title: Intentional collaboration: addressing transitions in care for people with severe and persistent mental illnesses.
abstract: This commentary explores transitions in care for people who have severe and persistent mental illnesses and reside in long-term care communities. Challenges and historical approaches as well as barriers to successful transitions are examined. Recent policy changes in North Carolina are discussed and contextualized in emerging evidence-based practices that emphasize intentional collaborative efforts.
authors.affiliation: Department of Social Work, School of Health and Human Sciences, University of North Carolina at Greensboro, Greensboro, NC 27402, USA. kjpoole@uncg.edu
authors.forename: Jay
authors.initials: J
authors.lastname: Poole
mesh_terms: D002908:Chronic Disease; D003156:Community Mental Health Services / Q000592:standards* / Q000639:trends; D003266:Continuity of Patient Care / Q000592:standards* / Q000639:trends; D003299:Cooperative Behavior; D003688:Deinstitutionalization / Q000592:standards / Q000639:trends; D055317:Evidence-Based Practice; D006801:Humans; D007373:Interinstitutional Relations; D008134:Long-Term Care / Q000592:standards* / Q000639:trends; D001523:Mental Disorders / Q000628:therapy*; D009657:North Carolina; D010360:Patient Transfer / Q000592:standards / Q000639:trends; D012112:Residential Facilities / Q000592:standards* / Q000639:trends; D012944:Social Support