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

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

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

4. 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

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

6. 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.

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

8. 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

9. 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

10. Movie Clip

11. References
Whitely, K. (2016). Overview of Psychotic Disorders. Retrieved April 19, 2016, from em_id=
Candiliari, M. (2013). I am sam court scene 01. Retrieved April 19, 2016, from