Summary
The time has come for the development of standards to ensure quality and cost-effective care for the treatment of people with schizophrenia. Advances in understanding the efficacy of treatments for schizophrenia, the promise of new treatment advances derived from a rapidly evolving neuroscience, pressures to contain healthcare costs while maintaining or increasing quality, and the growth of advocacy on behalf of persons with schizophrenia are driving this need.
The evidence for the efficacy of pharmacotherapies, psychological interventions, family interventions, vocational rehabilitation, and case management and assertive community treatment is summarised. This article presents the implications of the evidence for instituting disease management programmes for schizophrenia. Such disease management programmes must ensure that efficacious treatments are available, that both effectiveness and costs are considered in the allocation of resources, and that evaluative systems are in place to promote ongoing learning about how to provide the best care.
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Lehman, A.F. Managing Schizophrenia. Dis Manage Health Outcomes 1, 286–295 (1997). https://doi.org/10.2165/00115677-199701060-00002
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DOI: https://doi.org/10.2165/00115677-199701060-00002