Rehabilitation for adults with complex psychosis : guidance (NG181)

NICE Accredited

National Institute for Health and Care Excellence - NICE
Publication date:
19 August 2020


This guideline covers mental health rehabilitation for adults with complex psychosis. It aims to ensure people can have rehabilitation when they need it and promotes a positive approach to long-term recovery. It includes recommendations on organising rehabilitation services, assessment and care planning, delivering programmes and interventions, and meeting people’s physical healthcare needs.

NICE has also produced guidelines on psychosis and schizophrenia in adults and bipolar disorder.

The recommendations in this guideline were developed before the coronavirus pandemic.

 MHRA advice on Valproate: Valproate must not be used in women of childbearing potential, unless other options are unsuitable and the pregnancy prevention programme is in place. Follow the MHRA safety advice on valproate use by women and girls. The MHRA has also published temporary advice on the valproate pregnancy prevention programme during the COVID-19 pandemic


This guideline includes recommendations on:

Who is it for?

  • Healthcare professionals
  • Social care practitioners and other practitioners providing public services for people with complex psychosis
  • Commissioners and providers of mental health services
  • People using mental health services, their families and carers

Guideline development process

How we develop NICE guidelines