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.
Academic Centre for Community Mental Health, Department of Psychiatry, University of Melbourne, Coburg, VIC. meadows@unimelb.edu.au
Graham N
GN
Meadows
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*