Schizophrenia & psychotic disorders: bridging the gap between mental healthneeds and nursing care

Abstract

Schizophrenia and related psychotic disorders are among the most severe and disabling mental health conditions worldwide, contributing significantly to morbidity, mortality, and impaired social functioning. Despite notable advancements in pharmacological and psychosocial interventions, a considerable gap persists between the mental health needs of affected individuals and the availability of appropriate care. This disparity is especially evident in low- and middle-income countries, where limited resources, stigma, and inadequate mental health infrastructure restrict access to timely and effective treatment. Nurses play a pivotal role in addressing this gap by delivering holistic, patient-centered care, promoting adherence to treatment, and facilitating community-based mental health services. This article examines the epidemiology, neurobiological basis, and clinical manifestations of schizophrenia and other psychotic disorders while identifying key deficiencies in current mental health systems. It further highlights the importance of strengthening nursing education, expanding community care models, and adopting recovery-oriented approaches to improve patient outcomes. Bridging the gap between mental health needs and nursing care requires coordinated efforts involving healthcare providers, policymakers, and communities to ensure accessible, equitable, and sustainable mental health services.