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Implementing effectiveness research and improving care for schizophrenia in real-world settings
P F Buckley1, A Miller, J A Chiles
1Case Western Reserve University, University Hospitals of Cleveland, OH 44106, USA.
The American Journal of Managed Care
|October 28, 1999
Summary
Recent advances in schizophrenia treatment are not consistently applied in clinical practice, highlighting a gap between knowledge and care. Improving the public mental health system is crucial for better schizophrenia outcomes.
Area of Science:
- Psychiatry
- Pharmacology
- Mental Health Services Research
Background:
- Schizophrenia treatment has seen advances in medication practices and standards of care.
- A gap exists between the established knowledge base and its consistent application in clinical settings.
Purpose of the Study:
- To review recent advancements in medication practices for schizophrenia.
- To examine the disparity between current knowledge and actual clinical practice in schizophrenia management.
Main Methods:
- Literature review focusing on medication practices, novel pharmacotherapies, and evolving practice guidelines for schizophrenia.
Main Results:
- Emerging data indicate inconsistent application of current knowledge and best practices.
- Structural inconsistencies within the public mental health system contribute to this treatment gap.
Conclusions:
- Implementing findings from effectiveness research and practice guidelines can help bridge the knowledge-practice gap.
- Future standards of care must address criminal justice coordination, comorbid illness treatment, comprehensive symptom outcomes, and data collection for cost justification.