Chronically psychotic patients in the maintenance phase of treatment are frequently medication non-adherent and have inadequate community supports; relapse is common. This learning program will teach participants to identify the multiple barriers to successful maintenance treatment and recovery. Participants will also learn specific strategies to address these obstacles and maximize the long-term health and stability of chronically psychotic patients.

Learning Objectives

At the end of this educational activity, participants should be able to:

  • Identify barriers to treatment adherence in chronically psychotic patients, and demonstrate the ability to effectively assess and promote treatment adherence during office visits.
  • Perform an appropriate baseline assessment of patients to identify risk factors for developing metabolic abnormalities, institute a periodic monitoring regimen to assess patients for antipsychotic-induced metabolic side effects.
  • Effectively promote psychosocial rehabilitation of chronically psychotic patients by incorporating skills training, vocational support, substance abuse treatment, family psychoeducation, and targeted psychotherapeutic techniques in an outpatient treatment plan.

Target Audience

Psychiatrists, Primary Care Physicians, Nurse Practitioners, and Physician Assistants


  • Cognitive Behavioral Psychologist, Schizophrenia Program, Massachusetts General Hospital
    Assistant Professor of Psychology in the Department of Psychiatry, Harvard Medical School
  • Director, Postgraduate Medical Education, Massachusetts General Hospital
    Staff Psychiatrist, Massachusetts General Hospital
    Assistant Professor of Psychiatry, Harvard Medical School

CME Information

This program is not accredited.

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education. CME credit is not being offered for this activity.

Credit Designation

Even though this event is not accredited, providing information regarding planning, disclosure, and conflict of interest is important to us. Some providers may be able to claim Category 2 CME credit for participating in this activity.

Policy on Faculty and Provider Disclosure
It is the policy of McLean Hospital that faculty and providers disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). McLean Hospital has established policies in place that identify and resolve all conflicts of interest prior to this educational activity.

Faculty and Provider Disclosure
This program was developed by Drs. Corrine Cather, PhD, Tristan Gorrindo, MD, and John A. Fromson, MD. Drs. Cather, Gorrindo, and Fromson have indicated that they have no relevant financial relationships to disclose.

Commercial Supporter Disclosure
This program was developed with support from independent medical education grants from Pfizer and Janssen


The following planners of this activity have indicated that neither they nor their families have a significant financial interest or affiliation with the manufacturer of any commercial products or provider of commercial services:

Robert J. Birnbaum, MD, PhD: Planner

John A. Fromson, MD: Planner, reviewer

Anan Nathif, EdM: Planner

Tristan Gorrindo, MD: Planner

Hardware/Software Specifications: 

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:
Flash Player: Adobe Flash Player 10.1+
Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+
Operating System: Windows XP+ or Mac OS X 10.4+
Internet Connection: 1 Mbps or higher

Minimum Requirements:
Windows PC:
500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit