There are effective interventions (pharmacological and psychosocial) available and the cost of treatment of a person suffering from chronic schizophrenia is about US$2 per month; the earlier the treatment is initiated, the more effective it will be. However, the majority of the persons with chronic schizophrenia do not receive treatment, which contributes to the chronicity.
Pilot programmes in a few developing countries (e.g. India, Iran, Pakistan, Tanzania, Guinea-Bissau) have demonstrated the feasibility of providing care to people with severe mental illness through the primary health care systems by:
- appropriate training of the primary health care personnel;
- provision of essential drugs;
- strengthening of the families for home care;
- referral support from mental health professionals, and
- public education to decrease stigma and discrimination.