Objective: To highlight our duty of care for patients with persistent and treatment-resistant chronic schizophrenia, some of whom remain homeless. Conclusions: That schizophrenia as an illness has not changed, nor has the efficacy of our treatments. A minority of patients have and will continue to develop persistent and chronic illness. Asylum can offer the time and structure required for the maximisation of function and symptom treatment.

Asylum schizophrenia Psychiatric services

patient care mental health service schizophrenia long term care cognitive defect community care human psychiatrist Note hospital care disease duration disease course mental health center symptom patient compliance genetic risk court health care quality delusion hallucination convalescence therapy resistance negative syndrome hospital bed capacity homelessness health care delivery