Korean J Schizophr Res.  2016 Apr;19(1):32-37. 10.16946/kjsr.2016.19.1.32.

Intensive Cognitive Behavioral Case Management for Functional Recovery of Young Patients with Schizophrenia

• Lee GY
• Yu HY
• Jhon M
• Yoon JS
• Kim SW

• KMID: 2344028
• DOI: http://doi.org/10.16946/kjsr.2016.19.1.32

Abstract

Intensive case management provided at the critical period following the onset of schizophrenia is crucial for early social and vocational recovery. We report the young schizophrenia patient who had been treated for 2 years but frequently relapsed and attempted suicide. After receiving cognitive behavioral case management from community mental health center, she has functionally recovered without recurrence for 4 years. Collaboration between psychiatrists of hospital and case manager of community mental health center was very important factor that contributed to her functional recovery. Cognitive behavioral case management promoting coping skills and reducing perceived stress was effective on successful social adaptation even during the stressful situations. In conclusion, psychosocial management including cognitive behavioral case management at the early stage of schizophrenia is crucial to prevent the relapse and to recover patients' function.

Keyword

Schizophrenia; Early intervention; Cognitive behavioral case management; Community mental health; Functional recovery; Psychosocial service

MeSH Terms

Adaptation, Psychological
Case Management*
Cooperative Behavior
Critical Period (Psychology)
Early Intervention (Education)
Humans
Mental Health
Psychiatry
Recurrence
Schizophrenia*
Suicide, Attempted

Figure

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  Fig. 1. Example of writing on thought record diary.

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