This text provides a foundational understanding of therapeutic relationships and the transitional discharge model (TDM), a person-centered, evidence-based model that supports a smooth transition from hospital to community for people with mental illness

Starting with background into the ground-breaking work of Dr. Hildegard Peplau, the mother of modern psychiatric nursing, and moving towards a transdisciplinary transitional discharge perspective, chapters introduce students and practitioners to theoretical, historical, and current perspectives on therapeutic relationships as they relate to transitional care. These perspectives foreground empirical research and practical applications that can be implemented in hospital and community settings. The Appendix features an essential "TDM toolkit" with forms, learning topics, and checklists developed by programs that implement TDM.

Essential reading for those studying psychiatric nursing, this book combines theory, research, and best practices into a "roadmap" for students across nursing and psychiatric disciplines to coordinate these systems without having to implement radical changes to practice.

part I|22 pages

Theoretical Perspectives

chapter 1|13 pages

Overview of Peplau’s Theory

ByCheryl Forchuk

chapter 2|7 pages

The Orientation Phase of the Nurse–Client Relationship

Testing Peplau’s Theory
ByCheryl Forchuk

part II|14 pages

Care Recipient Perspectives

chapter 3|5 pages

A Review of Our Understanding of the Care Recipient Perspective

BySebastian Gyamfi, Shirley Tran

chapter 4|7 pages

Factors Influencing Movement of Chronic Psychiatric Patients from the Orientation to the Working Phase of the Nurse–Client Relationship on an Inpatient Unit

ByCheryl Forchuk, Jan Westwell, Mary-Lou Martin, Wendy Azzopardi, Donna Kosterewa-Tolman, Margaret Hux

part III|16 pages

Care Provider Perspectives

chapter 6|8 pages

The Developing Nurse–Client Relationship

Nurses’ Perspectives
ByCheryl Forchuk, Jan Westwell, Mary-Lou Martin, Wendy Azzopardi, Donna Kosterewa-Tolman, Margaret Hux

part IV|24 pages

Exploration of Key Concepts

chapter 7|6 pages

Compassion as Collaboration

ByKathleen Ledoux

chapter 8|6 pages


The Core of the Nurse–Client Relationship
ByWilliam Reynolds

chapter 9|6 pages

New Technologies

ByKamini Kalia, Amy Lewis

chapter 10|4 pages

Ethics and Boundaries in Therapeutic Relationships

ByBrad A. MacNeil, Cheryl Forchuk, Abraham (Rami) Rudnick

part V|35 pages

From Therapeutic Relationships to Transitional Care

chapter 11|7 pages

Therapeutic Relationships

From Psychiatric Hospital to Community
ByCheryl Forchuk, Mary-Lou Martin, Yee-Ching (Lilian) Chan, Elsabeth Jensen

chapter 12|6 pages

Peer Support

ByCheryl Forchuk, Michelle Solomon, Tazim Virani

chapter 13|6 pages

Implementation of a Transitional Discharge Model

Clients’, Health Professionals’, and Peer Supporters’ Perspectives
ByBoniface Harerimana, Sebastian Gyamfi, Cheryl Forchuk

chapter 14|5 pages

Cost-Effectiveness of the Implementation of a Transitional Discharge Model for Community Integration of Psychiatric Clients

Practice Insights and Policy Implications
ByCheryl Forchuk, Mary-Lou Martin, Deborah Corring, Deborrah Sherman, Rani Srivastava, Boniface Harerimana, Raymond Cheng

chapter 15|5 pages

Supporting Therapeutic Relationships in the Clinical Setting

ByMary-Lou Martin

chapter 16|2 pages


ByCheryl Forchuk