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Independence through Community Access and Navigation in adults with schizophrenia spectrum disorders Part 2: Treatment planning and implementation

Gretchen Snethen, PhD, LRT/CTRS, Bryan P. McCormick, PhD, CTRS, Rachel L. Smith, MS, Marieke Van Puymbroeck, PhD, CTRS


Social isolation and nonparticipation in the community are chronic issues for adults with schizophrenia spectrum disorders that can lead to poorer health outcomes. The Independence through Community Access and Navigation (I-CAN) intervention was developed as a theoretically grounded intervention that uses motivational interviewing to understand the interests and motivations of clients for participation. The intervention is designed to support participation in community-based activities by providing access and skill acquisition in a community environment. Participation between the recreational therapist and the participant decreases over time to encourage the individual to begin to independently access his or her community. This article presents the treatment planning steps and the implementation protocol for the I-CAN intervention.


schizophrenia, community participation, self-determination, intervention, recovery, recreational therapy

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