ABSTRACT Youth with complex mental health disorders access residential mental health treatment (RT), which is offered as part of a continuum of care in community mental health agencies. There is scant information available on how youth manage life after discharge. The purpose for this study was to explore the life experiences in the year following discharge from RT from the youth, caregiver, and mental health provider perspectives using a case study design. With a case study design, in-depth interviews with 25 youth (12 female, 12 male, and 1 transgender) and their caregiver and mental health care provider were included in this analysis. While some youth fared well after discharge, some youth continued to struggle with these disorders and their impacts on life domains. Specific difficulties included managing: on-going mental health symptoms, interpersonal relationships, completion of educational or vocational activities, and development of life skills. Implications include the need for home-based transition supports following discharge to foster healthy relationships and interactions, engagement in positive activities and the development of life skills to support future independence, and to manage on-going symptoms of the youths’ mental health disorders.

中文翻译：

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从居民心理健康治疗中心出院后的青年过渡：一年多角度

摘要患有复杂精神健康障碍的青年可享受社区心理健康治疗（RT），这是社区精神健康机构提供的连续护理的一部分。关于青年出院后如何管理生活的信息很少。这项研究的目的是使用案例研究设计，从青年，护理人员和心理健康提供者的角度探讨RT出院后一年的生活经历。通过案例研究设计，该分析包括对25名青年（12名女性，12名男性和1名跨性别者）及其护理人员和精神保健提供者的深入访谈。虽然一些青年出院后表现良好，但一些青年仍在努力应对这些疾病及其对生活领域的影响。具体困难包括管理：持续的心理健康症状，人际关系，完成教育或职业活动以及发展生活技能。这意味着需要在出院后获得家庭过渡支持，以促进健康的人际关系和互动，参与积极的活动，并发展生活技能以支持未来的独立性，并应对青少年心理健康障碍的持续症状。