Clinical insights: Preventing psychosis treatment disengagement

Schizophr Res. 2023 Feb:252:64-66. doi: 10.1016/j.schres.2022.12.027. Epub 2023 Jan 9.

Abstract

Many patients with schizophrenia spectrum disorders disengage from treatment, with negative impacts on prognosis and recovery. This commentary provides an overview of common reasons underlying treatment dropout and strategies for overcoming obstacles and enhancing patient engagement. Basic clinical skills such as open-ended questions and reflective listening can be powerful tools in unmasking structural and attitudinal barriers to psychosis care.

Keywords: Clozapine; Dropout; Engagement; Motivational interviewing; Psychotherapy; Treatment.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Humans
  • Patient Dropouts
  • Patient Participation
  • Psychotic Disorders* / therapy
  • Schizophrenia* / therapy