Ontario · health · mental health · addiction
Discharge & Transition Toolkit
Interactive planning sheets for the hour someone leaves hospital, withdrawal management, a crisis bed, or treatment. Fill them in this tab. Print or Save as PDF. Close the browser and the work is gone — by design.
Transition Plan
Patient-oriented discharge summary: where I am going, who is involved, follow-up, and what to watch for.
Hospital, withdrawal management, inpatient MH, residential treatment, crisis bed.
Clinical Safety Plan
Stanley–Brown style six-step plan plus Ontario crisis routes. Clinical, not a housing bed-tonight sheet.
Suicide, self-harm, violence risk, post-crisis discharge.
Relapse & Overdose Plan
Triggers, 24-hour action, naloxone, never-use-alone, Good Samaritan reminder.
Addiction medicine, withdrawal management, concurrent disorders.
Medication Teach-Back
What I take, why, when, side effects, pharmacy, blister pack, and who to call.
Any discharge with new or changed prescriptions.
Home First & Health atHome
Ontario Health atHome referral worksheet: PSW, nursing, therapy, equipment, Home First.
Hospital to home, ALC prevention, community care coordination.
7-Day Aftercare Grid
Who calls whom in the first week. Appointments, pharmacy pickup, check-ins.
High-risk 72-hour and 7-day window after leaving care.
Warm Handoff Sheet
Worker-to-worker transfer: what was tried, what is booked, what is still open.
ED to community, hospital to outreach, treatment to primary care.
Negotiated / AMA Discharge
Harm-reduction leave plan when the person is leaving against advice or on a tight timeline.
Public Hospitals Act discharge, capacity intact, risk remains.
Caregiver & SDM Brief
What support people need to know — with consent noted on the page, not stored.
Family meetings, substitute decision-maker, chosen support.
Discharge Readiness Scan
Frontline checklist: clinical, practical, legal, and social barriers before the door.
Team huddle, charge nurse, discharge planner, case manager.
Crisis Wallet Card
Two-sided pocket card: my plan in one glance plus provincial numbers.
Give with every safety plan. Fits a wallet or phone case.
Print Packet Builder
Assemble several tools into one print / Save-as-PDF run. Still never stored.
End of a discharge meeting when more than one sheet is needed.