Our results show, that the majority of psychotic patients - in contrast to previous experiences - responded very favourably to the referral letters, probably because they not only received the letter but also discussed the letter with their doctor and had the opportunity to correct false details before discharge. The encouragement of communication, the acceptance of patients as equal partners and the improvement of information, empower patients as active partners in care, which improves the course of the disease. Therefore patients should have the possibility to discuss the referral letter with their doctor.