Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders
- PMID: 27106681
- DOI: 10.1177/0004867416641195
Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders
Abstract
Objectives: This guideline provides recommendations for the clinical management of schizophrenia and related disorders for health professionals working in Australia and New Zealand. It aims to encourage all clinicians to adopt best practice principles. The recommendations represent the consensus of a group of Australian and New Zealand experts in the management of schizophrenia and related disorders. This guideline includes the management of ultra-high risk syndromes, first-episode psychoses and prolonged psychoses, including psychoses associated with substance use. It takes a holistic approach, addressing all aspects of the care of people with schizophrenia and related disorders, not only correct diagnosis and symptom relief but also optimal recovery of social function.
Methods: The writing group planned the scope and individual members drafted sections according to their area of interest and expertise, with reference to existing systematic reviews and informal literature reviews undertaken for this guideline. In addition, experts in specific areas contributed to the relevant sections. All members of the writing group reviewed the entire document. The writing group also considered relevant international clinical practice guidelines. Evidence-based recommendations were formulated when the writing group judged that there was sufficient evidence on a topic. Where evidence was weak or lacking, consensus-based recommendations were formulated. Consensus-based recommendations are based on the consensus of a group of experts in the field and are informed by their agreement as a group, according to their collective clinical and research knowledge and experience. Key considerations were selected and reviewed by the writing group. To encourage wide community participation, the Royal Australian and New Zealand College of Psychiatrists invited review by its committees and members, an expert advisory committee and key stakeholders including professional bodies and special interest groups.
Results: The clinical practice guideline for the management of schizophrenia and related disorders reflects an increasing emphasis on early intervention, physical health, psychosocial treatments, cultural considerations and improving vocational outcomes. The guideline uses a clinical staging model as a framework for recommendations regarding assessment, treatment and ongoing care. This guideline also refers its readers to selected published guidelines or statements directly relevant to Australian and New Zealand practice.
Conclusions: This clinical practice guideline for the management of schizophrenia and related disorders aims to improve care for people with these disorders living in Australia and New Zealand. It advocates a respectful, collaborative approach; optimal evidence-based treatment; and consideration of the specific needs of those in adverse circumstances or facing additional challenges.
Keywords: Schizophrenia; first-episode psychosis; management; schizoaffective; treatment.
© The Royal Australian and New Zealand College of Psychiatrists 2016.
Comment in
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Commentary on RANZCP clinical practice guidelines for the management of schizophrenia and related disorders - Section on pregnancy and schizophrenia.Aust N Z J Psychiatry. 2017 Mar;51(3):287-288. doi: 10.1177/0004867416670018. Epub 2016 Sep 30. Aust N Z J Psychiatry. 2017. PMID: 27687777 No abstract available.
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Antineuronal antibody screening in early onset-cognitive decline.Aust N Z J Psychiatry. 2017 Jul;51(7):736-737. doi: 10.1177/0004867416670019. Epub 2016 Sep 28. Aust N Z J Psychiatry. 2017. PMID: 27687779 No abstract available.
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Commentary on Galletly et al. (2016), The Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders.Aust N Z J Psychiatry. 2017 Mar;51(3):288-289. doi: 10.1177/0004867416675034. Epub 2016 Nov 12. Aust N Z J Psychiatry. 2017. PMID: 28218054 No abstract available.
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Commentary on RANZCP clinical practice guidelines for the management of schizophrenia and related disorders.Aust N Z J Psychiatry. 2017 Mar;51(3):289-290. doi: 10.1177/0004867416678457. Epub 2016 Nov 12. Aust N Z J Psychiatry. 2017. PMID: 28218055 No abstract available.
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We snooze, they lose: where is the conversation about obstructive sleep apnoea in early psychosis?Australas Psychiatry. 2019 Jun;27(3):314. doi: 10.1177/1039856219828203. Australas Psychiatry. 2019. PMID: 31189366 No abstract available.
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