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a program of case management that takes a team approach in providing comprehensive, community-based psychiatric treatment, rehabilitation, and support to persons with serious and persistent mental illness○Aggressive programs of treatment are individually tailored for each client and include the teaching of basic living skills, helping clients work with community agencies, and assisting clients in developing a social support network. ■Other services include substance abuse treatment, psychoeducational programs, family support and education, mobile crisis intervention, and attention to health-care needs.○Responsibilities are shared by treatment team (doctor, nurse, social worker, rehab therapists, etc) and services can beprovided anywhere○These services are available to the client 24 hours a day, 365 days a year.○Primary goals include:■To meet basic needs and enhance quality of life ■To improve functioning in adult social and employment roles ■To enhance an individual’s ability to live independently in his or her own community ■To lessen the family’s burden of providing care ■To lessen or eliminate the debilitating symptoms of mental illness ■To minimize or prevent recurrent acute episodes of the illness○Best serves those who have not responded well to other forms of traditional treatment; most ppl treated by pact also have co-existing problems like homelessness, substance abuse, problems with the law, etc. ○Has been called “paternalistic” and “coercive” by its critics●The Recovery Model○Recovery from schizophrenia, in the sense of a state in which persons experience no difficulties associated with the illness, can occur but the modal outcome seems to be one in which difficulties linked to symptoms, social function, and work appear periodically but can be successfully confronted. ○There is two types of recovery with schizophrenia: functional and process. ■Functional recovery focuses on the individual’s level of functioning in such areas as relationships, work, independent living, and other kinds of life functioning. He or she may or may not be experiencing active symptoms of schizophrenia■With process recovery, there is no defined endpoint, but recovery is viewed as a process that continues throughout the individual’s life, and involves collaboration between client and clinician.
○The client identifies goal for their life; then the treatment team and client develop a plan to achieve these.○Because there is no cure for schizophrenia, it is important to explain that “recovery” does not mean a cure or remission from the illness. Organic Treatment●Psychopharmacology○Chlorpromazine (Thorazine) was first antipsychotic○Antipsychotic medications are also called neuroleptics or major tranquilizers○They are effective in the treatment of acute and chronic manifestations of schizophrenia and in maintenance therapy to prevent exacerbation of schizophrenic symptoms○prognosis of schizophrenia has often been reported in a paradigm of thirds.