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MANAGEMENT OF SCHIZOPHRENIA IN ADULTS QUICK REFERENCE FOR HEALTH CARE PROVIDERS 1 KEY MESSAGES l Schizophrenia is a major psychiatric disorder that alters an individual’s perception, thought, aect and behaviour. l The incidence rate is 16 per 100,000 (range o 8 to 43 per 100,000). l Although there is eective biopsychosocial treatment available, substantial number o people with schizophrenia remains undiagnosed and untreated. l People who develop symptoms o schizophrenia should be diagnosed and treated early. l The management o schizophrenia may be divided into acute phase, relapse prevention and stable phase. l Antipsychotics (APs) are the mainstay o pharmacological treatment. Conventional APs should be used as a frst option; most commonly used are haloperidol, perphenazine or sulpiride. As options, amisulpride or olanzapine may also be considered. l Eective psychosocial interventions include amily intervention, psychoeducation, social skills training and cognitive remediation therapy. l It is essential that the ollowing services be considered i.e. community mental health team to prevent relapse and readmission, assertive community treatment or more difcult cases, supported employment or all who want to work, and crisis intervention and home treatment as alternative to acute inpatient care. This Quick Reerence provides key messages and a summary o the main recommendations in the Clinical Practice Guidelines (CPG) Management o Schizophrenia in Adults (May 2009). Details o the evidence supporting these recommendations can be ound in the above CPG, available on the ollowing websites: Ministry o Health Malaysia : http://www.moh.gov.my Academy o Medicine Malaysia : http://www.acadmed.org.my Malaysian Psychiatric Association : http://www.psychiatry-malaysia.org
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