Before 1950, many people with schizophrenia spent most of their lives in mental hospitals. Things have changed since then and most people with the illness are treated outside hospital for most of their lives. Although the illness is severe and disruptive, many people who suffer from it are eventually able to settle down, work and make lasting relationships. When a person first becomes ill they are usually treated in hospital in order for a full assessment and diagnosis to be made. Afterwards, they can often be treated whilst living at home, especially if they have a supportive family.
Drugs help to alleviate the most disturbing symptoms of the illness.
Support from families and friends, other forms of treatment and services such as supported housing, day care and employment schemes also play a vital part. People with schizophrenia do not always realise they are ill and may refuse treatment when they badly need it. Such an admission may last for up to 6 months and may be renewed, but the person detained has the right to appeal against this to an independent tribunal. Since 1954, a number of drugs have been available for the treatment of schizophrenia. Most work by blocking the path of a particular chemical messenger, dopamine, in the brain.