For treatment centers
Discharge planning best practices for treatment centers
Discharge planning determines what happens after treatment and is the strongest modifiable predictor of long-term outcomes.
Start at admission
Identify aftercare needs during initial assessment. Begin building the aftercare plan on day one. Involve the patient in planning collaboratively.
Essential elements
Step-down treatment arranged (PHP, IOP, outpatient). First outpatient appointment scheduled within 48 hours. MAT prescriber identified and appointment set. Recovery meeting connections made during treatment. Housing plan confirmed. Employment plan. Family therapy continuation. Crisis plan documented.
The warm handoff
The transition between levels is the highest-risk moment. Introducing the outpatient provider before discharge. Transferring records. Following up within 24-48 hours of discharge.
Frequently asked questions
When should discharge planning start?
What makes a good discharge plan?
Does discharge planning reduce readmission?
Disclaimer: Informational only. Not medical advice. SAMHSA: 1-800-662-4357.