Overcoming barriers to reintegration of patients with schizophrenia: developing a best-practice model for discharge from specialist care.
Many people with schizophrenia are in regular contact with their general practitioners. GPs commonly play a sentinel role in management, but may require support from Area Mental Health Services (AMHSs). The CLIPP (Consultation and Liaison in Primary-care Psychiatry) shared-care model of patient management combines a collocated consultation/liaison service for managing referrals from GPs to specialists with a carefully structured approach to long-term care of patients transferred from AMHS care to GPs. The CLIPP model uses the concept of a "relapse signature", involving recognition of early warning signs of relapse, to simplify clinical monitoring of patients with schizophrenia.
Meadows
Graham N
GN
Academic Centre for Community Mental Health, Department of Psychiatry, University of Melbourne, Coburg, VIC. meadows@unimelb.edu.au
D001315:Australia; D019985:Benchmarking; D003144:Communication Barriers; D003156:Community Mental Health Services / Q000592:standards; D003266:Continuity of Patient Care / Q000458:organization & administration / Q000592:standards*; D005194:Family Practice / Q000592:standards; D006801:Humans; D007400:Interprofessional Relations; D017146:Models, Organizational; D010348:Patient Care Team; D010351:Patient Discharge; D011570:Psychiatry / Q000592:standards; D012017:Referral and Consultation; D012559:Schizophrenia / Q000534:rehabilitation*