This programme addresses the social exclusion of people accessing mental health services, often presenting frequent readmissions to hospitals or living in isolation in the community. It provides early intervention and preventative support to individuals living with mental health conditions in the community while offering discharge support services to reduce repeat hospital admissions.  The project works with adults who have mental health problems, usually with a history of engagement in psychiatric services. In addition to supporting community members during the Covid-19 pandemic, it created a supportive discharge pathway for people leaving psychiatric hospitals. Further, it can offer longer-term support under self-directed support arrangements for those who require longer support. Support Practitioners build relationships and trust with individuals, identifying key barriers and early support needs to ensure their support aligns with their expectations.