Hospital Guide:

A hospitalization guide for therapists includes a set of guidelines and best practices for mental health professionals when their patient is in need of inpatient care. A the guide addresses the stages from recognizing the need for hospitalization to ensuring a healthy transition post-discharge.

Step 1: Recognize the Need for Hospitalization

• Track symptoms and their severity. Note symptoms like psychosis, suicidal ideation, manic episodes, or severe depression.

• Identify imminent risk to the client’s safety or the safety of others.

• If outpatient treatment is failing and the client is deteriorating. Consider hospitalization.

Step 2: Communicate With the Client

• Have an honest discussion with the client on why you think hospitalization is the best option.

• Address the clients fears or concerns about hospitalization and the process.

• When appropriate, include family members in discussions for additional support.

Step 3: Prepare for Hospitalization

• Contact the hospital to coordinate with medical professionals.

• Ensure all necessary documentation, including medical history, current medications, and treatment plans, are given to the hospital.

• Include emergency contact information for the client's family or support network.

Step 4: During Hospitalization

• Regularly contact the hospital treatment team to stay updated on the client's progress.

• Ensure the client’s needs and preferences are shared with the hospital treatment team.

• Visit or call the client as appropriate to offer support and continuity of care.

Step 5: Post-Discharge Planning

• Acquire the discharge summary from the hospital. Take note of any changes in diagnosis, medications, or treatment recommendation.

• Plan follow-up appointments to ensure there is a comprehensive outpatient treatment plan in place. 

• Confirm that the client understands any changes in medication and has a reliable way to receive them.

Step 6: Reintegration into Routine

• Gradually aid the client’s transition back into daily life and routine.

• Acknowledge and strengthen the client’s support system, including family, friends, and social services if needed.

• Revise and update the crisis plan to ensure the client knows what to do and who to contact if they feel they are in crisis again.

Step 7: Document and Report

• Carefully document all steps taken, including conversations with the hospital and treatment plans.

• Follow all legal and ethical guidelines, including mandatory reporting if necessary.

Step 8: Resources for Therapists

• Seek supervision or consultation to acknowledge your feelings and receive guidance.

• Practice self-care and manage your own stress related to the process.

• Be aware of the client’s insurance coverage and the implications for hospitalization.

• Consider cultural and spiritual factors that may affect the client's views on hospitalization.