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Keywords
care transition interventions
serious mental illness
hospital readmissions
comprehensive routine discharge planning
readmission rates
Transitional Care Model
Project RED
Care Transitions Intervention
improved communication
intensive care management services
Funding for SMI Adviser was made possible by Grant No. SM080818 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, SAMHSA/HHS or the U.S. Government.
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