Transition Care Program

The Transition Care Program aims to improve patient outcomes during the first 28-day period, following discharge from either the hospital or residential care setting.

We aim to support patient flow by facilitating supportive discharge from the psychiatric inpatient unit at the hospital, and to enhance continuity of care during transitions back into community setting (either home based/residential or other service setting). We also aim to reduce readmission rates.

We provide trauma-informed, psychosocial support in both an in-reach (hospital-based prior to discharge) and community-based setting and includes person-centred support using a recovery model and within a stepped care framework.

Referral into this program is limited to individuals being referred through mental health professionals, such as the hospital or Tamarind Centre, and requires completion of the below referral form.

If you have questions about this program or eligibility please contact our team to discuss further by calling 1300 780 081.

A PDF version of this referral form and a printable brochure are accessible via links below.

Transition Care Referral Form
Team Health Transition Care Brochure 2024