The goal of this research program is to implement a series of psychoeducational training
classes designed to teach individuals with schizophrenia the importance of medication
treatment, how to identify and manage medication side effects, and how to make appointments
and emergency plans. The skills taught to the research subjects will lead to demonstrable
increases (compared to the control group) in adherence to both the prescribed medication
regimen and scheduled outpatient appointments and thereby cause a decrease (again compared
to the control group) in rehospitalization rates and bed-days during subsequent twelve
months following the intervention. A secondary objective of this work is that if the CREP
program is successful and/or illness education is effective, the data will be able to
disseminated throughout the VISN 22 via the recently awarded Mental Illness Research
Education and Clinical Center (MIRECC) program.
1. Age 18-65 years of age.
2. DSM IV diagnosis of schizophrenia or schizoaffective disorder.
3. Competent to give informed consent.
4. Previously participated in "Brief Hospitalization for Schizophrenia: Strategies to
Improve Treatment Outcome" Principal Investigator. Donna Wirshing, M.D.
1. Physical or cognitive impairment of such severity as to adversely affect the validity
of clinical ratings or impair capacity to give informed consent.
2. History of substantial substance dependence 6 months prior to the study.
3. Patients at high risk of suicide or other directed violence.