Management of schizophrenia

Scottish Intercollegiate Guidelines Network

Provision of information

  • When a diagnosis is made, professionals should ensure that service users and families/carers are informed and that clear information is given about what the diagnosis means and why it has been made

Access and engagement

  • Comorbid substance misuse should not exclude people with schizophrenia from services or interventions. Management of severe and complex problems may require a joint consultative approach between mental health and substance use services

Early intervention services

  • Individuals in the first episode of psychosis should receive treatment within the context of a specialist early intervention model of care. This should be multidisciplinary and encompass:
    • engagement/assertive outreach approaches
    • family involvement and family interventions
    • access to psychological interventions and psychologically informed care
    • vocational/educational interventions
    • access to antipsychotic medication

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