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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.

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.


Transitions from hospital are important events that can introduce the risk of breakdowns in a person’s care and of crucial information being lost or miscommunicated. It is important for people with schizophrenia who are leaving hospital to have a care plan that is shared between their providers in hospital and those in the community.

For Patients

Your health care professionals from the hospital should work with you to ensure all important information is transferred to your new health care professionals in the community and that you are connected to the ongoing supports that you need.


For Clinicians

When discharging people to the community, send their care plan to their team or provider who will be accountable for coordinating, communicating, and providing their care on an ongoing basis.


For Health Services

Ensure systems, processes, and resources are in place for health care teams to share health information between settings, including communication platforms, standardized protocols, and tools (such as discharge planning protocols). Specifically, ensure that hospitals are able to share care plans with providers in the community once people are discharged.

Process Indicator

Percentage of adults discharged from hospital with a primary diagnosis of schizophrenia who have their care plan made available to the receiving provider within 7 days

  • Denominator: total number of adults discharged from an inpatient setting after an admission for a primary diagnosis of schizophrenia who have a documented care plan

  • Numerator: number of people in the denominator whose care plan is made available to the receiving provider within 7 days of discharge

  • Data source: local data collection

Percentage of adults discharged from hospital with a primary diagnosis of schizophrenia who are discharged to homelessness

  • Denominator: total number of adults discharged from an inpatient setting after an admission for a primary diagnosis of schizophrenia

  • Numerator: number of people in the denominator who are discharged to homelessness

  • Data source: local data collection

Transition in care

This process includes:

  • Transfer of the care plan

  • Provision of treatment history, including treatments that have succeeded andthose that have failed

  • Arrangements for housing

  • Arrangements for follow-up services in the community for the patient as well as any family, caregivers, and personal supports involved in their recovery

  • Provision of an assessment of the level of service needs (assessed using a tool or instrument such as the Level ofCare Utilization System [LOCUS]) in order to match resource intensity with care needs

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