Intervenções promotoras da transição e continuidade de cuidados em contexto psiquiátrico: scoping review

I Introduction: The transition between inpatient and outpatient psychiatric care is a highly vulnerable period, particularly when psychotic symptoms are present. Interventions are recommended to ensure a safe transition and promote continuity of care, particularly bridging interventions. Objective: To map the interventions carried out during the transition between inpatient and outpatient care for people with psychotic symptoms. Methods: Scoping review according to JBI methodology. Performed in databases, since 2010, in English, Portuguese and Spanish. Study selection and data extraction carried out by two independent authors. Results: 12 interventions were identified, classified in terms of characteristics (format, type of approach, setting and duration) and components (content, transition strategies and post-discharge consultation) that promote the transition of care after psychiatric hospitalization for people with psychotic symptoms. Conclusion: There is a consensus that bridging interventions should include educational and relational interventions, mediated by a transition manager, a role mostly played by nurses. It is important to design guidelines to be implemented in services to facilitate the transition between inpatient and outpatient care.