Less than half of patients who are hospitalized for mental health will successfully transition to outpatient care. Among youth and young adults, only 28.6% received follow-up within 7 days after an emergency department visit for mental health.
“Early follow-up care helps identify emerging symptoms, medication issues or other challenges before they escalate,” says Mia Lester, a behavioral health case management supervisor at BlueCross BlueShield of Tennessee. “Timely care often reduces the likelihood of being readmitted to the hospital.”
Why the first 7 days matter
Mia Lester: Many patients leave inpatient care with new or adjusted medications. Getting timely follow-up care allows them to make sure they understand the purpose of each medication and monitor side effects. It also builds accountability.
During that critical first week after discharge, patients should:
- Attend their follow-up appointment
- Confirm prescriptions are taken correctly
- Review crisis plan and emergency contacts
- Remove or secure potential hazards if risks exist
- Engage in healthy routines
- Monitor warning signs
Why do many patients not receive follow-up care?
Mia Lester: Some patients don’t understand the importance of follow-up care. Others may fear being judged or labeled. There can also be other factors, including:
- Not understanding discharge instructions
- Transportation issues
- Limited availability of mental health professionals (especially in rural areas)
- Technology issues making telehealth appointments difficult
How loved ones can help
Mia Lester: Family members and loved ones can:
- Help with appointments. Schedule and remind about outpatient follow-up visits. Offer transportation or help setting up telehealth visits. Reinforce the importance of follow-up appointments and participate when appropriate.
- Support medication management. Make sure prescriptions are filled and confirm they are taken correctly.
- Create a supportive environment. Provide a calm, non-judgmental environment. Have regular check-ins to stay connected with someone needing support. Promote healthy routines and reinforce hope and recovery goals.
- Stay informed. Educate yourself about your loved one’s condition and treatment plan. Help address any concerns that may prevent appointment attendance.
- Ensure safety. Remove potential hazards like medications or sharp objects. Keep crisis hotline 988 Lifeline and local emergency contacts nearby. Act promptly if crisis indicators appear.
Warning signs to know
Mia Lester: Watch for these signs in a loved one:
- Persistent or worsening symptoms after discharge
- Missed or cancelled appointments
- Medication non-adherence
- Social isolation
- Difficulty meeting their own basic needs, like meals and bathing
Youth and young adults may need active participation from parents or guardians. They may not understand the importance of treatment. And they often need others for transportation and help with scheduling appointments.
Resources available
Mia Lester: These resources may be available to help access follow-up care. Check with your doctor or your health insurance company:
- Case management services
- Certified peer support specialists, support groups or school counselors
- Transportation assistance
- Telehealth options
- Employee assistance programs
The Substance Abuse and Mental Health Services Administration and National Alliance on Mental Illness also offer resources and support. The 988 Lifeline is available 24/7 for crisis support.
“Timely follow-up care leads to greater medication adherence and better outcomes,” Mia says. “It can save lives.”
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