Abstract: Background: Schizophrenia has a high rate of relapse. Treatment compliance is challenging in the long-term management of schezophrenia. The outcomes of previous studies on Communtiy Psychiatry Service - Home Visit Treatment (CPS-HVT) are inconclusive. Aims: To evaluate the effectiveness of CPS-HVT in (a) reducing the number of admissions and (b) duration of admissions schezophrenic patients. Methods: A retrospective analysis by audiring files of all cases of adult schezophrenic patients in Bahrain who underwent CPS-HVT treatment. A total of 10 years follow-up (5 years of outpatients treatment before the referral to the community service and 5 years follow-up in the community service after the referral) was carried out. The numebr of admissions and the duration of the admissions were compared. Results: Of the total number of 232 patients 51 (22%) fulfilled the inclusion criteria. The sum total of 77 admissions during 5 years before the referral to the CPS-HVT was 2577 days (50.5 d/patient). After the referral to the CPS-HVT the sum total of 48 admissions was 1383 days (27.1 d/patient) and no patient had more that 3 admissions. The number of non-hospitalized patients doubled during the 5 years follow-up in the CPS-HVT (n=13; 4 males vs. n=27; 10 males). The proportion of males was 47.1% (n=24). Conclusion: CPS-HVT is affective and superior to standard outpatient treatment of chronic schezophrenic patients in reducing the number and duration of admissions, in Bahrain. Future studies should evaluate a wide range of other outcomes, including the cost-effectiveness of CPS-HVT. Considering the massive impact of community-based care on patients, caregivers, clinicians and the community at large, such studies are urgently needed.