We discuss the problems which have arisen because of the loss of the improvement in patients with psychosis which happens during the first three years after transfer of patient to community mental health teams. We recommend an ongoing psychosis service which will provide assertive treatment for patients as long as possible. Thus we recommend an assertive care pathway for schizophrenia based on the concept of staging in schizophrenia.
Keywords: care pathway, assertive treatment, schizophrenia, staging