During the assessment and intervention phase continuing assessment of need and the effectiveness of planned recovery-focussed interventions is key to a successful care journey.
Therapeutic relationships will be consolidated through needs-led care strategies and person-centred interventions. Initial assessments and scales will be reviewed alongside self-report measures to assess effectiveness of interventions and identify further personalised goals.
Risk behaviours prevalent during the transition period will be better understood and positive behaviour support plans and therapeutic interventions will be targeted to recognising and revising risk behaviours.
Discharge remains a focus to reduce the risk of dependence, whilst prioritising co-production.