Section 22-A2508. COMPREHENSIVE TRANSITIONAL CARE

 

2508.1Comprehensive Transitional Care is a set of actions designed to ensure the coordination and continuity of health care as consumers transfer between different locations or different levels of care.  Comprehensive transitional care includes assistance with discharge planning from inpatient settings.  It also includes:

 

(a)Contact with the consumer within forty-eight (48) hours of the completed transition;

 

(b)Outreach to consumers to ensure appropriate follow-up after transitions;

 

(c)Ensuring visits for consumers with the appropriate health and community-based service providers following the completed transition;

 

(d)Developing strategies and supportive mental health interventions that reduce the risk for or prevent out-of-home placements for adults and builds stronger family support skills and knowledge of the adult’s strengths and limitations; and

 

(e)Developing mental health relapse prevention and illness management strategies and plans.

 

 

authority

Sections 5113, 5115, 5117 and 5118 of the Department of Behavioral Health Establishment Act of 2013, effective December 24, 2013 (D.C. Law 20-61; D.C. Official Code §§ 7-1141.02, 7-1141-04, 7-1141.06 and 7-1141.07 (2012 Repl.)).

source

Final Rulemaking published at 63 DCR 849 (January 22, 2016).