Journal List > Korean J Schizophr Res > v.19(1) > 1122206

Korean J Schizophr Res. 2016 Apr;19(1):32-37. Korean.
Published online Apr 30, 2016.  https://doi.org/10.16946/kjsr.2016.19.1.32
Copyright © 2016 Korean Society for Schizophrenia Research
Intensive Cognitive Behavioral Case Management for Functional Recovery of Young Patients with Schizophrenia
Ga-Young Lee, BA,1 Hye-Young Yu, BA,1 Min Jhon, MD,2 Jin-Sang Yoon, MD, PhD,2 and Sung-Wan Kim, MD, PhD1,2
1Gwangju Bukgu Community Mental Health Center, Gwangju, Korea.
2Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea.

Address for correspondence: Sung-Wan Kim, Department of Psychiatry, Chonnam National University Medical School, 160 Baekseo-ro, Dong-gu, Gwangju 61469, Korea. Tel: +82-62-220-6148, Fax: +82-62-225-2351, Email: swkim@chonnam.ac.kr
Received Mar 18, 2016; Revised May 11, 2016; Accepted May 13, 2016.

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.

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

Figures


Fig. 1
Example of writing on thought record diary.
Click for larger image

Tables


Table 1
Biopsychosocial formulation of the case ('5 P' model)
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