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Case Reports in Psychiatry
Volume 2012, Article ID 596162, 4 pages
Case Report

Cognitive Adaptation Training Provided to Chronically Hospitalized Patients with Schizophrenia in The Netherlands: Two Case Reports

1Department of Psychiatry and Rob Giel Research Center, University Medical Center Groningen, University of Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands
2Department of Rehabilitation, Lentis Center for Mental Health, P.O. Box 128, 9470 AC Zuidlaren, The Netherlands
3Division of Schizophrenia and Related Disorders, Department of Psychiatry, University of Texas Health Science Center, Mail Stop 7797, San Antonio, TX 78229-3900, USA

Received 23 July 2012; Accepted 3 September 2012

Academic Editors: D. E. Dietrich, Y. Kaneda, and F. Pillmann

Copyright © 2012 Piotr J. Quee et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Cognitive adaptation training (CAT) improves functional outcome in outpatients with schizophrenia living in the United States of America. The efficacy of CAT has never been demonstrated for patients living in a residential facility. We describe how CAT was delivered to two chronically hospitalized patients with schizophrenia living in The Netherlands. CAT was delivered for 8 months, and consisted of weekly home visits by a psychiatric nurse. Both patients improved on measures of functional outcome used in the US studies. These results indicate that CAT may improve outcomes, even in patients that have been hospitalized for several years.