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Evidence to Improve Care

Schizophrenia

Care for Adults in Hospitals

Click below to see a list of brief quality statements and scroll down for more information.


Quality standards are sets of concise statements designed to help health care professionals easily and quickly know what care to provide, based on the best evidence.

See below for the quality statements and click for more detail.


Quality Statement 1: Comprehensive Interprofessional Assessment
Adults who are admitted to an inpatient setting with a primary diagnosis of schizophrenia undergo a comprehensive interprofessional assessment that informs their care plan.


Quality Statement 2: Screening for Substance Use
Adults who present to an emergency department or in an inpatient setting with a primary diagnosis of schizophrenia are assessed for substance use and, if appropriate, offered treatment for concurrent disorders.


Quality Statement 3: Physical Health Assessment
Adults who are admitted to an inpatient setting with a primary diagnosis of schizophrenia undergo a physical health assessment focusing on conditions common in people with schizophrenia. This assessment informs their care plan.


Quality Statement 4: Promoting Physical Activity and Healthy Eating
Adults who are admitted to an inpatient setting with a primary diagnosis of schizophrenia are offered interventions that promote both physical activity and healthy eating.


Quality Statement 5: Promoting Smoking Cessation
Adults who are admitted to an inpatient setting with a primary diagnosis of schizophrenia are offered behavioural and pharmacological interventions to alleviate nicotine-withdrawal symptoms and to help them reduce or stop smoking tobacco.


Quality Statement 6: Treatment With Clozapine
Adults who are admitted to an inpatient setting with a primary diagnosis of schizophrenia who have failed to respond to previous adequate trials of treatment with two antipsychotic medications are offered clozapine.


Quality Statement 7: Treatment With Long-Acting Injectable Antipsychotic Medication
Adults who are admitted to an inpatient setting with a primary diagnosis of schizophrenia are offered the option of a long-acting injectable antipsychotic medication.


Quality Statement 8: Cognitive Behavioural Therapy
Adults who are admitted to an inpatient setting with a primary diagnosis of schizophrenia are offered individual cognitive behavioural therapy for psychosis either in the inpatient setting or as part of a post-discharge care plan.


Quality Statement 9: Family Intervention
Adults who are admitted to an inpatient setting with a primary diagnosis of schizophrenia are offered family intervention.


Quality Statement 10: Follow-Up Appointment After Discharge
Adults with a primary diagnosis of schizophrenia who are discharged from an inpatient setting have a follow-up appointment within 7 days.


Quality Statement 11: Transitions in Care
Adults with a primary diagnosis of schizophrenia who are discharged from an inpatient setting have a team or provider who is accountable for communication and the coordination and delivery of a care plan that is tailored to their needs.

Health Quality Ontario thanks the following individuals for their generous, voluntary contributions of time and expertise to help create this quality standard:

April Collins (co-chair)
Executive Director,
Complex Mental Illness Program,
Centre for Addiction and Mental Health

Philip Klassen (co-chair)
Vice-President,
Medical Affairs,
Ontario Shores Centre for Mental Health Sciences,
University of Toronto

Ofer Agid
Psychiatrist,
Centre for Addiction and Mental Health,
Associate Professor,
University of Toronto

Howard E. Barbaree
Vice-President,
Research and Academics,
Waypoint Centre for Mental Health Care

Joanne Bezzubetz
Vice-President of Patient Care Services,
The Royal Ottawa Health Care Group

Christopher Bowie
Associate Professor,
Department of Psychology,
Queen’s University

Patricia Cavanaugh
Head,
Outpatient Services,
Complex Mental Illness,
Centre for Addiction and Mental Health

Alison Freeland
Vice-President,
Quality, Education and Patient Relations,
Trillium Health Partners,
Associate Dean,
University of Toronto

Kaili Gabriel
Social Worker,
Providence Care Mental Health Services

Christine Holland
Lived Experience Advisor,
Vice-Chair,
Ontario Family Caregiver’s Advisory Network

Sean Kidd
Psychologist-in-Chief,
Centre for Addiction and Mental Health,
Associate Professor,
University of Toronto

Terry Krupa
Professor,
School of Rehabilitation Therapy,
Queen’s University

Paul Kurdyak
Director,
Health Outcomes and Performance Evaluation Research Unit,
Centre for Addiction and Mental Health

Elizabeth (Betty) Lin
Independent Scientist,
Centre for Addiction and Mental Health,
Associate Professor,
University of Toronto,
Adjunct Faculty,
Institute for Clinical Evaluative Sciences

Sandy Marangos
Clinical Director,
Mental Health and Emergency Services,
North York General Hospital

Elizabeth McCay
Professor,
Ryerson University,
Daphne Cockwell School of Nursing

Kwame McKenzie
Medical Director,
Centre for Addiction and Mental Health,
Chief Executive Officer,
Wellesley Institute

David McNeill
Medical Director,
Integrated Health Services,
Ontario Shores Centre for Mental Health Sciences

George Mihalakakos
Peer Support Specialist,
Centre for Addiction and Mental Health,
Lived Experience Advisor

Sandra Northcott
Psychiatrist,
St. Joseph’s Health Care London/Schulich School of Medicine and Dentistry,
Western University

Chris Perlman
Assistant Professor,
School of Public Health and Health Systems,
University of Waterloo

Gary Remington
Lead,
Subspecialty Clinics,
Schizophrenia, Complex Mental Illness Division,
Centre for Addiction and Mental Health,
University of Toronto

Robert Renwick
Consultant Psychiatrist,
London Health Sciences Centre,
Assistant Professor,
Western University

Michael Sarin
General Internist,
Diabetes/Cardiac Rehab,
Program Physician,
University Health Network,
Toronto Rehab

Chekkera Shammi
Psychiatrist,
Ontario Shores Centre for Mental Health Sciences

Frank Sirotich
Director of Community Support,
Research and Development,
Canadian Mental Health Association

Christine Walter
Lived Experience Advisor

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