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SCHIZOPHRENIA: COMMUNITY OUTREACH
For schizophrenics who have no families or whose families have abandoned them, a few community programs offer help. One of the best, in Madison, Wisconsin, is the Program of Assertive Community Treatment (PACT), for young schizophrenics.
Dr. William H. Knoedler, who heads the program, says, “We don’t wait for people to come to us; we go to them.” The PACT doctors, nurses, and social workers reach out to teach the sick young people, on the streets or in their homes, how to cope with life. They also prescribe drugs to control symptoms.
“We don’t discharge people for not coming to their treatment,” says Dr. Knoedler. “We’re available for them every day, 24 hours a day and we’re prepared to do this for life.”
Dr. Knoedler tells of John R., who first experienced the disease at the age of 21. John believed that people on the street were causing him to be homosexual. He lived in the streets. By 1980, PACT got him to take medicine; he formed friendship ties with the group staff and began working as a computer keypuncher.
Studies of PACT show that, in its first 2 years, the treatment program actually costs a little less than the usual method of hospitalizing schizophrenic patients every time they get sick. It is also more humane.
Very few such community treatment programs exist. In most states, the money saved doesn’t go back to the local government that set up the project but to the state. With so little incentive, local governments do little.
Until science understands schizophrenia’s cause and then finds a cure or a means to prevent it, more and more troubled souls will be roaming our streets in need of help.
*14/266/5*
