APA Dictionary of Psychology

a structured plan to facilitate an individual’s safe and successful transition from an inpatient treatment setting (e.g., hospital, psychiatric unit, drug or alcohol residential treatment center) back into the community. It is part of the continuum of care and may begin development at the time of admission. The process systematically addresses, with the patient’s participation, their physical and mental health needs (e.g., prescribed medications, follow-up therapy), but it may also address social services needs (e.g., food, housing, employment, education).