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 comm...

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Bibliographic Details
Published in:Archives of psychiatric nursing 2007-04, Vol.21 (2), p.80-86
Main Authors: Forchuk, Cheryl, Reynolds, William, Sharkey, Siobhan, Martin, Mary-Lou, Jensen, Elsabeth
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Clinical Nursing Research
Community Mental Health Services
Cross-Cultural Comparison
Discharge
Health care policy
Humans
Medical personnel
Mental Disorders - nursing
Mental Disorders - psychology
Mental institutions
Models, Nursing
Nurse-Patient Relations
Nursing
Ontario
Patient Discharge
Peer Group
Pilot Projects
Randomized Controlled Trials as Topic
Scotland
Social Support
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Summary: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.
ISSN:0883-9417
1532-8228
DOI:10.1016/j.apnu.2006.11.002