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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.

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.


Poor diet and nutrition, weight gain, and a lack of physical activity in people with schizophrenia contribute to high rates of physical comorbidities such as type 2 diabetes and reduced life expectancy, particularly from cardiovascular disease. Offering people with schizophrenia interventions that promote both physical activity and healthy eating can help to improve their physical and mental health. Additionally, several of the medications used to treat schizophrenia may cause weight gain. This side effect should be mitigated as much as possible through encouragement of physical activity and healthy eating.

For Patients

You should be offered services or programs that encourage you to exercise and eat in a healthy way. These steps can help improve your physical and mental health.


For Clinicians

Offer people with schizophrenia combined interventions that promote physical activity and healthy eating.


For Health Services

Ensure that there are interventions available in hospitals that promote, in a combined manner, physical activity and healthy eating for people with schizophrenia.

Process Indicator

Percentage of adults admitted to hospital with a primary diagnosis of schizophrenia who receive interventions that promote physical activity and/or healthy eating

  • Denominator: total number of adults admitted to an inpatient setting with a primary diagnosis of schizophrenia

  • Numerator: number of people in the denominator who:

    • Receive interventions promoting physical activity

    • Receive interventions promoting healthy eating

    • Receive interventions promoting both physical activity and healthy eating

  • Data source: local data collection


Structural Indicator

Availability of programs for adults admitted to an inpatient setting with a primary diagnosis of schizophrenia that promote healthy eating or physical activity

  • Data source: local data collection

Interventions that promote physical activity and healthy eating

These behavioural interventions, offered in hospital, may follow a chronic illness self-management model or an informationbased approach. They provide information and support to increase levels of physical activity and healthy eating.

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