Introduction of a Psychosocial Post-Discharge Intervention Program Aimed at Reducing Psychiatric Rehospitalization Rates and at Improving Mental Health and Functioning.

PURPOSE: Based on the premises of assertive community treatment and intensive case management, we designed a program delivered by social workers that is targeted at transition to community treatments and social support. DESIGN AND METHODS: Narrative review and qualitative analysis of three patients who participated in the program. FINDINGS: Case reports revealed that patients' social networks are small and their relationships are commonly conflictual and unstable. PRACTICE IMPLICATIONS: Access to patients' social networks is a challenging task. Based on our preliminary experiences with the program, we suggest that more efforts should be made to enhance patients' social and interpersonal abilities.