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Adults who are admitted to an inpatient setting with a primary diagnosis of schizophrenia are offered individual cognitive behavioural therapy for psychosis either in the inpatient setting or as part of a post-discharge care plan.
Cognitive behavioural therapy is a form of psychotherapy that helps a person become more conscious of their beliefs and patterns of thinking. It helps them to execute strategies to reshape these to achieve a positive outcome. Cognitive behavioural therapy for psychosis, in addition to antipsychotic medication, can reduce symptom severity and rehospitalization rates in people with schizophrenia.
You should be offered cognitive behavioural therapy. This type of psychotherapy helps you develop skills and strategies to get and stay healthy by focusing on the problems of day-to-day life and how perceptions can affect feelings.
Offer people with schizophrenia individual cognitive behavioural therapy for psychosis that they can access while in hospital or in the community after discharge. Advise them that this therapy is more effective when delivered in conjunction with antipsychotic medication.
Through adequately resourced systems and services, ensure that people with schizophrenia can access cognitive behavioural therapy for psychosis on an individual basis, either while in hospital or in the community following discharge. Ensure that clinicians are aware of and able to refer people to these services.
Through adequately resourced systems and services, ensure that people with schizophrenia can access cognitive behavioural therapy for psychosis on an individual basis, either while in hospital or in the community following discharge. Ensure that clinicians are aware of and able to refer people to these services
Denominator: total number of adults admitted to an inpatient setting with a primary diagnosis of schizophrenia
Numerator: number of people in the denominator who are screened for appropriateness of cognitive behavioural therapy for psychosis
Data sources: local data collection
Percentage of adults admitted to hospital with a primary diagnosis of schizophrenia who are screened and referred for cognitive behavioural therapy for psychosis
Denominator: total number of adults admitted to an inpatient setting with a primary diagnosis of schizophrenia who are screened and deemed appropriate for cognitive behavioural therapy
Numerator: number of people in the denominator who are referred for cognitive behavioural therapy for psychosis
Data source: local data collection
Availability of in-hospital cognitive behavioural therapy or referral to community-based cognitive behavioural therapy for adults with schizophrenia
This therapy should be:
Started in the inpatient setting. Alternatively, assessment should occur in hospital, with referral for cognitive behavioural therapy on discharge
Delivered on a one-to-one basis over at least 16 planned sessions
Delivered by an appropriately trained therapist according to a treatment manual
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