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Recommended Actions for Improved Care …

1 The transition period between care settings is the most vulnerable time for patients and their caregivers. The unique vulnerabilities for patients with mental illnesses such as depression, mania, anxiety, schizophrenia and/or substance use disorders* heighten the need for coordinated transitions and aftercare. In 2010, depression was the fourth diagnosis by volume for readmissions in Minnesota according to the Potentially Preventable Readmissions data collected by the Minnesota Hospital Association. This document is intended for health care professionals who provide care for patients in a variety of settings.

3 • Care team members are strongly encouraged to involve family in the treatment process upon admission, potentially including participating

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