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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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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description 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.
doi_str_mv 10.1017/S0033291723000247
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source Applied Social Sciences Index & Abstracts (ASSIA); Sociology Collection; Cambridge University Press; ProQuest Social Science Premium Collection
subjects Continuity of care
Early intervention
Family physicians
Hallucinations
Mental disorders
Patients
Psychiatric services
Psychosis
Remission (Medicine)
Review
Schizophrenia
Specialists
Teams
Young adults
title Neglecting the care of people with schizophrenia: here we go again
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