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 in:Psychological medicine 2023-03, Vol.53 (4), p.1137-1142
Main Authors: Pelosi, Anthony J., Arulnathan, Vijay
Format: Article
Language:English
Subjects:
Continuity of care
Early intervention
Family physicians
Hallucinations
Mental disorders
Patients
Psychiatric services
Psychosis
Remission (Medicine)
Review
Schizophrenia
Specialists
Teams
Young adults
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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.
ISSN:0033-2917
1469-8978
DOI:10.1017/S0033291723000247