title: Introduction of a Psychosocial Post-Discharge Intervention Program Aimed at Reducing Psychiatric Rehospitalization Rates and at Improving Mental Health and Functioning.
abstract: OBJECTIVE
  Based on the premises of assertive community treatment and intensive case management, we designed a program delivered by social workers that is targeted at transition to community treatments and social support.
  
  
  METHODS
  Narrative review and qualitative analysis of three patients who participated in the program.
  
  
  RESULTS
  Case reports revealed that patients' social networks are small and their relationships are commonly conflictual and unstable.
  
  
  CONCLUSIONS
  Access to patients' social networks is a challenging task. Based on our preliminary experiences with the program, we suggest that more efforts should be made to enhance patients' social and interpersonal abilities.
authors.affiliation: Department of Applied Psychology, Zurich University of Applied Sciences (ZHAW), Zurich, Switzerland.
authors.forename: Michael P
authors.initials: MP
authors.lastname: Hengartner
authors.affiliation: Department of Applied Psychology, Zurich University of Applied Sciences (ZHAW), Zurich, Switzerland.
authors.forename: Mara
authors.initials: M
authors.lastname: Klauser
authors.affiliation: Psychiatric Hospital, Integrated Psychiatric Clinic of Winterthur and Zurich Unterland (ipw), Winterthur, Switzerland.
authors.forename: Gisela
authors.initials: G
authors.lastname: Heim
authors.affiliation: Department of Applied Psychology, Zurich University of Applied Sciences (ZHAW), Zurich, Switzerland.
authors.forename: Silvia
authors.initials: S
authors.lastname: Passalacqua
authors.affiliation: Psychiatric Hospital, Integrated Psychiatric Clinic of Winterthur and Zurich Unterland (ipw), Winterthur, Switzerland.
authors.forename: Andreas
authors.initials: A
authors.lastname: Andreae
authors.affiliation: Department of Psychiatry, Psychotherapy and Psychosomatics, University of Zurich, Zurich, Switzerland.|Institute of Psychiatry, Laboratory of Neuroscience (LIM27), University of Sao Paulo, Sao Paulo, Brazil.
authors.forename: Wulf
authors.initials: W
authors.lastname: Rössler
authors.affiliation: Department of Applied Psychology, Zurich University of Applied Sciences (ZHAW), Zurich, Switzerland.
authors.forename: Agnes
authors.initials: A
authors.lastname: von Wyl
mesh_terms: D000328:Adult; D003156:Community Mental Health Services / Q000592:standards*; D003266:Continuity of Patient Care / Q000458:organization & administration*; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D001523:Mental Disorders / Q000517:prevention & control* / Q000628:therapy*; D008875:Middle Aged; D010351:Patient Discharge; D012944:Social Support; D055815:Young Adult
keywords: Community care; continuity of care; discharge intervention; network coordination; nursing; social support