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Adults who present to an emergency department or in an inpatient setting with a primary diagnosis of schizophrenia are assessed for substance use and, if appropriate, offered treatment for concurrent disorders.
Substance use is common among people with schizophrenia and is associated with poor functional recovery. Substance use may exacerbate the symptoms and worsen the course of schizophrenia and may interfere with the therapeutic effects of both pharmacological and nonpharmacological treatments. Validated screening tools such as the Dartmouth Assessment of Lifestyle Inventory and the Leeds Dependence Questionnaire can assist with screening for substance use.
While in hospital, you should be assessed for the use of alcohol or drugs as they may make your symptoms worse and interfere with treatment.
Conduct an assessment for substance use in people with a primary diagnosis of schizophrenia who present in the emergency department or an inpatient setting. Initiate a referral for treatment of concurrent disorders for people who use substances in a harmful manner.
Ensure hospitals are able to assess and provide treatment for concurrent disorders for people with schizophrenia who use alcohol, prescription or nonprescription medications, or illicit drugs in a harmful manner.
Percentage of adults presenting to hospital with a primary diagnosis of schizophrenia who are assessed for substance use
Denominator: total number of adults admitted to an inpatient setting or seen in the emergency department who have a primary diagnosis of schizophrenia
Numerator: number of people in the denominator who are assessed for substance use
Data source: local data collection
Percentage of adults presenting to hospital with a primary diagnosis of schizophrenia found to have a substance use problem who are offered treatment for concurrent disorders
Denominator: total number of adults admitted to an inpatient setting or seen in the emergency department who have a primary diagnosis of schizophrenia and who are assessed for and identified as having a substance use problem (excludes adults who have received a referral for treatment for concurrent disorders for which they are currently awaiting initiation)
Numerator: number of people in the denominator who are offered treatment for concurrent disorders
This is the harmful use of alcohol, prescription or nonprescription medications, or illicit drugs.
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