Improving Care Coordination for Mental and Behavioral Health

For those living with mental health issues, such as depression, and/or behavioral health issues, such as alcohol misuse, the transition time between care settings warrants special care.

The Reducing Avoidable Readmissions Effectively (RARE) Campaign offers recommendations for providers to address this particularly vulnerable time for patients in five key areas:

  1. Patient/Family Engagement and Activation
  2. Medication Management
  3. Comprehensive Transition Planning
  4. Care Transition Support
  5. Transition Communication

The RARE Campaign was established to improve the quality of care for patients transitioning across care systems. Recommendations are based on best practices, evidence and consensus and focus on three types of patient populations:

  1. Inpatient mental health admissions and readmissions
  2. Patients who are admitted to acute care hospitals for medical/surgical conditions who also have a mental illness or substance use disorder
  3. Patients with acute or exacerbation of chronic medical illnesses who subsequently develop a mental illness

Download Recommended Actions for Improved Care Transitions: Mental Illness and/or Substance Use Disorders.

atom Alliance works across care settings, including inpatient psychiatric facilities, to reduce hospital readmissions and improve care coordination. Learn more.