Schizophrenia—Time to Commit to Policy Change
Identifieur interne : 000075 ( Main/Exploration ); précédent : 000074; suivant : 000076Schizophrenia—Time to Commit to Policy Change
Auteurs : W. Wolfgang Fleischhacker [Autriche] ; Celso Arango [Espagne] ; Paul Arteel [Belgique] ; Thomas R. E. Barnes [Royaume-Uni] ; William Carpenter ; Ken Duckworth ; Silvana Galderisi [Italie] ; Lisa Halpern ; Martin Knapp [Royaume-Uni] ; Stephen R. Marder ; Mary Moller ; Norman Sartorius [Suisse] ; Peter Woodruff [Royaume-Uni]Source :
- Schizophrenia Bulletin [ 0586-7614 ] ; 2014.
Abstract
Care and outcomes for people with schizophrenia have improved in recent years, but further progress is needed to help more individuals achieve an independent and fulfilled life. This report sets out the current need, informs policy makers and all relevant stakeholders who influence care quality, and supports their commitment to creating a better future. The authors recommend the following policy actions, based on research evidence, stakeholder consultation, and examples of best practice worldwide. (1) Provide an evidence-based, integrated care package for people with schizophrenia that addresses their mental and physical health needs. (2) Provide support for people with schizophrenia to enter and to remain in their community, and develop mechanisms to help guide them through the complex benefit and employment systems. (3) Provide concrete support, information, and educational programs to families and carers on how to enhance care for an individual living with schizophrenia in a manner that entails minimal disruption to their lives. (4) All stakeholders, including organizations that support people living with schizophrenia, should be consulted to regularly revise, update, and improve policy on the management of schizophrenia. (5) Provide support, which is proportionate to the impact of the disease, for research and development of new treatments. (6) Establish adequately funded, ongoing, and regular awareness-raising campaigns that form an integral part of routine plans of action. Implementation of the above recommendations will require engagement by every stakeholder, but with commitment from all, change can be achieved.
Url:
DOI: 10.1093/schbul/sbu006
PubMed: 24778411
PubMed Central: 4002061
Affiliations:
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Wolfgang Fleischhacker</name><affiliation wicri:level="1"><nlm:aff id="AF0001"><institution>Department of Psychiatry and Psychotherapy, Medical University Innsbruck</institution>,<addr-line>Innsbruck</addr-line>,<country>Austria</country>;</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Arango, Celso" sort="Arango, Celso" uniqKey="Arango C" first="Celso" last="Arango">Celso Arango</name><affiliation wicri:level="1"><nlm:aff id="AF0002"><institution>Hospital General Universitario Gregorio Marañón</institution>,<institution>CIBERSAM</institution>,<addr-line>Madrid</addr-line>,<country>Spain</country>;</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Arteel, Paul" sort="Arteel, Paul" uniqKey="Arteel P" first="Paul" last="Arteel">Paul Arteel</name><affiliation wicri:level="1"><nlm:aff id="AF0003"><institution>GAMIAN-Europe</institution>,<addr-line>Brussels</addr-line>,<country>Belgium</country>;</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Barnes, Thomas R E" sort="Barnes, Thomas R E" uniqKey="Barnes T" first="Thomas R. 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Wolfgang" last="Fleischhacker">W. Wolfgang Fleischhacker</name><affiliation wicri:level="1"><nlm:aff id="AF0001"><institution>Department of Psychiatry and Psychotherapy, Medical University Innsbruck</institution>,<addr-line>Innsbruck</addr-line>,<country>Austria</country>;</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Arango, Celso" sort="Arango, Celso" uniqKey="Arango C" first="Celso" last="Arango">Celso Arango</name><affiliation wicri:level="1"><nlm:aff id="AF0002"><institution>Hospital General Universitario Gregorio Marañón</institution>,<institution>CIBERSAM</institution>,<addr-line>Madrid</addr-line>,<country>Spain</country>;</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Arteel, Paul" sort="Arteel, Paul" uniqKey="Arteel P" first="Paul" last="Arteel">Paul Arteel</name><affiliation wicri:level="1"><nlm:aff id="AF0003"><institution>GAMIAN-Europe</institution>,<addr-line>Brussels</addr-line>,<country>Belgium</country>;</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Barnes, Thomas R E" sort="Barnes, Thomas R E" uniqKey="Barnes T" first="Thomas R. E." last="Barnes">Thomas R. E. Barnes</name><affiliation wicri:level="1"><nlm:aff id="AF0004"><institution>Imperial College Centre for Mental Health, Faculty of Medicine, Imperial College London and West London Mental Health NHS Trust</institution>,<addr-line>London</addr-line>,<country>UK</country>;</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Carpenter, William" sort="Carpenter, William" uniqKey="Carpenter W" first="William" last="Carpenter">William Carpenter</name><affiliation><nlm:aff id="AF0005"><institution>Maryland Psychiatric Research Center</institution>,<institution>University of Maryland School of Medicine</institution>,<addr-line>Baltimore</addr-line>,<addr-line>MD</addr-line>;</nlm:aff></affiliation></author><author><name sortKey="Duckworth, Ken" sort="Duckworth, Ken" uniqKey="Duckworth K" first="Ken" last="Duckworth">Ken Duckworth</name><affiliation><nlm:aff id="AF0006"><institution>National Alliance on Mental Illness</institution>,<addr-line>Arlington</addr-line>,<addr-line>VA</addr-line>;</nlm:aff></affiliation></author><author><name sortKey="Galderisi, Silvana" sort="Galderisi, Silvana" uniqKey="Galderisi S" first="Silvana" last="Galderisi">Silvana Galderisi</name><affiliation wicri:level="1"><nlm:aff id="AF0007"><institution>Department of Psychiatry</institution>,<institution>Second University of Naples</institution>,<addr-line>Naples</addr-line>,<country>Italy</country>;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Halpern, Lisa" sort="Halpern, Lisa" uniqKey="Halpern L" first="Lisa" last="Halpern">Lisa Halpern</name><affiliation><nlm:aff id="AF0008"><institution>Vinfen</institution>,<addr-line>Cambridge</addr-line>,<addr-line>MA</addr-line>;</nlm:aff></affiliation></author><author><name sortKey="Knapp, Martin" sort="Knapp, Martin" uniqKey="Knapp M" first="Martin" last="Knapp">Martin Knapp</name><affiliation wicri:level="1"><nlm:aff id="AF0009"><institution>London School of Economics and the Institute of Psychiatry</institution>,<institution>King’s College London</institution>,<addr-line>London</addr-line>,<country>UK</country>;</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Marder, Stephen R" sort="Marder, Stephen R" uniqKey="Marder S" first="Stephen R." last="Marder">Stephen R. Marder</name><affiliation><nlm:aff id="AF0010"><institution>Semel Institute, UCLA</institution>,<institution>VA Desert Pacific Mental Illness Research Education and Clinical Center</institution>,<addr-line>Los Angeles</addr-line>,<addr-line>CA</addr-line>;</nlm:aff></affiliation></author><author><name sortKey="Moller, Mary" sort="Moller, Mary" uniqKey="Moller M" first="Mary" last="Moller">Mary Moller</name><affiliation><nlm:aff id="AF0011"><institution>Past President, American Psychiatric Nurses Association</institution>,<institution>Yale School of Nursing</institution>,<addr-line>New Haven</addr-line>,<addr-line>CT</addr-line>;</nlm:aff></affiliation></author><author><name sortKey="Sartorius, Norman" sort="Sartorius, Norman" uniqKey="Sartorius N" first="Norman" last="Sartorius">Norman Sartorius</name><affiliation wicri:level="1"><nlm:aff id="AF0012"><institution>Association for the Improvement of Mental Health Programmes</institution>,<addr-line>Geneva</addr-line>,<country>Switzerland</country>;</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Woodruff, Peter" sort="Woodruff, Peter" uniqKey="Woodruff P" first="Peter" last="Woodruff">Peter Woodruff</name><affiliation wicri:level="1"><nlm:aff id="AF0013"><institution>Academic Faculty</institution>,<institution>Royal College of Psychiatrists</institution>,<addr-line>London</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Schizophrenia Bulletin</title><idno type="ISSN">0586-7614</idno><idno type="eISSN">1745-1701</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Care and outcomes for people with schizophrenia have improved in recent years, but further progress is needed to help more individuals achieve an independent and fulfilled life. This report sets out the current need, informs policy makers and all relevant stakeholders who influence care quality, and supports their commitment to creating a better future. The authors recommend the following policy actions, based on research evidence, stakeholder consultation, and examples of best practice worldwide. (1) Provide an evidence-based, integrated care package for people with schizophrenia that addresses their mental and physical health needs. (2) Provide support for people with schizophrenia to enter and to remain in their community, and develop mechanisms to help guide them through the complex benefit and employment systems. (3) Provide concrete support, information, and educational programs to families and carers on how to enhance care for an individual living with schizophrenia in a manner that entails minimal disruption to their lives. (4) All stakeholders, including organizations that support people living with schizophrenia, should be consulted to regularly revise, update, and improve policy on the management of schizophrenia. (5) Provide support, which is proportionate to the impact of the disease, for research and development of new treatments. (6) Establish adequately funded, ongoing, and regular awareness-raising campaigns that form an integral part of routine plans of action. Implementation of the above recommendations will require engagement by every stakeholder, but with commitment from all, change can be achieved.</p></div></front></TEI><affiliations><list><country><li>Autriche</li><li>Belgique</li><li>Espagne</li><li>Italie</li><li>Royaume-Uni</li><li>Suisse</li></country></list><tree><noCountry><name sortKey="Carpenter, William" sort="Carpenter, William" uniqKey="Carpenter W" first="William" last="Carpenter">William Carpenter</name><name sortKey="Duckworth, Ken" sort="Duckworth, Ken" uniqKey="Duckworth K" first="Ken" last="Duckworth">Ken Duckworth</name><name sortKey="Halpern, Lisa" sort="Halpern, Lisa" uniqKey="Halpern L" first="Lisa" last="Halpern">Lisa Halpern</name><name sortKey="Marder, Stephen R" sort="Marder, Stephen R" uniqKey="Marder S" first="Stephen R." last="Marder">Stephen R. Marder</name><name sortKey="Moller, Mary" sort="Moller, Mary" uniqKey="Moller M" first="Mary" last="Moller">Mary Moller</name></noCountry><country name="Autriche"><noRegion><name sortKey="Fleischhacker, W Wolfgang" sort="Fleischhacker, W Wolfgang" uniqKey="Fleischhacker W" first="W. Wolfgang" last="Fleischhacker">W. Wolfgang Fleischhacker</name></noRegion></country><country name="Espagne"><noRegion><name sortKey="Arango, Celso" sort="Arango, Celso" uniqKey="Arango C" first="Celso" last="Arango">Celso Arango</name></noRegion></country><country name="Belgique"><noRegion><name sortKey="Arteel, Paul" sort="Arteel, Paul" uniqKey="Arteel P" first="Paul" last="Arteel">Paul Arteel</name></noRegion></country><country name="Royaume-Uni"><noRegion><name sortKey="Barnes, Thomas R E" sort="Barnes, Thomas R E" uniqKey="Barnes T" first="Thomas R. E." last="Barnes">Thomas R. E. Barnes</name></noRegion><name sortKey="Knapp, Martin" sort="Knapp, Martin" uniqKey="Knapp M" first="Martin" last="Knapp">Martin Knapp</name><name sortKey="Woodruff, Peter" sort="Woodruff, Peter" uniqKey="Woodruff P" first="Peter" last="Woodruff">Peter Woodruff</name></country><country name="Italie"><noRegion><name sortKey="Galderisi, Silvana" sort="Galderisi, Silvana" uniqKey="Galderisi S" first="Silvana" last="Galderisi">Silvana Galderisi</name></noRegion></country><country name="Suisse"><noRegion><name sortKey="Sartorius, Norman" sort="Sartorius, Norman" uniqKey="Sartorius N" first="Norman" last="Sartorius">Norman Sartorius</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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