in implementing the program in schools. Our implementation team works proactively to adapt the program implementation process to the reality of each region in the province.Our vision: The successful implementation of the HORS-PISTE program in Quebec schools rests on teamwork and a shared responsibility between the healthcare institutions, CLSCs, and schools.Our mandate:
– Support institutions in launching the program on a provincial scale
– Engage stakeholders from various settings
– Coordinate the various program phases
– Support the creation of the expert committee and program appropriation
– Train and support the workshop leaders
– Prepare for the launch of the early intervention (Expedition) component
To contact us:
The support team is always available to help and guide you. We offer in-person meetings or videoconferences (Zoom or Teams). Contact us at programme.horspiste.cisssmc16@ssss.gouv.qc.ca
- Our role: The CISSS de la Montérégie-Centre has been selected to launch the HORS-PISTE program throughout Québec. Our team is tasked with supporting health and social services institutions and high schools in implementing the program in schools. Our implementation team works proactively to adapt the program implementation process to the reality of each region in the province.Our vision: The successful implementation of the HORS-PISTE program in Quebec schools rests on teamwork and a shared responsibility between the healthcare institutions, CLSCs, and schools.Our mandate:
Exploration component (universal prevention)
- Cycle 1
- Overview of the exploration component (universal prevention)
- These placemats will give you a quick overview of the competencies to be developed and the objectives for each of the 10 workshops.
Overview placemats
- These placemats will give you a quick overview of the competencies to be developed and the objectives for each of the 10 workshops.
- Introduction
- This introduction will allow you, first, to evaluate the contribution of each participant involved in developing the HORS-PISTE – Exploration program for secondary Cycle 1. Second, it will help you understand the key principles of the HORS-PISTE program. It will also give you more specific insight into the main program elements.
Introduction – HORS-PISTE – Exploration program
- This introduction will allow you, first, to evaluate the contribution of each participant involved in developing the HORS-PISTE – Exploration program for secondary Cycle 1. Second, it will help you understand the key principles of the HORS-PISTE program. It will also give you more specific insight into the main program elements.
- Implementation Guide
- This guide will allow you to assimilate the entire process surrounding the implementation of the HORS-PISTE Exploration component, including the important steps and timelines. The implementation guide also lists the documents that will be provided for each step.
Implementation guide – Exploration component
- This guide will allow you to assimilate the entire process surrounding the implementation of the HORS-PISTE Exploration component, including the important steps and timelines. The implementation guide also lists the documents that will be provided for each step.
- Facilitator training
- To learn how to facilitate universal prevention workshops, we invite you to first watch the introduction video, and then the videos corresponding to the workshops you will be facilitating.
Introduction
Workshop 1
Workshop 2
Workshop 3
Workshop 4
Workshop 5
Workshop 6
Workshop 7
Workshop 8
Workshop 9
Workshop 10
Once you have watched the videos, you can contact us for more tips or support in facilitating the workshops. programme.horspiste.cisssmc16@ssss.gouv.qc.ca
- To learn how to facilitate universal prevention workshops, we invite you to first watch the introduction video, and then the videos corresponding to the workshops you will be facilitating.
- Workshops and tools for the school staff
- Presentation of the program
- This slide presentation provides an overview of the program for the school staff.
Introduction PPT - This email is to be sent to the entire school staff informing them that the workshops are starting.
Kickoff e-mail for teachers
- This slide presentation provides an overview of the program for the school staff.
- Training workshops for school staff
- Cultivating well-being
- Length: 1 hour 45 minutes
Intended audience: Members of the school team
Objectives:
– Increase awareness of issues associated with well-being and mental health in teaching;
– Define mental health and its key determinants in the workplace;
– Learn ways to look after your own and other people’s wellbeing;
– Collectively identify action steps to implement at the school to support your wellbeing and the wellbeing of the team.Facilitated by: A member of the school team, the school service centre, or the public health directorate who has completed the mandatory facilitator training (1 hour). This training is offered in French only, but an English slideshow will be provided.See the training calendar HERE
- Length: 1 hour 45 minutes
- Anxiety in our students: What can I do as a member of the school team?
- Length: 2 hours 30 minutes
Intended audience: Members of the school team
Objectives:
– Understand the importance of addressing anxiety among students;
– Distinguish between stress and anxiety;
– Identify signs of anxiety in students;
– Understand the basic concepts related to anxiety;
– Identify strategies to implement in the classroom or school to prevent or reduce students’ stress and anxiety.
Facilitated by: A member of the school team, the school service centre, or the public health directorate who has completed the mandatory facilitator training (2 hours). This training is offered in French only, but an English slideshow will be provided. See the training calendar HERE
- Length: 2 hours 30 minutes
- Mindfulness as the heart of your practice
- Length: at your leisure (self-paced)
Intended audience: Members of the school team
Objectives:
–Understand what mindfulness is, how it works, and what it entails;
– Identify links between mindfulness practice and its benefits;
– Gradually apply mindfulness in personal and professional life.It is recommended that the video clips be viewed in order. Please note that the clips are in French only.
Clip 1: Qu’est-ce que la pleine conscience?
Clip 2: Comment ça fonctionne?
Clip 3: À quoi ça sert?
Clip 4: Boîte à outils et activités à expérimenter
- Length: at your leisure (self-paced)
- Cultivating well-being
- Fact sheet on stress and anxiety
- This sheet is for all school staff members. It provides a summary of key concepts related to stress and anxiety, as well as strategies for preventing or lessening anxiety in students.
Anxiety is everyone’s business
- This sheet is for all school staff members. It provides a summary of key concepts related to stress and anxiety, as well as strategies for preventing or lessening anxiety in students.
- Presentation of the program
- Workshops and tools for parents
- Presentation of the program
- This presentation sheet provides parents with an overview of the program.
Parent information sheet - This introductory email must be sent to parents before the start of the workshops in class. Its purpose is to let them know that their child will be participating in the program and to provide them with some tools. It’s best to copy and paste the content directly into an email instead of attaching it.
Kickoff e-mail for parents
- This presentation sheet provides parents with an overview of the program.
- Stress and anxiety awareness workshop and clips
- An awareness workshop can be given for parents to deepen their knowledge about stress and anxiety and to equip them with strategies they can apply at home to prevent or lessen anxiety in their child. Parents can register HERE. Please note that this workshop is in French only.The content of this workshop is also available in the form of online clips. You can view them en English HERE.
- If you are a facilitator and would like to offer the workshop “Anxiety in Our Children: What Can I Do as a Parent?” to the parents in your community, you can take a 2-hour training session that will enable you to lead the workshop afterwards.
N.B. This course is currently offered only in French. However, a slide show translated into English will be provided so that you can present the training to the parents in your community.
To take the facilitator training, you can register for one of the dates listed in the training calendar HERE.
- Fact sheet on stress and anxiety
- This sheet is intended to deepen parents’ knowledge about stress and anxiety and to equip them with strategies they can apply at home to prevent or lessen anxiety in their child.
Talking about anxiety stress-free… for parents
- This sheet is intended to deepen parents’ knowledge about stress and anxiety and to equip them with strategies they can apply at home to prevent or lessen anxiety in their child.
- Summary sheets for parents
- A summary sheet for parents is available for each classroom workshop. The purpose of these sheets is to inform parents of what is being taught in class so they can discuss it with their child.
Coping with my stress
Dealing with anxiety
Managing emotions and asking for help when needed
Dealing with social comparison through self-observation
Coping with social pressure by being assertive
Building self-esteem through self-acceptance
Fighting judgment with empathy and compassion
Preventing and resolving conflict by communicating clearly
Maintaining healthy friendships through prosocial behaviour
Using social media wisely thanks to critical thinking skills
- A summary sheet for parents is available for each classroom workshop. The purpose of these sheets is to inform parents of what is being taught in class so they can discuss it with their child.
- End of workshops
- This email is sent to parents to let them know the workshops are finished.
Wrap-up e-mail for parents
- This email is sent to parents to let them know the workshops are finished.
- Presentation of the program
- Workshops and tools for students (facilitation material)
- Complete facilitation guide
- This complete facilitation guide contains all the workshop materials in a single, printable document
Complete facilitation guide
- This complete facilitation guide contains all the workshop materials in a single, printable document
- Presentation of the program to the students
- You can use this slide presentation to present the program to the students before the workshops start.
Workshop PPT
- You can use this slide presentation to present the program to the students before the workshops start.
- Workshops
- Workshop 1: Coping with my stress
- Workshop 2 : Dealing with anxiety
- Workshop 3 : Managing emotions and asking for help when needed
- Workshop 4 : Dealing with social comparison through self-observation
- Workshop 5 : Coping with social pressure by being assertive
- Workshop 6 : Building self-esteem through self-acceptance
- Workshop 7 : Fighting judgment with empathy and compassion
- Workshop 8 : Preventing and resolving conflict by communicating clearly
- Workshop 9 : Maintaining healthy friendships through prosocial behaviour
- Workshop 10 : Using social media wisely thanks to critical thinking skills
- Material list
- Posters
- These posters are intended to serve as a visual reminder of the main key messages covered in the workshops to help participants apply what they’ve learned. You are invited to display them in classrooms or throughout the school.
Managing stress (workshop 1)
Physical sensations (workshop 1)
Comfort zone (workshop 2)
Intolerance (workshop 2)
Asking for help (workshop 3)
Emotions and needs (workshop 3)
Comparison and choices (workshop 4)
Strategies to be assertive (workshop 5)
Real me and ideal me (workshop 6)
Be kind to yourself (workshop 7)
Communication is the key (workshop 8)
Friendships (workshop 9)
Critical thinking (workshop 10)
- These posters are intended to serve as a visual reminder of the main key messages covered in the workshops to help participants apply what they’ve learned. You are invited to display them in classrooms or throughout the school.
- Summary sheets
- These sheets summarize the workshop contents. You can use them to help the students reinvest their learning or display them in the classroom.
Coping with my stress
Dealing with anxiety
Managing emotions and asking for help when needed
Dealing with social comparison through self-observation
Coping with social pressure by being assertive
Building self-esteem through self-acceptance
Fighting judgment with empathy and compassion
Preventing and resolving conflict by communicating clearly
Maintaining healthy friendships through prosocial behaviour
Using social media wisely thanks to critical thinking skills
- These sheets summarize the workshop contents. You can use them to help the students reinvest their learning or display them in the classroom.
- Mindfulness activities and tools
- Mindfulness activities
- These sheets contain various mindfulness activities that you can lead in class.
Thought jar
Take a deep breath
Ice cubes
Helping hand
Common points
Active listening
Body scanning
- These sheets contain various mindfulness activities that you can lead in class.
- Mindfulness calendar
- This calendar lists a sequence of daily mindfulness activities to try with the students.
Mindfulness calendar
- This calendar lists a sequence of daily mindfulness activities to try with the students.
- Mindfulness guide
- This guide is intended for teens who want to introduce mindfulness into their lives (currently available in French only).
Mindfulness guide
- This guide is intended for teens who want to introduce mindfulness into their lives (currently available in French only).
- Mindfulness activities
- References
- This document contains all the references used to design the program:
References
- This document contains all the references used to design the program:
- Complete facilitation guide
- Overview of the exploration component (universal prevention)
- Cycle 2
- Currently available in French only
Expedition (early intervention) component
- Overview of the early intervention program
- This placemat will give you a quick overview of the competencies to be developed and the objectives for each of the workshops.
Overview of the HORS-PISTE – Expedition program
- This placemat will give you a quick overview of the competencies to be developed and the objectives for each of the workshops.
- Introduction
- This introduction will allow you, first, to evaluate the contribution of each participant involved in developing the HORS-PISTE – Exploration program. Second, it will help you understand the key principles of the HORS-PISTE program. It will also give you more specific insight into the main program elements.
Introduction to the HORS-PISTE – Expedition program
- This introduction will allow you, first, to evaluate the contribution of each participant involved in developing the HORS-PISTE – Exploration program. Second, it will help you understand the key principles of the HORS-PISTE program. It will also give you more specific insight into the main program elements.
- Implementation tools
- Implementation guide
- This guide will allow you to assimilate the entire process surrounding the implementation of the HORS-PISTE Expedition component, including the important steps and timelines. The implementation guide also lists the documents that will be provided for each step.
Implementation guide – Expédition component
- This guide will allow you to assimilate the entire process surrounding the implementation of the HORS-PISTE Expedition component, including the important steps and timelines. The implementation guide also lists the documents that will be provided for each step.
- Implementation documents
- Implementation guide
- Facilitator training
- To learn how to facilitate early intervention workshops, register HERE
- Intervention materials
- Complete intervention guide
- This complete intervention guide contains all the intervention materials in a single, printable document.
HORS-PISTE – Expedition facilitation guide
- This complete intervention guide contains all the intervention materials in a single, printable document.
- Parent-child meetings
- Preparatory meeting
- Review meeting
- Student component
- Handy student guide
- Animated slide presentation
- Workshop 1: Me, anxious…?
- Workshop 2: What if I thought about it differently…
- Workshop 3: What’s going on inside me?
- Workshop 4: HORS-PISTE activity – Photos
- Workshop 5: A helping hand?
- Workshop 6: Glasses that distort reality
- Workshop 7: HORS-PISTE activity
- Workshop 8: Wow! Great progress!
- Parent component
- Handy parent guide
- Animated slide presentation
- Workshop 1: My child’s anxiety… how can I help them step outside of their comfort zone?
- Workshop 2: The accommodation trap
- Workshop 3: Preventing anxiety on a daily basis
- References
- This document contains all the references used to design the program:
References
- This document contains all the references used to design the program:
- Complete intervention guide
HORS-PISTE program at the CI(U)SSS – Expedition+ (specific intervention)
- Overview of the early intervention program
- This placemat will give you a quick overview of the competencies to be developed and the objectives for each of the workshops.
Overview of the HORS-PISTE – Expedition+ program
- This placemat will give you a quick overview of the competencies to be developed and the objectives for each of the workshops.
- Introduction
- This introduction will allow you, first, to evaluate the contribution of each participant involved in developing the HORS-PISTE – Expedition+ program. Second, it will help you understand the key principles of the HORS-PISTE program. It will also give you more specific insight into the main program elements.
introduction_programme_HPexpe_2022-2023_EN
- This introduction will allow you, first, to evaluate the contribution of each participant involved in developing the HORS-PISTE – Expedition+ program. Second, it will help you understand the key principles of the HORS-PISTE program. It will also give you more specific insight into the main program elements.
- Implementation steps and participation in research
- Step-by-step
- In the following document, you will find all the steps to follow to implement the program.
Coming soon
- In the following document, you will find all the steps to follow to implement the program.
- Implementation documents
- Coming soon
- Consent forms for research
- Coming soon
- Step-by-step
- Facilitator training
- To learn how to facilitate early intervention workshops, register HERE
- Intervention materials
- Complete intervention guide
- This complete intervention guide contains all the intervention materials in a single, printable document.
Coming soon
- This complete intervention guide contains all the intervention materials in a single, printable document.
- Parent-child meetings
- Preparatory meeting
- Review meeting
- Complete intervention guide
- Student component
- Handy student guide
- Animated slide presentation
- Workshop 1: Me, anxious…?
- Workshop 2: What if I thought about it differently…
- Workshop 3: HORS-PISTE activity
- Workshop 4: What’s going on inside me?
- Workshop 5: A helping hand?
- Workshop 6: HORS-PISTE activity
- Workshop 7: How to take care of my social network?
- Workshop 8:Integrative activity
- Workshop 9: HORS-PISTE activity
- Workshop 10: WOW! Great progress!
- Parent component
- Handy parent guide
- Animated slide presentation
- Workshop 1: My child’s anxiety… how can I help them step outside of their comfort zone?
- Workshop 2: How do I feel about it?
- Workshop 3: The accommodation trap
- Workshop 4: Preventing anxiety on a daily basis
- Workshop 5: Social support network and progress
- References
- This document contains all the references used to design the program:
References
- This document contains all the references used to design the program: