Studies have shown that the way that a person’s family and friends react to their schizophrenia can greatly affect the pace of their recovery. Families who become very intensely emotional because of their loved one’s behaviour, either hostile or overly concerned, can often obstruct the sufferers pathway to recovery. Psychiatrists call this a high expressed emotion. 8 Some NHS areas offer specific family therapy to educate family members about schizophrenia and to help them adopt the most constructive approach in relating to their loved one.
The smallest amount that will produce the desired results must be carefully determined for each individual, since optimal dosage levels of this potent drug vary from patient to patient. In general, the oral dose has been found to be approximately two to three times the parenteral dose of fluphenazine. Treatment is best instituted with a low initial dosage , which may be increased, if necessary, until the desired clinical effects are achieved. Therapeutic effect is often achieved with doses under 20 mg daily. Patients remaining severely disturbed or inadequately controlled may require upward titration of dosage. Daily doses up to 40 mg may be necessary; controlled clinical studies have not been performed to demonstrate safety of prolonged administration of such doses.
A Rogers treatment plan order has an expiration date, after which it will no longer be in effect. Each order will also contain a review date for a hearing at which a Motion to extend the treatment plan order may be presented. This hearing is called the “periodic review”, and it generally takes place annually. As long as the incapacitated person is receiving antipsychotic medication, you will need to keep the Rogers treatment plan order in effect. To have such a review, the guardian/monitor needs to obtain a new “review” affidavit from the treating clinician, and submit a monitor’s report.