Rural and resource-based coastal communities in British Columbia (BC) are facing a number of pressing challenges that are affecting the holistic health and well-being of local people. The challenges facing coastal communities include being disconnected from decision-making process, a changing climate, rapidly evolving ecosystems, increasing pollution, declining investment, loss of community infrastructure, increasing competition over marine space, loss of access to fisheries and increasingly complex marine management regimes. Local communities are feeling the impacts of these pressures and changes in very real ways. Research into communities on the BC coast suggests that they are experiencing loss of livelihoods, declining economies, outmigration of youth to urban centers, loss of food security, increasing drug use, and a suite of physical and mental health challenges. It is important that coastal communities continue to thrive and maintain an active presence on the water. Yet, change is a constant for coastal communities. The health and well-being, indeed the persistence, of coastal communities depends on their capacity to proactively respond to external change and challenge. The presence of thriving communities on the coast is also important for Canadian society - as coastal communities can strengthen rural-urban dynamics, support robust food systems and economies, be the eyes on the longest coastline in the world, be first responders in the case of emergencies, and be active stewards of the marine environment.