Cited by 215Schizophrenia research and treatmentPsychiatric care and mental health servicesMental Health and Patient Involvement

Schizophrenia--Time to Commit to Policy Change

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Fleischhacker, W. W., Arango, C., Arteel, P., Barnes, T. R. E., Carpenter, W., Duckworth, K., Galderisi, S., Halpern, L. +5 more·2014·Schizophrenia Bulletin

Abstract

Care and outcomes for people with schizophrenia have improved in recent years, but further progress is needed to help more individuals achieve an independent and fulfilled life. This report sets out the current need, informs policy makers and all relevant stakeholders who influence care quality, and supports their commitment to creating a better future. The authors recommend the following policy actions, based on research evidence, stakeholder consultation, and examples of best practice worldwide. (1) Provide an evidence-based, integrated care package for people with schizophrenia that addresses their mental and physical health needs. (2) Provide support for people with schizophrenia to enter and to remain in their community, and develop mechanisms to help guide them through the complex benefit and employment systems. (3) Provide concrete support, information, and educational programs to families and carers on how to enhance care for an individual living with schizophrenia in a manner that entails minimal disruption to their lives. (4) All stakeholders, including organizations that support people living with schizophrenia, should be consulted to regularly revise, update, and improve policy on the management of schizophrenia. (5) Provide support, which is proportionate to the impact of the disease, for research and development of new treatments. (6) Establish adequately funded, ongoing, and regular awareness-raising campaigns that form an integral part of routine plans of action. Implementation of the above recommendations will require engagement by every stakeholder, but with commitment from all, change can be achieved.

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  1. Hogan P, Dall T, Nikolov P; American Diabetes Association. Economic costs of diabetes in the US in 2002. Diabetes Care. 2003;26:917-932.
  2. Meltzer HY, Alphs L, Green AI, et al.; International Suicide Prevention Trial Study Group. Clozapine treat- ment for suicidality in schizophrenia: International Suicide Prevention Trial (InterSePT). Arch Gen Psychiatry. 2003;60:82-91.

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Authors
Fleischhacker, W. W., Arango, C., Arteel, P., Barnes, T. R. E., Carpenter, W., Duckworth, K., Galderisi, S., Halpern, L., Knapp, M., Marder, S. R., Moller, M., Sartorius, N., & Woodruff, P.
Affiliations
  • Innsbruck Medical University (AT)
  • Hospital General Universitario Gregorio Marañón (ES)
  • Global Alliance of Mental Illness Advocacy Networks-Europe (BE)
  • West London Mental Health NHS Trust (GB)
  • University of Maryland, Baltimore (US)
  • National Alliance on Mental Illness (US)
  • University of Campania "Luigi Vanvitelli" (IT)
  • King's College London (GB)
  • Yale University (US)
  • Royal College of Psychiatrists (GB)
Corresponding author
Fleischhacker, W. W.
Venue
Schizophrenia Bulletin
Published
2014-04-01
Volume
40
Issue
Suppl 3
Pages
S165-S194
ISSN
  • 0586-7614 (ISSN-L)
  • 1745-1701
OpenAlex
W2153297237
Cited by
214
References
214
Citations by year
2026: 6 · 2025: 21 · 2024: 31 · 2023: 26 · 2022: 24 · 2021: 31 · 2020: 21 · 2019: 15 · 2018: 11 · 2017: 13 · 2016: 10 · 2015: 2 · 2014: 3
FWCI
7.12
Type
journal article
Language
en
Open access
Locations
  • Schizophrenia Bulletin (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
Keywords
schizophrenia, mental health policy
MeSH terms
Community Mental Health Services, Family Therapy, Health Policy, Humans, Patient Education as Topic, Psychotherapy, Quality of Life, Schizophrenia, Social Support, Antipsychotic Agents, Cognitive Behavioral Therapy, Employment, Supported, Evidence-Based Medicine, Recovery of Function, Independent Living

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