Lehman, A. F. (1999). Quality Of Care In Mental Health: The Case Of Schizophrenia: New therapies show great promise in treating persons with schizophrenia. The challenge is to get the treatment to the patient. Health Affairs , 18 (5), 52-65.
Lehman describes the inadequacies in the treatment and management of schizophrenic patients. Most of the treatment modalities are driven by irrational generalizations and the lack of scientific proof on the conditions of the patients. For a long time, schizophrenia has been a misunderstood and stereotyped condition both among the medical professional and the general public. The lack of adequate scientific basis for treatment made it difficult for patients to comply with the prescribed drugs, thus exacerbating the condition. These inadequacies prompted the adoption of evidence-based care in the treatment of schizophrenic patients. Paradigm shifts in public policies are integral drivers of the change for for improved quality of care.
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The research research presented in this article is in tandem with the scope of practice in psychiatric medicine. This information is important in aiding the practice change, and formed the basis for the practice change in the care for schizophrenic and other mentally deranged patients. The adaptability and practicality of the article enhances its reliability in informing the practice change and adoption of EBP.
The author, Anthony Lehman, is a professor of psychiatry at the University of Maryland school of Medicine. Professor Lehman directs the Center for Mental Health Research Services. He directed the Patient Outcome Research Team (PORT) that was established by AHCPR in 1992 to investigate the state of care for mental health patients in the United States. As the director of the taskforce, Lehman is well-qualified to present the summary of the findings of the PORT, which have been out;lined in this article.
