Schizophrenia is associated with multiple relapses and substantial acute and non-acute hospital costs. We are studying schizophrenia management patterns of six outpatient mental health programs to identify best practices in hospital outpatient services for this patient population. This report discusses the preliminary themes and trends contributing to adherence to treatment, and positive clinical outcomes. Themes include continuity of care and managing transitions, managing medical comorbidities, treating to wellness, the importance of communication within the multidisciplinary teams, and medication management. Ideas that support the promotion of these themes are also presented.
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References
1.
GoereeRFarahatiFBurkeN. The economic burden of schizophrenia in Canada in 2004. Curr Med Res Opin.2005; 21: 2017–2028.
LahtiMTiihonenJWildgustH. Cardiovascular morbidity, mortality and pharmacotherapy in patients with schizophrenia. Psychol Med.2012; March 12:1–11.
4.
ChangCK. Improving the life expectancy of people with serious mental illness. Br J Hosp Med (Lond). 2012; 73: 126–127.
5.
MitchellAJLordO. Do deficits in cardiac care influence high mortality rates in schizophrenia? A systematic review and pooled analysis. J Psychopharmacol. 2010; 24(4 suppl): 69–80.
6.
SaravaneDFeveBFrancesY. [Drawing up guidelines for the attendance of physical health of patients with severe mental illness]. Encephale. 2009; 35: 330–339.
7.
AcostaFJBoschESarmientoG. Evaluation of noncompliance in schizophrenia patients using electronic monitoring (MEMS) and its relationship to sociodemographic, clinical and psychopathological variables. Schizophr Res.2009; 107: 213–217.
8.
GitlinMNuechterleinKSubotnikKL. Clinical outcome following neuroleptic discontinuation in patients with remitted recent-onset schizophrenia. Am J Psychiatry. 2001; 158: 1835–1842.
9.
RosenheckRAKrystalJHLewR. Long-acting risperidone and oral antipsychotics in unstable schizophrenia. N Engl J Med.2011; 364: 842–851.
10.
KozmaCMSlatonTDiraniR. Changes in schizophrenia-related hospitalization and ER use among patients receiving paliperidone palmitate: Results from a clinical trial with a 52-week open-label extension (OLE). Curr Med Res Opin.2011; 27: 1603–1611.
11.
KoczerginskiDArshoffL. Hospital resource use by patients with schizophrenia: Reduction after conversion from oral treatment to risperidone long-acting injection. Healthc Q.2011; 14: 82–87.
12.
WalburnJGrayRGournayK. Systematic review of patient and nurse attitudes to depot antipsychotic medication. Br J Psychiatry. 2001; 179: 300–307.
