title: [Types of Care for Adult Patients Diagnosed With Acute and Maintenance Phase Schizophrenia].
abstract: OBJECTIVE
  To assist the clinician in making decisions about the types of care available for adults with schizophrenia. To determine which are the modalities of treatment associated with better outcomes in adults with schizophrenia.
  
  
  METHODS
  A clinical practice guideline was elaborated under the parameters of the Methodological Guide of the Ministerio de Salud y Protección Social to identify, synthesize and evaluate the evidence and make recommendations about the treatment and follow-up of adult patients with schizophrenia. The evidence of NICE guide 82 was adopted and updated. The evidence was presented to the Guideline Developing Group and recommendations, employing the GRADE system, were produced.
  
  
  RESULTS
  Patients who were in Assertive community treatment had a lower risk of new hospitalizations. For the intensive case management, the results favored this intervention in the outcomes: medium term readmissions, social functioning and satisfaction with services. The crisis resolution teams was associated with better outcomes on outcomes of readmissions, social functioning and service satisfaction in comparison with standard care.
  
  
  CONCLUSIONS
  The use of different modalities of care leads to the need of a comprehensive approach to patients to reduce the overall disability associated with the disease. Evidence shows overall benefit for most outcomes studied without encountering hazards for health of patients. This evaluation is recommended to use the professional ways of providing health services that are community-based and have a multidisciplinary group. It is not recommended the modality "day hospital" during the acute phase of schizophrenia in adults.
authors.affiliation: Médica psiquiatra, magístra en Epidemiología Clínica. Profesora asistente del departamento de Psiquiatría y Salud Mental. Pontificia Universidad Javeriana, Bogotá, Colombia. Electronic address: abohorquez@javeriana.edu.co.
authors.forename: Adriana
authors.initials: A
authors.lastname: Bohórquez Peñaranda
authors.affiliation: Médico psiquiatra, psicoanalista, psiquiatra de enlace, magíster en Epidemiología Clínica. Profesor titular y Director del Departamento de Epidemiología Clínica y Bioestadística. Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Carlos
authors.initials: C
authors.lastname: Gómez Restrepo
authors.affiliation: Médico psiquiatra, psiquiatra de enlace, Profesor departamento de Psiquiatría y Salud Mental, Pontificia Universidad Javeriana. Delegado Asociación Colombiana de Psiquiatría, Bogotá, Colombia.
authors.forename: Gabriel Fernando
authors.initials: GF
authors.lastname: Oviedo Lugo
authors.affiliation: Médica, magístra en Epidemiología Clínica. Profesora instructora del Departamento de Epidemiología Clínica y Bioestadística. Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Ana María
authors.initials: AM
authors.lastname: de la Hoz Bradford
authors.affiliation: Médico cirujano, Residente de Psiquiatría. Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Sergio Mario
authors.initials: SM
authors.lastname: Castro Díaz
authors.affiliation: Médica psiquiatra, Doctora en Epidemiología Clínica. Profesora asociada del Departamento de Psiquiatría, Universidad de Antioquia, Medellín, Antioquia, Colombia.
authors.forename: Jenny
authors.initials: J
authors.lastname: García Valencia
authors.affiliation: Médico psiquiatra, Master en Farmacología. Profesor Universidad Nacional de Colombia, Bogotá, Colombia.
authors.forename: Luis Eduardo
authors.initials: LE
authors.lastname: Jaramillo González
authors.affiliation: Médico Servicio Social Obligatorio. Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Mauricio
authors.initials: M
authors.lastname: Ávila-Guerra
keywords: Antipsychotics; Assertive community treatment; Atención asertiva comunitaria; Clinical Practice Guidelines; Esquizofrenia; Guía de práctica clínica; Hospital día, Equipos de salud mental comunitaria; Intensive care management; Manejo intensivo de caso; Modalidades de atención; Modalities of treatment; Schizophrenia