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.