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<p>Public safety personnel (PSP), including first responders and military members, face heightened risks of mental health disorders such as posttraumatic stress disorder, depression, anxiety, and substance use disorders due to frequent exposure to high-stress and potentially psychologically traumatic events. While inpatient mental health treatment plays a crucial role in their recovery, the transition back to community life may present significant challenges. This qualitative study examines the discharge concerns of 30 PSP who completed inpatient treatment at a specialized, private residential facility in Ontario, Canada. Through semi-structured interviews, participants expressed anxieties about maintaining newly acquired coping skills, reintegrating into their personal and professional lives, and losing the structure, support, and sense of safety provided by inpatient care. These findings underscore the need for comprehensive discharge planning that may include teaching service users how to monitor mental health post-discharge and prioritize self-care and recovery; providing families and loved ones with psychosocial education about effective transitioning from inpatient treatment; incorporating ‘real life’ experiences in discharge plans which help service users build healthy social supports; and strengthening coordination with external care providers about discharge readiness and continuity planning. Addressing these concerns can enhance long-term well-being and mitigate the risks associated with post-discharge vulnerability.</p>

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“When We Leave here, We’re on Our Own”: Public Safety Service Users’ Concerns About Discharge from an Inpatient Mental Health Treatment Facility

  • 期刊论文

  • 发表日期：

    2025年12月5日

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  • Krystle Martin,
  • Matthew S. Johnston,
  • Rosemary Ricciardelli,
  • Emma Vester

摘要

Public safety personnel (PSP), including first responders and military members, face heightened risks of mental health disorders such as posttraumatic stress disorder, depression, anxiety, and substance use disorders due to frequent exposure to high-stress and potentially psychologically traumatic events. While inpatient mental health treatment plays a crucial role in their recovery, the transition back to community life may present significant challenges. This qualitative study examines the discharge concerns of 30 PSP who completed inpatient treatment at a specialized, private residential facility in Ontario, Canada. Through semi-structured interviews, participants expressed anxieties about maintaining newly acquired coping skills, reintegrating into their personal and professional lives, and losing the structure, support, and sense of safety provided by inpatient care. These findings underscore the need for comprehensive discharge planning that may include teaching service users how to monitor mental health post-discharge and prioritize self-care and recovery; providing families and loved ones with psychosocial education about effective transitioning from inpatient treatment; incorporating ‘real life’ experiences in discharge plans which help service users build healthy social supports; and strengthening coordination with external care providers about discharge readiness and continuity planning. Addressing these concerns can enhance long-term well-being and mitigate the risks associated with post-discharge vulnerability.