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Case-Management for Schizophrenia

The following treatment guidelines are meant as a reference tool only, and are not intended as treatment advice or to replace the clinical decision-making process of psychiatrists or other health professionals who administer these treatments. In clinical practice there are often good reasons why treatment approaches differ from what is described here.


People with Schizophrenia often require many types of services in order to be able to maintain a decent quality of life and to function in their communities.  These needs may range from regular medical and psychiatric check-ups, to assistance with housing and meals, or accessing specialized services like job training programs. Because of the impairments caused by the condition, many people with Schizophrenia are at a disadvantage when trying to find and maintain these services.  The case-manager functions as a service broker for the patient, helping the patient to continue receiving the help he or she needs in a consistent fashion.

Case managers also offer supportive counselling for the individual and serve as a consistent, helping figures who are available to offer assistence and guidance in times of need.

Although case-management has not been studied directly, it has been included in many studies as a control comparison to other psychosocial treatments.   In many of these studies, case-management has been shown to be as effective as more structured forms of psychosocial treatment, especially when the case-management was more intensive [ref].  Case-management is thus considered a standard part of the treatment given to people with Schizophrenia.


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Assertive Community Treatment (ACT)