Discharge Checklist for people with multiple admissions
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Pre-Discharge Relapse Prevention Checklist
To be used in the discharge CPA for individuals with at least 3 admissions in 3 years
This document aims to ensure holistic discharge planning has occurred collaboratively between SEDU, CEDS and the person being discharged to promote recovery and avoid the need for further admissions.
| Have the CEDS, SEDU and service user reflected on previous discharges, and periods of leave, to inform final discharge plan /package? |
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Have necessary referrals been made to ensure support is ready on discharge, including for co-morbid conditions?
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Have intensive community support options been considered?
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| Has the community team informed SEDU and service user of any change in community care team compared to prior to admission? |
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Have there been periods of home leave with review by community team to ease transition?
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Has the Empowered communications template been followed?
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Ensure handover of psychological work and formulation from the SEDU to the community team
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| Does the service user have the necessary resources to allow them to engage with the plan (e.g. means of travelling to appointments) |
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| Is there evidence the current psychological approach is effective or that an alternative approach may be beneficial? |
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Has wider support on discharge e.g. charities, housing, social, education been considered?
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Has the plan for family involvement in the community been agreed by all?
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Have the family been offered carer support?
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Would it be useful to identify threshold for readmission?
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Has a discharge pack been offered?
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Click the link to download the full checklist - Discharge Checklist for people with multiple admissions
