Patient/Family Goals

• Enable Jovan to return home to live with his parents

• Reduce the frequency and intensity of auditory hallucinations

• Allow Jovan to participate in family activities

• Improve Jovan’s verbal expression of needs

 

Treatment Preferences 

• Seeking options that simplify care and support consistent symptom control

• Jovan and his family prefer a plan that reduces the need for daily medications, offering greater convenience, reduced stigma, and improved adherence.

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Collaborative Treatment Plan

• Jovan was initially transitioned to a monthly LAI to improve adherence and symptom control.

• While the LAI provided symptomatic relief, effects tapered 1 week before each subsequent injection, leading to symptom recurrence and necessitating concomitant oral medication to maintain stability.

• Jovan was then switched to an alternative monthly LAI, resulting in more consistent symptom control and functional improvements.

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Ongoing Care

• His oral antipsychotics and other medications are being gradually reduced, with the goal of maintaining stability on the LAI alone.

• With improved stability, Jovan now participates in daily activities, such as attending a day center. He engages more actively with family and social events, including attending gatherings and dining out without distress.

• He can verbalize his needs and emotions more effectively, and his voices are better managed, allowing him to function more independently.