"A healthy mind signifies a healthy body"
PHYSICHIATRIST ROLE
ACUTE PHASE
1 to 6 Weeks
Step 1 :
Diagnostic work up (based on rating scales and objective data) from client, parent and guardian.
Step 2 :
Case Formulation and Management Plan (Psychopharmacological and Medical Management)
Step 3 :
Assessment of drug efficacy and side effect
profile.
STABILIZATION PHASE
7 to 12 Weeks
Step 4 :
Serial Mental status examination using rating
scales ( 3 wkly)
Step 5 :
Drug augmentation / add on / switch to new
appropriate molecule.
Step 6 :
Assessment of symptom control & side effect
profile monitoring.
STABLE PHASE
13 to 20 Weeks
Step 7 :
Ensures that symptom remission or control is
sustained.
Step 8 :
Maintain or improve the patients level of functioning and quality of life.
Step 9 :
Continue to monitor adverse effects / therapeutic drug level / blood dyscrasias.
PHASE OF PSYCHOEDUCTION
21 to 28 Weeks
Step 10 :
Explaining and educating regarding biological model of illness to patient and family.
Step 11 :
The role of stressful life events, expressed emotions, support systems and drug compliance in relapse prevention.
Step 12 :
Making the patient and the family member aware about the realistic functional limitations and prognosis.
PSYCHOLOGIST & MEDICAL & PSYCHIATRIC SOCIAL WORKER
ACUTE PHASE
1 to 6 Weeks
Step 1 :
Psychosocial Evaluation from family.
Step 2 :
Psychosocial assesment with client (based on individual sessions & observation from inhouse staff & nursing staff.) A good rapport is established at this stage.
Step 3 :
Problem areas identification & goal setting.
STABILIZATION PHASE
7 to 12 Weeks
Step 4 :
Contracting with the patient, family members & conducting family sessions to give an overview of the case & future treatment plan.
Step 5 :
Individual counseling & on going assesment of identified problem areas using rating scales.
Step 6 :
Developing therapeutic alliance & following psychosocial management plan.
STABLE PHASE
13 to 20 Weeks
Step 7 :
Observation of maladaptive behaviour & formulation of client oriented behaviour management plan.
Step 8 :
Group dynamics & social skills training (Interpersonal relationship / effective communication / problem solving /
assessment of aptitude potentials & liabilities.)
Step 9 :
Training the client --
* Time Management
* Self Management
* Stress Management
* Finance Management
* Vocational Training & Independent Lliving
skills.
* Need based psychological testing
(Personality / IQ / EQ / Aptitude / Interest /
Career guidance ).
PHASE OF PSYCHOEDUCTION
21 to 28 Weeks
Step 10 :
Family work - Effective family communication (Interpersonal difficulties) and problem solving.
Step 11 :
Training the family members about patient handling & crisis intervention.
Step 12 :
Assesment of family support system & vocational guidelines.
