Emerging best practice recommends that hospitals follow-up with patients following discharge to ensure good continuity of care. Despite this growing acknowledgement and need for accountability, hospitals are slow to implement such interventions. The following capstone project explores whether transitional care interventions led by social workers improve various patient and systems-level outcomes.
Employing a functional use of self, social workers are uniquely equipped to implement creative interventions in the gap following psychiatric discharge. Finally, research informs practice through direct implementation of a caring contacts program. Both the literature review and practical application of phone-based contact interventions show promise in positively impacting various outcomes, including reduced suicide rate, decreased hospital readmissions, and increased kept outpatient appointments.