title: American Association of Community Psychiatrists' principles for managing transitions in behavioral health services.
abstract: Continuous engagement in treatment and recovery services is one of the most important aspects of addressing acute episodes of severe behavioral health problems and the ongoing disabilities associated with them. Traditionally, fragmentation in systems of care has been common, and the transition from one provider, location, or intensity of service to another has not been prioritized in treatment planning. The authors describe a set of guidelines for maintaining continuity of care that was developed by the American Association of Community Psychiatrists. These guidelines embrace a progressive conceptualization of an integrated service system. For each element of the guidelines, a sample outcome indicator is presented that could be used to measure implementation. These guidelines can be used to help form transition plans, quality improvement initiatives, and program evaluations.
authors.affiliation: University of Pittsburgh Medical Center, 304 Wood Street, Fifth Floor, Pittsburgh, PA 15222, USA. sowers@connecttime.net
authors.forename: Wesley E
authors.initials: WE
authors.lastname: Sowers
authors.forename: Barbara
authors.initials: B
authors.lastname: Rohland
mesh_terms: D003158:Community Psychiatry; D003266:Continuity of Patient Care / Q000458:organization & administration*; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration; D006284:Health Plan Implementation / Q000458:organization & administration; D006801:Humans; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D010346:Patient Care Management / Q000458:organization & administration*; D010360:Patient Transfer / Q000458:organization & administration*; D017410:Practice Guidelines as Topic; D012955:Societies, Medical; D016896:Treatment Outcome; D014481:United States