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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.

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.


Cigarette smoking rates among people with schizophrenia are much higher than in the general population. High tobacco use contributes to the main causes of morbidity and mortality in people with schizophrenia. Tobacco use may also interfere with the effectiveness and mechanisms of action of certain antipsychotic medications. People with schizophrenia should be offered interventions to stop or reduce smoking that are aligned with their readiness for change.

For Patients

You should be offered services or programs that may help you to stop smoking or smoke less. Quitting or cutting down on smoking can help improve your physical and mental health.


For Clinicians

Offer smoking-cessation behavioural interventions, counselling, or medications to people with schizophrenia who smoke tobacco to alleviate their nicotine-withdrawal symptoms and help them reduce or stop smoking.


For Health Services

Ensure that there are smoking-cessation behavioural interventions and medications available in hospitals for people with schizophrenia who smoke.

Process Indicator

Percentage of adults admitted to an inpatient setting with a primary diagnosis of schizophrenia who are current smokers who receive behavioural and/or pharmacological interventions to alleviate nicotine-withdrawal symptoms and help them reduce or stop smoking

  • Denominator: total number of adults admitted to an inpatient setting with a primary diagnosis of schizophrenia who are current smokers or who are quitting smoking but experiencing nicotine-withdrawal symptoms

  • Numerator: number of people in the denominator who receive behavioural and/or pharmacological interventions to alleviate nicotine-withdrawal symptoms and help them reduce or stop smoking• Data source: local data collection

  • 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 to reduce or stop smoking tobacco

These interventions may be offered in hospital and include:

  • Motivational interviewing

  • Behavioural support

  • Nicotine replacement therapy products (e.g., transdermal patches,gum, inhalation cartridges, sublingual tablets, or spray) such as varenicline or bupropion

  • Adequately dosed pharmacotherapy

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