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Multimodal Treatment of Acute Psychiatric IllnessA Guide for Hospital Diversion$
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Justin Simpson and Glendon Moriarty

Print publication date: 2013

Print ISBN-13: 9780231158831

Published to Columbia Scholarship Online: November 2015

DOI: 10.7312/columbia/9780231158831.001.0001

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Schizophrenia and Schizoaffective Disorder

Schizophrenia and Schizoaffective Disorder

(p.73) 6 Schizophrenia and Schizoaffective Disorder
Multimodal Treatment of Acute Psychiatric Illness

Justin M. Simpson

Glendon L. Moriarty

Columbia University Press

This chapter describes a treatment plan for people with schizophrenia and schizoaffective disorder. The first step is to perform assessment, which includes interviewing the patient, suicide/self-harm assessment, drug screening, crisis action plan, and safety contract. The second step is to establish equilibrium by reducing stress caused by distorted thinking, ensuring that the patient adheres to the medication prescribed to him/her, and activity scheduling. The third step is to address social and environmental issues that could prevent the patient from stabilizing fully or cause relapse of crisis episodes and involves social skills training and family-focused treatment. The last two steps cover relapse prevention (increasing internal locus of control, motivational enhancement, changing dysfunctional thinking), and recovery philosophy (client-led treatment, utilizing/improving personal strengths and resources, empowerment, prevention and recovery).

Keywords:   treatment, schizophrenia, schizoaffective disorder, assessment, equilibrium, medication, activity scheduling, social skills training, relapse prevention, recovery

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