Transitional Care Services

What to expect

After you have been discharged from our inpatient unit, a member from our interprofessional team will continue to provide you with compassionate care and specialized programming for up to four weeks.

We use a recovery-oriented approach which may include the following:  

• Developing a recovery plan
• Assessing risks and creating a safety plan
• Providing counselling and guidance in managing your symptoms
• Medication management

Our Transitional Care Services team may also connect with your primary health-care provider for additional support and refer you to community services for financial assistance, income support and housing, if this is right for you.  

Please note we are a teaching hospital, so you may see medical students, residents or other medical trainees as part of your care team. Learners are supervised by other members of our dedicated health-care team who work together to provide you with comprehensive care. 

How to access our services

As this program is directed to individuals requiring a higher acuity of care, only internal referrals from the psychiatry care team involved in the patient’s inpatient stay will be accepted.