Journal of Psychosocial Nursing and Mental Health Services

The articles prior to January 2013 are part of the back file collection and are not available with a current paid subscription. To access the article, you may purchase it or purchase the complete back file collection here

CNE Article 

The Transitional Discharge Model: Comparing Implementation in Canada and Scotland

Cheryl Forchuk, RN, PhD; William Reynolds, PhD, RMN, RGN, RNT; Siobhan Sharkey, PhD, RMN; Mary-Lou Martin, RN, MScN; Elsabeth Jensen, RN, PhD

Abstract

Effective discharge planning is needed to facilitate clients’ transition from psychiatric hospital wards to community care. Previous studies have shown that client outcomes can be improved by using a Transitional Discharge Model (TDM) that includes peer support and an extension of inpatient-practitioner relationships that are introduced prior to discharge. However, countries vary in many ways that may affect implementation of the model. This article describes some of the similarities and differences related to introducing transitional discharge in two countries: Canada and Scotland. It is important to elucidate facilitators and challenges in implementing the TDM to identify and disseminate strategies to aid implementation. Implications for future implementation of the model are also discussed.

Dr. Forchuk is Professor, Faculty of Health Sciences, University of Western Ontario, and Assistant Director/Scientist, Lawson Health Research Institute, London, Ontario, Canada; Dr. Reynolds is Reader in Nursing, Department of Health Studies, Turku University of Applied Sciences, Salo, Finland; Dr. Sharkey is Senior Lecturer, University of Stirling, Department of Nursing and Midwifery, Highland Campus, Inverness, Scotland, United Kingdom; Ms. Martin is Clinical Nurse Specialist and Associate Clinical Professor, St. Joseph’s Healthcare Hamilton, McMaster University, Hamilton, Ontario, Canada; and Dr. Jensen is Assistant Professor, School of Nursing, York University, Toronto, and Scientist, Lawson Health Research Institute, London, Ontario, Canada.

The authors disclose that they have no significant financial interests in any product or class of products discussed directly or indirectly in this activity, including research support.

Address correspondence to Cheryl Forchuk, RN, PhD, Assistant Director/Scientist, Lawson Health Research Institute, LHSC-SSC NR201, 375 South Street, London, Ontario, Canada N6A 4G5; e-mail: cforchuk@uwo.ca.

Abstract

Effective discharge planning is needed to facilitate clients’ transition from psychiatric hospital wards to community care. Previous studies have shown that client outcomes can be improved by using a Transitional Discharge Model (TDM) that includes peer support and an extension of inpatient-practitioner relationships that are introduced prior to discharge. However, countries vary in many ways that may affect implementation of the model. This article describes some of the similarities and differences related to introducing transitional discharge in two countries: Canada and Scotland. It is important to elucidate facilitators and challenges in implementing the TDM to identify and disseminate strategies to aid implementation. Implications for future implementation of the model are also discussed.

Dr. Forchuk is Professor, Faculty of Health Sciences, University of Western Ontario, and Assistant Director/Scientist, Lawson Health Research Institute, London, Ontario, Canada; Dr. Reynolds is Reader in Nursing, Department of Health Studies, Turku University of Applied Sciences, Salo, Finland; Dr. Sharkey is Senior Lecturer, University of Stirling, Department of Nursing and Midwifery, Highland Campus, Inverness, Scotland, United Kingdom; Ms. Martin is Clinical Nurse Specialist and Associate Clinical Professor, St. Joseph’s Healthcare Hamilton, McMaster University, Hamilton, Ontario, Canada; and Dr. Jensen is Assistant Professor, School of Nursing, York University, Toronto, and Scientist, Lawson Health Research Institute, London, Ontario, Canada.

The authors disclose that they have no significant financial interests in any product or class of products discussed directly or indirectly in this activity, including research support.

Address correspondence to Cheryl Forchuk, RN, PhD, Assistant Director/Scientist, Lawson Health Research Institute, LHSC-SSC NR201, 375 South Street, London, Ontario, Canada N6A 4G5; e-mail: cforchuk@uwo.ca.

10.3928/02793695-20071101-07

Sign up to receive

Journal E-contents