From Therapeutic Relationships to Transitional Care A Theoretical and Practical Roadmap

This text provides a foundational understanding of therapeutic relationships and the transitional discharge model (TDM), a person-centered, evidence-based model that supports a smooth transition from hospital to community for people with mental illness Starting with background into the ground-breaking work of Dr. Hildegard Peplau, the mother of modern psychiatric nursing, and moving towards a transdisciplinary transitional discharge perspective, chapters introduce students and practitioners to theoretical, historical, and current perspectives on therapeutic relationships as they relate to transitional care. These perspectives foreground empirical research and practical applications that can be implemented in hospital and community settings. The Appendix features an essential "TDM toolkit" with forms, learning topics, and checklists developed by programs that implement TDM. Essential reading for those studying psychiatric nursing, this book combines theory, research, and best practices into a "roadmap" for students across nursing and psychiatric disciplines to coordinate these systems without having to implement radical changes to practice.

About the Cover List of Contributors Acknowledgements About the Book Part I: Theoretical Perspectives 1. Overview of Peplau’s Theory Cheryl Forchuk 2. The Orientation Phase of the Nurse-Client Relationship: Testing Peplau’s Theory Cheryl Forchuk Part II: Care Recipient Perspectives 3. A Review of Our Understanding of the Care Recipient Perspective Sebastian Gyamfi and Shirley Tran 4. Factors Influencing Movement of Chronic Psychiatric Patients from the Orientation to the Working Phase of the Nurse-Client Relationship on an Inpatient Unit Cheryl Forchuk, Jan Westwell, Mary-Lou Martin, Wendy Azzopardi, Donna Kosterewa-Tolman, and Margaret Hux Part III: Care Provider Perspectives 5. A Review of Our Understanding of the Care Provider Perspective Amy Lewis 6. The Developing Nurse-Client Relationship: Nurses’ Perspectives Cheryl Forchuk, Jan Westwell, Mary-Lou Martin, Wendy Azzopardi, Donna Kosterewa-Tolman, and Margaret Hux Part IV: Exploration of Key Concepts 7. Compassion as Collaboration Kathleen Ledoux 8. Empathy: The Core of the Nurse-Client Relationship William Reynolds 9. New Technologies Kamini Kalia and Amy Lewis 10. Ethics and Boundaries in Therapeutic Relationships Brad A. MacNeil, Cheryl Forchuk, and Abraham Rudnick Part V: From Therapeutic Relationships to Transitional Care 11. Therapeutic Relationships: From Psychiatric Hospital to Community Cheryl Forchuk, Mary-Lou Martin, Yee-Ching (Lilian) Chan, and Elsabeth Jensen 12. Peer Support Cheryl Forchuk, Michelle Solomon, and Tazim Virani 13. Implementation of a Transitional Discharge Model: Clients, Health Professionals, and Peer Supporters’ Perspectives Boniface Harerimana, Sebastian Gyamfi, and Cheryl Forchuk 14. Cost-Effectiveness of the Implementation of a Transitional Discharge Model for Community Integration of Psychiatric Clients: Practice Insights and Policy Implications Cheryl Forchuk, Mary-Lou Martin, Deborah Corring, Deborrah Sherman, Rani Srivastava, Boniface Harerimana, and Raymond Cheng 15. Supporting Therapeutic Relationships in the Clinical Setting Mary-Lou Martin 16. Conclusion Cheryl Forchuk References Index TDM Toolkit 1. Relationship Form 2. Transitional Discharge Model Staff Learning Topics 3. Transitional Discharge Planning, Step by Step Example 4. Implementing the Transitional Discharge Model of Care: A Staff Checklist 5. Transitional Discharge Model: Program Information Brochure Example 6. Transitional Discharge Planning – Information for Clients – EXAMPLE Copyright Acknowledgements

Cheryl Forchuk, RN, PhD, O Ont, FCAHS, is the Beryl and Richard Ivey Research Chair in Aging, Mental Health, Rehabilitation and Recovery at Parkwood Research Institute and Distinguished Professor at Western University in London, Canada.