Translation of a Transitional Care Nursing Intervention for People with Serious Mental Illness

The transition from a psychiatric hospitalization back into the community is a vulnerable period for individuals with serious mental illness. Cycling in and out of psychiatric hospitals and emergency services is harmful to this population and depletes scarce public resources. The Transitional Care Model for Persons with Serious Mental Illness (TCM-SMI) proposes to break this cycle by providing 90 days of intensive hospital-to-home services. This project is designed to translate the TCM intervention to meet the complex needs of SMI clients in public managed care. This interdisciplinary team is led by Nancy Hanrahan, RN, PhD and Phyllis Solomon, PhD.

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Interprofessional collaboration (R2)
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