When It Is Used
Use it when active case-management involvement is ending, reducing, or transferring and ongoing needs or supports remain relevant.
Transition / Discharge Plan is a case-management continuity planning tool for practitioners preparing for closure, discharge, or transfer. It helps identify post-transition supports, responsible parties, remaining needs or risks, follow-up paths, and whether the client understands what to do if problems arise.
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Use this background section to understand when the tool fits, how practitioners use it, and what to consider before sharing it with clients.
Use it when active case-management involvement is ending, reducing, or transferring and ongoing needs or supports remain relevant.
The plan captures transition type, remaining needs or risks, goal-status context, post-transition supports, responsible parties, follow-up paths, and client understanding.
The tool does not determine discharge readiness, create legal forms, prescribe crisis protocols, or decide whether closure or transfer is allowed.
Yes. Transition type is a real setting, and the practitioner selects closure, discharge, or transfer.
Yes. The client view shows supports, responsible people, follow-up paths, and what to do if foreseeable problems arise in plain language.
No. It organizes continuity planning information and does not make automatic readiness or eligibility decisions.
The tool and intentional transition-type configuration are saved. Fictional continuity plan content is not saved as real client data.