This guideline covers recognising and managing psychosis and schizophrenia in adults. It aims to improve care through early recognition and treatment, and by focusing on long-term recovery. It also recommends checking for coexisting health problems and providing support for family members and carers.
In March 2014, a correction was made to the wording of recommendation 18.104.22.168 to clarify that it is the hydrocarbons in cigarette smoke that cause interactions with other drugs, rather than nicotine.
This guideline includes recommendations on:
- recognising and preventing psychosis
- early intervention for a first episode of psychosis
- treating and referring people with an acute episode of psychosis or schizophrenia
- promoting recovery and long-term care
- preventing and treating physical health problems and continuing to check for physical health problems
- support for carers
Who is it for?
- Healthcare professionals
- People with psychosis or schizophrenia, their families and carers
Guideline development process
This guideline updates and replaces NICE guideline CG82 (March 2009).
Next review date: 2018
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.