How can I effectively support patients with schizophrenia in adhering to their treatment plan?

To effectively support patients with schizophrenia in adhering to their treatment plan, ensure a comprehensive care plan is in place that clearly defines the roles of primary and secondary care, includes a crisis plan, an advance statement, and key clinical contacts for emergencies, with a copy sent to the primary care team.

Engage family members through family intervention, as this has been shown to reduce relapse risk, hospital admissions, and symptom severity for up to 24 months after intervention.

Offer psychological therapies such as individual cognitive behavioural therapy (CBT) with at least 16 planned sessions, and consider arts therapies especially to address negative symptoms.

Monitor the patient’s health and medication effects regularly, particularly during the first 12 months or until stabilization, including side effects, physical health parameters, and adherence.

Discuss and document medication preferences, side effects tolerance, and provide a therapeutic trial of antipsychotic medication starting at a low dose and titrating carefully, with clear rationale for any dose changes.

Consider digital health technologies such as AVATAR Therapy, SlowMo, and CareLoop to help manage symptoms and prevent relapse, ensuring these are supported by trained mental health professionals.

Support rehabilitation programmes for those with complex or treatment-resistant psychosis, including those with frequent admissions or unstable placements.

Facilitate supported employment and occupational activities to improve social functioning and engagement.

Ensure ongoing monitoring and easy access to care, including offering follow-up appointments in primary care and options for self-referral back to secondary care if needed.