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Korean J Schizophr Res > Volume 19(1); 2016 > Article
Korean Journal of Schizophrenia Research 2016;19(1):32-37.
DOI: https://doi.org/10.16946/kjsr.2016.19.1.32    Published online April 30, 2016.
Intensive Cognitive Behavioral Case Management for Functional Recovery of Young Patients with Schizophrenia.
Ga Young Lee, Hye Young Yu, Min Jhon, Jin Sang Yoon, Sung Wan Kim
1Gwangju Bukgu Community Mental Health Center, Gwangju, Korea. swkim@chonnam.ac.kr
2Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea.
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.
Key Words: Schizophrenia · Early intervention · Cognitive behavioral case management · Community mental health · Functional recovery · Psychosocial service


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