A study to Evaluate the Effectiveness of Selected IDEAL discharge planning strategies with Mobile text reminders on Medication Adherence, Work and Social Adjustment and Relapse among Psychiatric Inpatients at Tertiary care institution

Psychiatric illnesses are chronic in nature and often require long-term medication adherence and structured social rehabilitation. Non-adherence to medication and lack of proper discharge planning significantly increase the risk of relapse and poor work and social adjustment. This study aims to evaluate the effectiveness of selected IDEAL discharge planning strategies supported by mobile text reminders in improving medication adherence, work and social adjustment, and in preventing relapse among psychiatric inpatients.This is a non-randomized controlled trial. A total of 40 psychiatric inpatients who meet the inclusion criteria will be selected through Convenience Samplingand to prevent the contamination, control group will be completed first before proceeding with the experimental group.The study includes psychiatric inpatients diagnosed with schizophrenia, mood disorders, or substance dependence. Eligible participants must have access to a mobile phone, be able to read text messages, be alert and oriented, willing to participate, and capable of speaking, reading, and understanding either English or Telugu.Patients discharged before six days from the day of enrolment or are unavailable during the study period, have comorbid medical or psychiatric conditions, are not permitted to participate for legal or forensic reasons, or are already enrolled in other related studies will be excluded. The experimental group will receive  30-minute session each day for a period of 5 days, sessions include extensive  psychoeducation on psychiatric medication and its adherence, extensive  psychoeducation on work and social adjustment, extensive  psychoeducation on relapse, Group activity session, and closing session, followed by mobile text reminders with positive affirmations for a period of 25 days. The control group will receive routine discharge care.Data will be collected using validated tools: Medication Adherence Rating Scale (MARS), the Work and Social Adjustment Scale (WSAS), and Clinical Records.

Post test will be conducted on the 45th day for both groups. Descriptive and inferential statistics will be used for data analysis.

.