Transitional discharge based on therapeutic relationships: state of the art.
The Transitional Discharge Model (TDM) has been used to facilitate effective discharge from psychiatric hospital to community. A summary of the research to date on TDM is given. The model is based on the provision of therapeutic relationships to provide a safety net throughout the discharge and community reintegration processes. These relationships include both staff and peer involvement; hospital inpatient staff continue to remain involved with the client until a therapeutic relationship is established with a community care provider, and peer support is offered from a former consumer of mental health services who is currently living in the community. Studies found that the TDM facilitates increased discharge rates, lower readmission rates, and cost savings--making it a collaborative, cost-effective method of providing quality patient care and positive health care outcomes. The TDM Plan of Research is presented and reflects the collaboration between stakeholders and the integration of consumer advocacy, clinical practice, education, policy, and research in various countries.
Forchuk
Cheryl
C
Faculty of Health Sciences, University of Western Ontario/Lawson Health Research Institute, London, Ontario, Canada. cforchuk@uwo.ca
Reynolds
William
W
Sharkey
Siobhan
S
Martin
Mary-Lou
ML
Jensen
Elsabeth
E
D000223:Adaptation, Psychological; D015400:Clinical Nursing Research; D003156:Community Mental Health Services; D003431:Cross-Cultural Comparison; D006801:Humans; D001523:Mental Disorders / Q000451:nursing* / Q000523:psychology; D016294:Models, Nursing; D009723:Nurse-Patient Relations; D009864:Ontario; D010351:Patient Discharge; D010379:Peer Group; D010865:Pilot Projects; D016032:Randomized Controlled Trials as Topic; D012606:Scotland; D012944:Social Support