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Schizophrenia Rehabilitation

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Stages of Rehabilitation
  • The psychotic stage
    This involves hospitalization and a biological line of treatment.
  • Gentle reassurance and counseling
    The patient and his relatives are explained the nature of the illness, the need for a gradual step–ladder approach to work, the fragility of the patient’s ego and the need for continued supervised medication.
  • Usage of simple capabilities and faculties
    The patient is entrusted with easy work which involves usage of very simple abilities and takes to task his mechanical capabilities and rote functioning. Manual work involving sweeping, swabbing, cleaning, dusting, embroidery, stitching, packaging, counting or light duty work such as that of a security person, helper or clerk is allotted to the patients. This phase by and large does not take into account the intellectual or the decision–making or the memory faculties of the patient, even though the prior functioning before the onslaught of the illness may be that of a highly qualified person.
  • Part–time functioning with high schedules of reinforcement
    The patient is involved in work patterns of schedules on a part–time basis viz. 2–3 hours per day as per the patient’s convenience viz. morning shift or afternoon shift. In this phase the patient is subjected to a lot of reinforcement or praise. Monetary payment or any other appropriate reward is made to him on a frequent basis, may be even daily. Often the reward or reinforcement may far surpass the actual quality or the quantum of work achieved, with the sole criterion of the reinforcement being to increase the patient’s confidence and instill in him/her the desire to keep functioning.
  • Full time functioning but still involving easy nature of work
    This phase involves qualitatively the same easy work as before, but over a stretch of time and with monetary payment, reward or reinforcement being awarded on a fortnightly or a monthly basis.
  • Repeat reassurance and further counseling
    The patient and his family members are gradually made to understand the need to give up the earlier mechanical work and seek an outlet in tune with the patient’s actual caliber and true potential.
  • Phase of intellectual work
    In this phase the patient is assigned work more in touch with his intellectual faculties e.g. a tutor, an accountant, an assistant to a specialized professional etc. If the patient himself is a doctor or a lawyer or a chartered accountant, then this phase may involve his taking up apprenticeship under other professionals with similar qualifications. Again, this phase wherever practical and feasible, should be in a protected environment with the patient being subjected to a lot of morale boosting and reinforcement, and his occasional mistakes and blunders being neglected and tided over by his superiors.
  • Phase of full utilization of patient’s potential
    In this phase the patient does what he wants to do in any field of his choice, something which he would have done either way had he not been afflicted with the illness. The disclosure of the fact that he had a prior illness is made without any expectations of sympathy or adjustments. The duration of each phase of rehabilitation is not predetermined but instead is dependent upon the individual case, based on how stable the patient is in each phase. By and large, each phase may involve anywhere between 1 to 6 months. Medication may be added, or adjusted depending upon:
    • Clinical progress.
    • The re–immergence of psychotic features.
    • The need to treat concomitant post–psychotic depression.
    • The hampering of work caused by side–effects of medicines e.g. tremors or drowsiness.
    • The need to protect and buffer the patient from stress.


Comments (5)Add Comment
0
Archana Deoras
September 03, 2010
111.119.231.58
Votes: +3
...

Can you please give me information regarding any good rehabilitation centres in India for schizophrenia,if not than can you suggest me that where to keep the patient if there is no one to take care of him...please respond..I am desperate sister of schizophrenic brother.

0
meenakshi
May 03, 2011
112.110.148.182
Votes: +2
schiziophrenic problem

can you please suggest me some organisation where he can earn and stay and can have his medications as well and be independent. i am sister. pl suggest

thank you
meenakshi

0
Harshada Mulay
June 24, 2011
120.61.55.5
Votes: +1
OCD & Schizophrenia

My brother has suffering from OCD and Schezophrenia. Though his problem is under controll at present, he is still totally dependent on us. Can you please suggest a rehabilitation center in and around mumbai / navi mumbai / thane area where he can be treated to lead a normal life and also become independent.

Regards,
Harshada.

0
mamtha
June 27, 2011
117.211.87.100
Votes: +1
Schizophrenia

My servants daughter is schizophrenic and she has no place or house of her own to keep her. Can you please give information about any good rehabilitation centres in and around mangalore where she can be treated. And also where she can stay and also learn some work and earn a living.

Thankyou.

0
Nirali
March 23, 2012
203.191.35.22
Votes: +3
...

My 28 years old sister is having schizophrenia . She needs rehabilitation centre where she can earn and stay and can have her medications as well and be independent

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