Original Investigation

Guideline-Concordant Care and Clinician and Clinic Characteristics for Patients With Schizophrenia

JAMA Network Open 10.1001/jamanetworkopen.2025.49130

December 26, 2025 at 11:00 AM EST

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Does receipt of guideline-concordant care for patients with schizophrenia differ by clinician or clinic type?In this cross-sectional study, patients with schizophrenia treated by individual psychiatric advanced practice practitioners and mental health clinics had guideline-concordant care rates comparable to or better than those treated by individual psychiatrists. Guideline-concordant care rates for those treated by primary care clinicians or community mental health clinics were mixed compared with rates for those treated by psychiatrists.This study suggests that advanced practice practitioners provide similar care, whereas those receiving care from primary care clinicians or community mental health clinics may require additional attention to ensure appropriate care receipt.

Corresponding Author: Kimberley H. Geissler, PhD, University of Massachusetts Chan Medical School–Baystate, 3601 Main St, Third Floor, Springfield, MA 01107 (kimberley.geissler@baystatehealth.org).

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