Impact of Psychosocial Interventions in Schizophrenia: A Case Study

Background: Substance use can trigger psychosis, leading to substance-induced psychotic disorders. In some cases, this progresses to chronic conditions such as schizophrenia or Bipolar Affective Disorder. Substance use disorder (SUD) imposes significant social and personal burdens on individuals and their families. Aim: To highlight the role of psychosocial interventions in the assessment and management of schizophrenia, which developed over years of substance use. Methods: An intervention-based case study was done at the inpatient department of the Central Institute of Psychiatry (CIP), Ranchi, during August-September 2023. Data were collected from the Case Record File (CRF), socio-demographic variables, and standardized assessment tools. Psychosocial management along with pharmacotherapy were administered to the patient. Outcomes: Qualitative outcomes of the psychosocial intervention indicated improvement in serial Mental Status Examinations (MSE). Quantitative measures, including the Positive and Negative Syndrome Scale (PANSS) and the Readiness to Change Questionnaire (RCQ), reflected this improvement. McMaster Family Assessment Device showed significant enhancement in the family’s knowledge about the illness, communication patterns, affective responsiveness, affective involvement, and general family functioning. Conclusion: The study demonstrates that psychosocial interventions, alongside pharmacotherapy, can substantially enhance clinical and family outcomes for individuals with schizophrenia stemming from substance-induced psychosis.Keywords: Substance, psychosis, schizophrenia, psychosocial