Schizophrenia (update)
Summary
[Published March 2009 - this replaces older schizophrenia guidance published in 2002]- initiation of treatment with antipsychotic medication and/or a
psychological or psychosocial intervention - the use of antipsychotic medication and/or a psychological or
psychosocial intervention for the treatment of an acute psychotic
episode - the use of antipsychotic medication and/or a psychological or
psychosocial intervention to promote recovery after an acute
psychotic episode - the assessment and management of the known side effects of
antipsychotic medication (for example, diabetes) - treatment options if antipsychotic medication or a psychological
intervention is effective but not tolerated - treatment options will also be informed by a review of the evidence on variation in response to antipsychotic medication between people with schizophrenia from different ethnic groups
- the use of early intervention services in the early treatment of
people with schizophrenia (studies that include people with
psychosis who are younger than 18 will not be excluded from the
review) - ways to improve access to mental health services for people from black and minority ethnic communities (this will include issues concerned with engagement with services)
- recommendations categorised as good practice points in the
original guideline will be reviewed for their current relevance
(including issues around consent and advance directives) - advice on treatment options will be based on the best evidence
available to the Guideline Development Group. The
recommendations will be based on effectiveness, safety and costeffectiveness. Note that guideline recommendations for
pharmacological interventions will normally fall within licensed
indications; exceptionally, and only where clearly supported by
evidence, use outside a licensed indication may be recommended. The guideline will assume that prescribers will use a drug's summary of product characteristics to support joint clinical decisionmaking between service users and prescribers.
- diagnosis
- primary prevention
- assessment
- management of schizophrenia in people with coexisting learning difficulties, significant physical or sensory difficulties, or significant substance misuse
- management of violence in people with schizophrenia
- the Guideline Development Group will take reasonable steps to
identify ineffective interventions and approaches to care. If robust
and credible recommendations for re-positioning the intervention
for optimal use, or changing the approach to care to make more
efficient use of resources, can be made, they will be clearly stated. If the resources released are substantial, consideration will be given to listing such recommendations in the ‘Key priorities for implementation’ section of the guideline
This guideline covers:
This guideline does not cover:
Documents
[Guideline documents for download]- CG82 Schizophrenia (update): NCCMH full guideline
- CG82 Schizophrenia (update): NCCMH full guideline - clinical evidence summary tables
- CG82 Schizophrenia (update): NCCMH full guideline appendices 14 - 17
- CG82 Schizophrenia (update): NICE guideline
- CG82 Schizophrenia (update): NICE guideline (MS Word format)
- CG82 Schizophrenia (update): quick reference guide
- CG82 Schizophrenia (update): understanding NICE guidance
- CG82 Schizophrenia (update): understanding NICE guidance (MS Word format)
- NICE sets the standards for people with schizophrenia
- None found
