Psychiatric discharge checklist for families and hospital staff
Print this and fill it in at the family meeting before discharge. Leave a line blank if you do not have it yet. The hospital usually provides the warning signs, the safety plan, and the first follow-up. Write what the team already has.
About this checklist
This list is for family members. These are questions to ask, not a legal or clinical form.
1. Who we can talk to
- Did your loved one sign a release naming a family member?
- Name and phone of the hospital contact for the family.
- If your loved one is a minor, or has a personal representative, write that name and phone. Skip this line if it does not apply.
- Date and time of the family meeting.
2. Going home today
- Where will your loved one sleep tonight? Write the address.
- Name and phone of the person expecting them.
- Who is giving your loved one a ride home?
- Who will be with your loved one during the first days?
- If that place is not home, which options did the team contact, such as crisis residential, a group home, or a shelter?
- Is the plan for going home written in the discharge papers?
3. Medications
- List every medication, including the dose.
- What changed, and why?
- What side effects should we watch for?
- Are the prescriptions filled, or is there enough medication until a refill?
- Pharmacy name and phone.
- Is the cost covered?
- Who keeps the medications, and where are they stored?
- Who prescribes after your loved one leaves?
4. First follow-up within 7 days
The week after leaving is when many people end up back in the hospital or in crisis. A visit within 7 days is the usual standard, and the hospital should book it before anyone walks out. Telehealth counts.
- Date, time, and name of the clinician.
- Where is the visit, or is it by telehealth?
- Was the visit booked before leaving?
- Is the visit on a later day, not the day of discharge?
- Were records sent to the next clinician?
- Is there a backup visit within 30 days?
- How will your loved one get there?
5. Ongoing care and daily life
- What care continues? Examples are therapy, psychiatry, peer support, a day program (IOP or PHP), or Assertive Community Treatment (ACT), a team that meets your loved one at home.
- Name and phone of that clinician or team.
- What should we do if the first visit is missed?
- If it applies, what is the plan for work, school, or the daily routine?
- Is a physical health follow-up needed?
6. Coverage and costs
- Has anyone started an SSI or SSDI application? A family member can call Social Security at 1-800-772-1213.
- If coverage needs fixing before discharge, who at the hospital will help file an application?
- Is the follow-up visit in network?
7. Warning signs and who to call
- What are the early warning signs for your loved one?
- Who do we call with questions that are not an emergency? Name and phone.
- For an emergency, call or text 988, call the local crisis team, or call 911. Write the local crisis number.
- Who answers medication questions before the first visit? Name and phone.
8. Safety plan
These steps are recommended by the Joint Commission (2024) and Zero Suicide. Federal hospital rules do not list them.
- Was a written copy of the safety plan given to the family?
- Does a family member know the steps in the safety plan?
- Was a plan for firearms and stored medications discussed?
- Is 988 saved in your phone?
- Is a follow-up call planned?
9. Legal status (if any)
Rules vary by state. These are questions to ask, not legal advice.
- Was the stay voluntary, or did a court order it?
- Are there conditions, or an outpatient treatment order? What do they require?
- Who do we call about that order? Name and phone.
10. Our concerns and what we can take on
- Are family concerns written in the record?
- Is the reason for discharge written in the record?
- If your loved one cannot come home, what other safe place is planned?
- Who do we call to appeal this discharge, and what is the deadline?
- What can the family member take on, and what can the family member not take on?
11. Did we understand it?
- Can a family member say the plan back in their own words?
- Is a written copy of the plan in hand?
- Is an interpreter needed?
12. Reviewed with
- Family member name, role, and date.
- Staff name, role, and date.
- This is not a consent or legal form.
- Was a copy given to the family before leaving?
How to use this at the family meeting
Read each line with the family, write the answer, and give them a copy before discharge.
Families have a shorter list in the Inaya library. Related guides below link to those pages.
This is general information, not legal or medical advice.
FAQ
Q: Can we hand this list to the family?
Yes. These are questions to ask, not a form to sign. Give the family a copy before discharge. Families also have a shorter list in the Inaya library.
Q: What if the family says home is not safe?
Write that down, and name another safe place before discharge, with an address and a person expecting them.
Q: What if there is no visit within 7 days?
The week after leaving is when many people end up back in the hospital or in crisis. A visit within 7 days is the usual standard, and the hospital should book it before anyone walks out. Book it on a later day, not the day of discharge. Telehealth counts. Write the date, time, and place on the list.
Sources
- Hospital discharge planning rule (opens in a new tab)
- AHRQ IDEAL discharge planning (opens in a new tab)
- AHRQ RED discharge toolkit (opens in a new tab)
- NICE mental health transitions (opens in a new tab)
- Going home from hospital (opens in a new tab)
- Zero Suicide transitions (opens in a new tab)
- Joint Commission suicide prevention (opens in a new tab)
- Joint Commission 2024 study (opens in a new tab)
- Follow up after the hospital (opens in a new tab)
- HHS: HIPAA and mental health (opens in a new tab)
