This research couples a global scale targeted systematic review with the perspectives and experiences of mental health service providers in Terrace, British Columbia. A targeted systematic review was conducted exploring mental health and well-being impacts of resource extraction globally. Findings informed qualitative interviews with mental health service providers in Terrace, BC. Main themes from service providers are systemic issues in health care, poor access to mental health services for children and youth, mental health risk factors, social determinants of health, and industry’s lasting influence and legacy. Synthesis of the findings from the systematic review and interviews with service providers indicates providers concerns aligned with the global literature. A synthesis combines the two phases of research. Insights from this work suggest a greater consideration of the social and mental health impacts of industrial projects is necessary, and there is need for equitable access to mental health resources for all ages.