Table 1 Schizophrenia care at the department. Seven activities, evidence-based interventions, and routine evaluations intended for all patients

1. Resource group meeting to assess and plan in the patient’s microsystem, including representatives (of the patient’s choice) from health and community care, friends, and family as well as others who have a supportive role in the patient’s life [25].

2. Health interview to assess the impact of life-style factors, e.g., diet, tobacco, alcohol, and exercise and plan for interventions.

3. Patient background information to keep information up-to-date such as housing, children, and education.

4. Patient-reported 12-item WHODAS questionnaire to assess level of functioning [26].

5. 8-item PANSS remission scale to assess eight diagnostic-specific core symptoms [27].

6. Routine medication review.

7. Annual (somatic) check-up (e.g., weight, blood pressure, and blood samples).