A Longtitudinal Study of Psychosocial Interventions in a Patient with Schizophrenia

Integration Assignment.

An extended study, demonstrating the clinical integration and evaluation of problem centred case management, individual psychological interventions, symptom management and family work.

For reasons of confidentiality, all persons and place names within this assignment have been changed (UKCC 1992).


In this essay, I will critically explore the clinical application of problem centred case management, psychological management of psychotic symptoms and schizophrenia family work to clients who have been under my care for the duration of the Thorn course. These discussions will focus on how the process of engagement has affected the application of PSI   to clinical practice from a personal, pragmatic and organisational viewpoint. Barriers to engagement and possible solutions shall be considered as well as future clinical work.

Before the main body of the assignment, I will endeavour to set the scene. This will include a description of my practice area and an exploration of   PSI’s inception and development as applied to schizophrenia. This discussion will also comment on changes in social and health policy. Following this, I will provide a summary of the individual and family work carried out so far with a commentary on how I feel the Thorn course has affected my clinical practice.

Author’s Practice Area.

I works in one of two CRT’s , covering half the city and county. The team is multi-disciplinary, comprising of Nurses, Occupational Therapists, Psychologists, and Psychiatrists. I work exclusively with clients suffering from long term mental health problems, or as Clifford and Craig (1988, p1) have said,

“Individuals with persistent social and psychological difficulties, as a result of severe psychiatric illness, usually psychotic in nature”.

In addition to these CRT’s there exist two Case Management teams covering city and count respectively.

Case Management