Is the substance abuse of inpatients with schizophrenia overlooked?

Using an explicit guideline-based criterion and implicit review to assess antipsychotic dosing performance for schizophrenia

“…study is also limited by its relatively small sample, and the fact that the dataset was collected in 1992-93, before introduction of most newer second-generation antipsychotic References medications. The relatively wide confidence intervals around our estimates of sensitivity and specificity reflect the size of recent studies [14,17,38,39]. Nevertheless, this study needs…”

“…Using this guideline-based explicit crito such doses, or for those who suffer from intolerable side terion, medication management was classified as inappropriate effects at higher doses [10]. On the other hand, higher-thanfor 39% of the subjects, a level of non-adherence to dosage recommended antipsychotic doses may be appropriate when guidelines comparable to that reported in other recent studies oral medication is used to supplement depot medication, or of the quality of routine care for schizophrenia [14,17,38,39].…”

“…Our analyses have implications for both quality have shown that routine prescribing practices often do not assessment and clinical quality improvement efforts. conform to evidence-based recommendations [14][15][16][17][18]. Therefore, guideline-based performance monitoring and improvement efforts for schizophrenia could initially focus on whether antipsychotic medications are prescribed within Methods recommended dose ranges.…”

Substance Use, Suicidality, and Adolescent-Onset Schizophrenia: An Israeli 10-Year Retrospective Study

“…Due to this approach, we were unable to collect data on the frequency and intensity of the use of the substances. It is of note, however, that a recent study found unexpectedly high levels of detection of substance use by retrospective data pooling from the medical records as compared to the use of a structured diagnostic interview (Walkup et al 2001). As explained earlier, our computerized records were designed in a way that should minimize such data loss.…”