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Overcoming barriers to reintegration of patients with schizophrenia: developing a best‐practice model for discharge from specialist care
Author(s) -
Meadows Graham N
Publication year - 2003
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2003.tb05308.x
Subject(s) - schizophrenia (object oriented programming) , global positioning system , primary care , nursing , shared care , service (business) , warning system , warning signs , medicine , mental health , case management , mental health service , psychology , psychiatry , medical emergency , family medicine , computer science , engineering , telecommunications , economy , transport engineering , economics
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.