title: Improving transitions between acute mental health and residential care.
abstract: Care transitions pose safety risks especially for hospitalized seniors with complex medical and mental health conditions. A partnership project improved acceptance and supported successful transitions by redesigning at the following three levels: (1) organization-program to facility agreement outlining accountabilities; (2) unit-adjusting the environment, education, and team processes; and (3) individual care-a transition checklist, a person-centred care plan, and customized transition supports to assist clients, family, and receiving staff.
authors.affiliation: Island Health, Nanaimo, British Columbia, Canada. marianne.mclennan@viha.ca.
authors.forename: Marianne
authors.initials: M
authors.lastname: McLennan
authors.affiliation: Island Health, Chemainus Healthcare Centre, Chemainus, British Columbia, Canada.
authors.forename: Sue
authors.initials: S
authors.lastname: Kurucz
authors.affiliation: Island Health, Aberdeen Hospital, Victoria, British Columbia, Canada.
authors.forename: Heather
authors.initials: H
authors.lastname: Fudge