Early Onset Schizophrenia

Early Onset Schizophrenia

1) Compare at least two evidence-based treatment plans for adults diagnosed with schizophrenia with evidence-based treatment plans for children and adolescents diagnosed with schizophrenia.
2) Explain the legal and ethical issues involved with forcing children diagnosed with schizophrenia to take medication for the disorder and how a PMHNP may address those issues.

Schizophrenia Information
“As with adult patients with schizophrenia, formulation of treatment plan involves deciding about
treatment setting, treatments to be used, and areas to be addressed. Treatment plan should be drawn
by consulting all the persons involved in the care of the patient. The treatment plan formulated should
be feasible, flexible, and practical to address the needs of the patients and the family members. The
treatment plan should be continuously modified based on the regular assessment of the patient and the
family members” (Grover & Avasthi, 2019.
“Based on the available evidence, antipsychotic medications are considered as the first-line treatment
for schizophrenia in adolescents, which must be used along with the psychosocial management. Among
the various antipsychotics, it is generally suggested that SGAMs, other than clozapine, may be used as
the first-line agents. The United States Food and Drug Administration have approved haloperidol,
molindone, risperidone, aripiprazole, quetiapine, paliperidone, and olanzapine for the management of
schizophrenia among adolescents aged 13 years or more. It is suggested that selection of specific agent
should be based on the side effect profile and various other factors. Clozapine should be reserved for
patients with treatment-resistant schizophrenia” (Grover & Avasthi, 2019).

“Psychosocial interventions are integral part of management of schizophrenia. Various psychosocial
interventions which have been found to be useful in the management of schizophrenia in adult patients
include family interventions, cognitive behavioral therapy (CBT), cognitive remediation therapy (CRT),
social skills training, individual supportive therapy, group therapy, vocational rehabilitation, case
management, and use of community mental health teams and of crisis resolution teams” (Grover &
Avasthi, 2019).

References
Grover, S., & Avasthi, A. (2019). Clinical Practice Guidelines for the Management of Schizophrenia in
Children and Adolescents. Indian journal of psychiatry, 61(Suppl 2), 277–293.
https://doi.org/10.4103/psychiatry.IndianJPsychiatry_556_18

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