CaseCharles is a 21-year-old, single Caucasian male who currently resides with his mother and stepfather, who is also Charles' uncle. Charles graduated from high school and receives Social Security benefits because of his illness. During a two-year period Charles had nine visits to the emergency room resulting in admission to the psychiatric unit. On two admissions Charles walked out against medical advice, five admissions required a higher level of care resulting in admission to the state psychiatric hospital and two Charles were transferred to the adult crisis unit. Charles also has a history of misdemeanors, primarily public nuisance due to substance abuse, primarily marijuana and cocaine. Charles was evicted after a psychotic episode and trashing his apartment. Charles accepted the treatment protocol of Haldol and Resperadol injections. He categorically refuses psychotherapy. While Charles, who is hospitalized, references sexual abuse, he refuses to elaborate or provide details. Before the diagnosis, Charles' mother reported withdrawing at age seven. Charles' father died in a car accident. At the age of twenty Charles experienced his first psychotic break. Not knowing what was happening, the mother called the police because she believed the hallucinations and delusions were due to marijuana and cocaine use. Charles was taken to the local prison and from there to the hospital where the symptoms remained for 12 hours. At that time Charles was diagnosed with schizophrenia. The mother cannot understand the diagnosis and believes that the etiology of the psychosis stems only from drug use. Charles also denies it, but accepts the drug and when he feels better he stops and resumes substance abuse. Charles goes from the adult character... in the center of the paper... to the client and the parent. Knowing the symptoms of schizophrenia will allow the family to identify triggers.3. The family will learn to make balanced family decisions that are in the best interests of both the client and the family. Individual Goals Client Stop cannabis abuse Enroll in a support job Get a job (mother) Acceptance of diagnosis Take an active role in client's illness therapy treatment, medication adherence, Attend monthly NAMI meetings Reconnect with friends Short term goals1. Registration for ACT2. The family will verbalize the symptoms, treatment and course of schizophrenia3. Educate the family about available psychosocial programs: social skills group and support work4. The family will talk about how the illness has affected the family system5. The family will research external support systems