Neglecting the care of people with schizophrenia: here we go again

Specialist early intervention teams consider clinician–patient engagement and continuity of care to be a driving philosophy behind the treatment they provide to people who have developed schizophrenia or a related psychotic illness. In almost all countries where this service model has been implement...

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Bibliographic Details
Published inPsychological medicine Vol. 53; no. 4; pp. 1137 - 1142
Main Authors Pelosi, Anthony J., Arulnathan, Vijay
Format Journal Article
LanguageEnglish
Published Cambridge, UK Cambridge University Press 01.03.2023
Subjects
Early intervention
Family physicians
Hallucinations
Mental disorders
Patients
Psychiatric services
Psychosis
Remission (Medicine)
Review
Schizophrenia
Specialists
Teams
Young adults
Canada
United Kingdom > UK
United States > US
China
Denmark
England
Hong Kong China
Community care
schizophrenia
discharge pathways
early intervention for psychosis
psychosis
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Summary:Specialist early intervention teams consider clinician–patient engagement and continuity of care to be a driving philosophy behind the treatment they provide to people who have developed schizophrenia or a related psychotic illness. In almost all countries where this service model has been implemented there is a dearth of available data about what is happening to patients following time-limited treatment. Information on discharge pathways in England indicates that some early intervention specialists are discharging most of their patients from all psychiatric services after only 2 or 3 years of input. Some ex-patients will be living in a state of torment and neglect due to an untreated psychosis. In the UK, general practitioners should refuse to accept these discharge pathways for patients with insight-impairing mental illnesses.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:0033-2917
1469-8978
DOI:10.1017/S0033291723000247