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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.

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.


Substance use is common among people with schizophrenia and is associated with poor functional recovery. Substance use may exacerbate the symptoms and worsen the course of schizophrenia and may interfere with the therapeutic effects of both pharmacological and nonpharmacological treatments. Validated screening tools such as the Dartmouth Assessment of Lifestyle Inventory and the Leeds Dependence Questionnaire can assist with screening for substance use.

For Patients

While in hospital, you should be assessed for the use of alcohol or drugs as they may make your symptoms worse and interfere with treatment.


For Clinicians

Conduct an assessment for substance use in people with a primary diagnosis of schizophrenia who present in the emergency department or an inpatient setting. Initiate a referral for treatment of concurrent disorders for people who use substances in a harmful manner.


For Health Services

Ensure hospitals are able to assess and provide treatment for concurrent disorders for people with schizophrenia who use alcohol, prescription or nonprescription medications, or illicit drugs in a harmful manner.

Process Indicator

Percentage of adults presenting to hospital with a primary diagnosis of schizophrenia who are assessed for substance use

  • Denominator: total number of adults admitted to an inpatient setting or seen in the emergency department who have a primary diagnosis of schizophrenia

  • Numerator: number of people in the denominator who are assessed for substance use

  • Data source: local data collection

Percentage of adults presenting to hospital with a primary diagnosis of schizophrenia found to have a substance use problem who are offered treatment for concurrent disorders

  • Denominator: total number of adults admitted to an inpatient setting or seen in the emergency department who have a primary diagnosis of schizophrenia and who are assessed for and identified as having a substance use problem (excludes adults who have received a referral for treatment for concurrent disorders for which they are currently awaiting initiation)

  • Numerator: number of people in the denominator who are offered treatment for concurrent disorders

  • Data source: local data collection

Substance use

This is the harmful use of alcohol, prescription or nonprescription medications, or illicit drugs.

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