How can I effectively support patients with schizophrenia in adhering to their treatment plan in a primary care setting?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Engage patients in shared decision-making by involving them in discussions about their treatment options and respecting their preferences, which can improve adherence .

Develop and use practice case registers to monitor the physical and mental health of people with psychosis or schizophrenia in primary care, facilitating ongoing support and adherence .

Provide comprehensive health checks at least annually, focusing on physical health problems common in schizophrenia, which can motivate patients to adhere to treatment by addressing overall health concerns .

Offer psychoeducation about the importance of medication adherence, potential side effects, and the risks of non-adherence, tailored to individual needs .

Address cultural and ethnic differences in beliefs and treatment expectations through competent communication, which can enhance trust and adherence .

Support lifestyle interventions such as healthy eating, physical activity, and smoking cessation programs, which can improve overall health and medication effectiveness, encouraging adherence .

Monitor adherence regularly and discuss any barriers or concerns the patient may have, providing reassurance and adjusting treatment plans as needed .

Educational content only. Always verify information and use clinical judgement.