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Evidence to Improve Care

Transitions Between Inpatient Mental Health Settings and Home

Care in the Community

This quality standard will address care for people of all ages transitioning (moving) between hospital and home after a hospital admission for mental health and/or addiction conditions. This includes people who have been admitted to any type of hospital. The transition from hospital to home is commonly referred to as a “hospital discharge.” For this quality standard, “home” is broadly defined as a person’s usual place of residence and may include personal residences, assisted-living facilities, long-term care facilities, and shelters.

The quality standard will include care provided around the time of transition in the inpatient hospital setting and community, including primary care, hospital outpatient care, rehabilitation, and community supports and services. It will focus on the continuum of care from being in hospital to preparing for a successful discharge and returning to the community (e.g., coordination of follow-up mental health and addictions care and medical care in the community, safety and wellbeing, out-of-pocket costs, and the limitations of funded services).

The work on this quality standard started in August 2019.

If you have any questions please send an e-mail to

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