The treating physician is responsible for determining clinical stability for discharge and identifying posthospitalization medical needs. The recurring admissions impact adolescents significantly socially, psychologically, and financially. Table 3. There is evidence that using a structured summary helps to focus on the most appropriate information, facilitates recovery, has educational value, and promotes briefness [22]. This was an interesting outline of group work in an inpatient setting but was limited in the discussion and analysis of outcomes. (AHRQ, 2013) has presented strong evidence that a comprehensive discharge process decreases readmissions. interdisciplinary team, which consists of mental health counselors, social workers, nurses and physicians. Key Points from Interpretive Guidelines for 483.21 (c) (1) Discharge Planning Process The discharge care plan is part of the comprehensive care plan and must: o Be developed by the interdisciplinary team o Involve direct communication with resident (and/or residents representative) o Identify needs that must be addressed prior to discharge (such as education, rehabilitation, caregiver support/education) DATE OF DISCHARGE: MM/DD/YYYY. All other discharge orders per the psychiatrist, as arranged by social work. Also, Caton and Gralnick [11] reviewed the literature about the factors which affect length of psychiatric hospitalization and concluded that rather than diagnosis itself, other environmental and delivery systems factors together may have predictive ability [12]. (v)Every patient in hospital should be reviewed prior to planed discharge, in order to determine what level of aftercare will be necessary to enable him or her to live safely in the community. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Discharge planning for consumers living with a mental health issue involves many stakeholders who have different expectations regarding the type of information required and the necessary level of involvement of people living with a mental health issue in this process If, on the day of discharge, the patient is considered by nursing staff to be fit to leave hospital. Note changes in client needs and circumstances and changes to care plan. On the other hand, exclusion criteria were studies in which discharge planning was discussed as part of a multifaceted intervention and was not the main focus of the paper. To reduce avoidable hospital readmissions, effective discharge planning and appropriate post discharge support care are key requirements. This means that improving access to residential placement would reduce length of stay for some patients. (6) Contact details of a staff from the discharging organization have been given to client and caregiver. By increased pressures for rapid discharge of psychiatric patients as a result of various government cost containment strategies, it is essential that a comprehensive discharge planning process be established in psychiatric facilities [2]. Both the BPRS and the DRI were altered for use in this study, which may have affected the reliability and validity of the instruments. The assigned nurse returns any stored property to the clients. And, finally, the discharge plan must be integrated into the treatment process in such a way that the patient is offered the chance to become an active participant in the plan and thus is more likely to accept it [6]. It prints a cover page with your initial psychiatric assessment, all progress notes in a compressed format (optional), and a final page which includes risk factors, final diagnosis, condition at time of discharge, and discharge instructions. Assigned nurse also ensure that the client understands their after care arrangements and this process. (7) Assigned staff and social worker had arranged to follow up with the client and caregiver, within a specified time-frame. Furthermore, family involvement, continuity of care, psychosocial rehabilitation, psychoeducation, selection of appropriate medications, and patient cooperation have been identified as factors contributing to after discharge recovery [15]. (v)The assigned nurse returns any stored property to the clients. While these practices are not required for compliance and will not be cited by surveyors, they may help improve hospitals' discharge planning process, according to CMS. Health providers in the community support system noted that many of the patients who were resistant to aftercare services were those for whom discharge planning came late during their hospitalization, or for whom plans were not integrated into the treatment process; however, plans were made early [6]. (ii)A social worker will conduct a social services needs assessment for homeless inpatients. Giving perception of discharge from the perspective of the staff members completing the survey was identified and discussed in this study as clinical implications and limitations. (i)Leave from hospital should be planned through the ward round (multidisciplinary meetings) in consultation with community staff after discussion with patient and carers, where appropriate. The purpose of this paper is to perform literature overview on psychiatric discharge planning, in order to develop evidence-based practice guideline of psychiatric discharge plan. However these methods appear effective, they reflected the opinion of two clinicians from one discipline and so may be a limited representation of the issues related to discharge planning. Faculty of Nursing, The Al-Albayt University, Mafraq 130040, Jordan. Also, depending on literature review, it could be concluded that effective discharge planning includes main three stages initial discharge meeting, regular discharge meeting(s), and leaving from hospital and discharge day. Influences on fit between psychiatric patients' psychosocial needs and their hospital discharge plan. This service user education model was used in a small group setting to provide information about medications, community resources, and vocational rehabilitation services. [10] studied the impact of discharge planning on chronic schizophrenic patients. Assigned nurse also ensure that the client understands their after care arrangements and this process. Inclusion criteria were studies including outcomes related to prevention of readmission as stability in the community, studies investigating the discharge planning process in acute psychiatric wards, and studies that included factors that impede discharge planning and factors that aid timely discharge. 2012, Article ID 638943, 7 pages, 2012. https://doi.org/10.5402/2012/638943, 1Faculty of Nursing, The Al-Albayt University, Mafraq 130040, Jordan. Review your current processes, including written discharge information and documentation, to identify the extent to which they adhere to the intent of these discharge process elements. The literature demonstrated the usefulness of a collaborative model to inpatient staff who, until the wave of deinstitutionalization overtook them, was more accustomed to managing the acutely ill patient. The result demonstrated an improvement in discharge process but three clients are insufficient to generalize the result. Moreover, another study concluded that information should include: dates of admission and discharge; how the patient came to be admitted; type of admission; diagnosis and management; type of discharge; disabilities on discharge; what patient and relatives were told; prospects for returning to work (work prognosis); accommodation on discharge; medication, drugs, dosage, frequency, and quantity; risk factors that increase the need for followup; follow-up plans and responsibilities; services, and facilities organized; whether or not a shared care record was given [20]. (ii)The initial and subsequent meetings at which discharge is being planned should be attended by psychiatric, client, and carer. The impact of discharge planning on chronic schizophrenic patients. Generally, full discharge planning was applied on three clients and psychiatric recovery scale was measured for them before and after. Discharge planning is an essential process in psychiatric nursing field, in order to prevent recurrent readmission to psychiatric units. The benefits of conducting discharge planning for clients with mental illness are to link clients to appropriate next step resources based on their needs; to minimize likelihood that client will relapse or have to return to care post successful completion of treatment; to prevent vulnerable clients from becoming homeless and/or criminalized; to assist clients with re-entry to community. Psychiatric Discharge Summary Sample Report #2. Application of discharge planning in the national center of psychiatric health was encountered with barriers. Literatures have shown that this information should include the differential diagnosis, management, treatment on discharge, prognosis, what the patient and relatives were told, and future management plans including details of the responsibilities of all involved as well as the date of any follow-up appointment [1]. We will be providing unlimited waivers of publication charges for accepted research articles as well as case reports and case series related to COVID-19. (iii)Planning for discharge should begin as soon as possible following admission in order that a comprehensive treatment and discharge plan can be formulated.