Intensive Case Management on a Person with Treatment Resistant Paranoid Schizophrenia

Authors

  • Bhowmick Paramita National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India.
  • Mysore Narasimha Vranda National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India.
  • Daliboina Muralidhar National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India.

DOI:

https://doi.org/10.12724/ajss.29.3

Keywords:

Intensive Case Management, Schizophrenia, Rehabilitation

Abstract

Multi-factorial contribution of bio-psychological and social constitution has been established as a maintaining factor for chronic illnesses like Schizophrenia. Current case study depicts how long term impairments can have considerable effects on a person’s functioning, specifically in the absence of social support system. Intervention for social integration was done on a person with 15 years long history of schizophrenia, abandoned by family due to her paranoid delusions and decreased social functioning. Intervention on establishing networks with the community resource mobilizers, intensive Case Management Approach and illness management strategies have been used to provide a holistic mental health service and support.

Author Biographies

Bhowmick Paramita, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India.

MPhil in Psychiatric Social Work, Fellow in Psychosocial Support Disaster Management, Department of Psychiatric Social Work (DPSW), National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India.

Mysore Narasimha Vranda, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India.

Assistant Professor, Disaster Management, Department of Psychiatric Social Work (DPSW), National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India.

Daliboina Muralidhar, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India.

Assistant Professor, Disaster Management, Department of Psychiatric Social Work (DPSW), National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India.

References

Anthony F. Lehman, A.F., Liberman, J.A., Dixon, L.B., McGlashan, T.M.,

Miller, A.L., Perkins, D.O., and Kreyenbuhl, J( 2004). Practice

guideline for the treatment of patients with schizophrenia, 2nd Edition,

America Psychiatric Association, USA.

Arseneault, L., Cannon, M., Witton, J. and Murry, R.M. (2004). Causal

association between cannabis and psychosis: Examination of the

evidence. British Journal of Psychiatry, 184 (2): 110-117.

Bebbington, P.E., Bhugra, D., Brugha, T., Singleton, N., Farell, M., Jenkins,

R., Lewis, G., and Meltzer, H. (2004). Psychosis, victimisation and

childhood disadvantage: Evidence from the second British National

Survey of Psychiatric Morbidity. British Journal of Psychiatry, 185 (3):

-226.

Marshall. M. & Lockwood, A. (1998). Assertive Community Treatment for

People with Severe Mental Disorder. Oxford: The Cochrane Library.

McCabe, R. & Priebe, S. (2004). The therapeutic relationship in the

treatment of severe mental illness: A review of methods and findings.

International Journal of Social Psychiatry, 50 (2): 115–128.

Moore, T. H. M., Zammit, S., Lingford-Hughes, A., Barnes, TRE., Jones,

P.B., Burke, M., and Lewis, G. (2007). Cannabis use and risk of psychotic or affective mental health outcomes: A systematic review.

Lancet, 370 (9584): 319-328.

NHS, Business Services Authority, Prescription Pricing Division. Electronic

Drug Tariff for England and Wales, June 2008. Compiled on behalf of the

Department of Health. Retrieved from

http://www.ppa.org.uk/edt/June_2008/

Penn. D. Corrigan; P. W. Bentall; R. Racenstein M & Newman, L. (1997).

Social Cognition in Schizophrenia, Psychology Bulletin, 121 (1): 114-132

Richmond, Mary E. (1917). Social diagnosis. New York: Russell Sage

Foundation, 1917.

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Published

2014-04-01