“I Am Sam” Case Study: Robert Katherine Elaine Stewart

Diagnosis Schizophrenia Psychotic delusions Thought withdrawal, insertion, broadcasting, ideas of reference, paranoia Negative symptoms – blunted affect > 6 months

Problems List Blunted affect Social skills Delusions Thought withdrawal Though insertion Thought broadcasting Ideas of reference Paranoia

Client Strengths & Weaknesses Domain Strengths Weaknesses Physical Independent in ADLs Body language Cognitive Executive functioning Various delusions Social Client has a small friend group and interacts with them Cannot interact with public/strangers as well Emotional Able to have friendships with few Blunted affect, paranoia Spiritual N/A

Treatment Recommendation PHP 5 week program 60 days maximum (only if necessary)

Goals & Objectives Goal 1: To increase social interaction with people in public/strangers Objective 1.1: In the 5 week PHP/IOP program, the client will participate in community outings at least 5 times as judged by the recreation therapist. Objective 1.2: In the 5 week PHP/IOP program, the client will order food and take public transportation independently at least 5 different times during his community outings. Goal 2: To increase financial stability and independence Objective 2.1: In the 5 week PHP/IOP program, the client will learn the basic etiquette of holding a job 3 times a week with the recreation therapist. Objective 2.2: In the 5 week PHP/IOP program, the client will search for jobs that may interest him 3 times a week with the recreation therapist. Objective 2.3: In the 5 week PHP/IOP program, the client will learn how to budget and save money independently as judged by the recreation therapist.

Therapeutic Interventions Support group Socialization Gain more insight into how others cope with schizophrenia Social skills training Community reintegration & outings

Program & Client Evaluations Program Evaluation: client completes satisfaction evaluation after 2 weeks; modifications would be made if necessary Client Evaluation: observation; review goals with client weekly

Discharge & Aftercare Recommendations Continue support groups Life coach/job coach Partake in leisure activities and social interactions Video games Card games Being with his small friend group

Movie Clip https://www.youtube.com/watch?v=fxkQAd5ggqI

References Whitely, K. (2016). Overview of Psychotic Disorders. Retrieved April 19, 2016, from https://canvas.longwood.edu/courses/1244954/files/51575241?module_it em_id=11697802 Candiliari, M. (2013). I am sam court scene 01. Retrieved April 19, 2016, from https://www.youtube.com/watch?v=fxkQAd5ggqI