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Table 1 Discharge planning in the early-mid phase of the hospital stay and preparation for discharge

From: Association between length of hospital stay and implementation of discharge planning in acute psychiatric inpatients in Japan

Activity n (%)
Early-mid Preparation
Psychotropic medication management
 Explore the patient’s view on medication 295 (65.7) 308 (68.6)
 Share with the patient why medication will be continued, and how to take medication post-discharge 176 (39.2) 289 (64.4)
 Education about self-administration of medication 36 (8.0) 104 (23.2)
 Explain strategies to address post-discharge side effects of medication 103 (22.9) 205 (45.7)
 Consult with an assigned physician on expected difficulties in post-discharge medication management 105 (23.4) 164 (36.5)
Disease management
 Explain mechanism of the disease and symptoms 119 (26.5) 169 (37.6)
 Discuss identification of each symptom in accordance with the patient’s perceived experience of disease 237 (52.8) 271 (60.4)
 Discuss the cause of hospitalisation 285 (63.5) 295 (65.7)
 Explore the patient’s feelings and wishes in his/her life with the disease 193 (43.0) 281 (62.6)
 Explain why hospital staff (in outpatient service) and the patient will meet regularly post-discharge 169 (37.6) 331 (73.7)
 Verify the date of outpatient service and means of transportation 95 (21.2) 300 (66.8)
Symptoms management
 Discuss identifying triggers that increase symptoms 191 (42.5) 280 (62.4)
 Discuss identifying signs of deterioration 140 (31.2) 244 (54.3)
 Develop and share post-discharge strategies to address deterioration post-discharge 106 (23.6) 261 (58.1)
 Ensure means of post-discharge access to healthcare agency when the symptoms worsen 82 (18.3) 237 (52.8)
 Advice about coping with symptoms 172 (38.3) 264 (58.8)
Support for personal relationships
 Facilitate self-exposure based on assertion training 46 (10.2) 74 (16.5)
 Advice and intervention for relationship building 129 (28.7) 173 (38.5)
Family support
 Contact with family members to provide emotional support 161 (35.9) 183 (40.8)
 Complement the information that physician provided to family members 170 (37.9) 200 (44.5)
Family involvement
 Advice about communication with the patient 129 (28.7) 170 (37.9)
 Debrief responses and feelings when visiting the patient or the patient visits them 199 (44.3) 266 (59.2)
 Respond to their concerns about the patient’s symptoms and challenging behaviours 182 (40.5) 210 (46.8)
 Inform current condition and prognosis of the patient 173 (38.5) 198 (44.1)
 Share regarding the disease and medication 135 (30.1) 183 (40.8)
 Refer to peer support group available in the community or hospital 46 (10.2) 59 (13.1)
 Explain why medication and outpatient service will be continued, and how to address deterioration and crisis 93 (20.7) 195 (43.4)
Coordination with post-discharge community care resources
 Consult on social rehabilitation and participation to facilitate the patient’s wishes 88 (19.6) 211 (47.0)
 Contact with family members to explore the patient’s post-discharge place in daily life 96 (21.4) 203 (45.2)
 Trial participation in day-care, workshop, or Alcoholics Anonymous 48 (10.7) 86 (19.2)
 Visit planned post-discharge residence 38 (8.5) 59 (13.1)
 Help the patient collect necessities for post-discharge daily life 73 (16.3) 148 (33.0)
 Multidisciplinary meeting to share information on social rehabilitation, participation, and place in daily life 97 (21.6) 153 (34.1)
 Meeting with in-hospital workers and community service providers 55 (12.3) 94 (20.9)