Since this population is often less amenable to treatment, it is important to keep the patient involved in their treatment planning. The initial treatment plan should concentrate on small, yet meaningful goals that are achievable and reflect the patient’s willingness to change.

The complete treatment plan should include a comprehensive medical assessment, choice of therapy options and medication, ongoing assessment and revision of goals, monitoring of treatment adherence, and strategies for managing ongoing psychiatric issues, interactions between substance use and the psychotic disorder, and related medical issues. Whenever possible, treatment should also include family and friends since strong support systems are important for psychiatric stability and long-term sobriety.