The Care Transitions services provide assistance to individuals transitioning from an inpatient setting to their home community. Discharging from hospital to home can be a challenging time; our care transition team provides support and care coordination to help ensure a successful return to the community.
For those who are receiving inpatient psychiatric care, our goal is to provide a seamless transition by coordinating with mental health provider agencies. The program assists individuals connect (or re-connect) with outpatient mental health services, to reduce the risk of a repeat hospitalization.
Compass also provides transitional care services for individuals who are returning home from an inpatient medical stay and are deemed at risk for hospital re-admission if they are not followed closely during the month following their discharge. Staff meet with the individual and their support network to ensure that the discharge plan is implemented successfully and work with the service and support network to stabilize the individual in the community.
This service is available in Snohomish, Skagit, Island, San Juan, & Whatcom counties.
To access these services, individuals must be referred by the North Sound BHO or Apple Health Plan.