Table 2.

Patient Cases Included in Clinician Survey

Case Number	Summary	Details
Case 1	• Recently diagnosed • Treatment-naïve	A 23-year-old man, inpatient in a psychiatric unit, recently admitted because of agitation associated with hallucinations and delusions. First experienced psychotic symptoms 2 months ago but became progressively worse and functioning is grossly impaired. Awareness when distressed, treatment-naïve.
Case 1 (continued)	• Discharged with oral medication • Marked improvement at follow-up	He is discharged on oral antipsychotic medication with instructions to follow up at the Community Mental Health Center. At a follow-up visit 3 months later, he has had marked improvement in the severity of his symptoms. He is able to focus his attention elsewhere during hallucinations. There are no signs of sedation or other adverse effects.
Case 2	• Recent relapse due to nonadherence • Low social support network	A 35-year-old woman with a 10-year history of schizophrenia. Six months ago, she was hospitalized because of paranoid delusions after forgetting to pick up a refill of her oral antipsychotic medication. Stabilized on an oral antipsychotic while hospitalized and continued on this treatment following discharge. Low/no social support. She presents 2 months post-discharge, states she is taking her medication, doing well, and denies any symptoms.
Case 3	• Long schizophrenia history • Multiple relapses • Potential future adherence issues	A 50-year-old woman with 15-year history of schizophrenia. Previously functioning well on oral antipsychotic medication, has a history of multiple relapses. Recently hospitalized because of an exacerbation of unrelated acute bronchitis, for which she was prescribed multiple other oral medications. She reports some difficulty in remembering to take all her medications.
Case 4	• Younger patient • Functioning well on oral medications	A 16-year-old high school junior with schizophrenia diagnosed 6 months ago is functioning reasonably well on oral antipsychotic medication. She also is on 2–3 other oral medications.
Case 5	• New environment • Patient would rather not take oral medication	A 30-year-old man who recently returned to college after a 7-year hiatus because of poorly controlled symptoms. On an oral antipsychotic medication regimen that has helped him function better. He states that he consistently takes his medication. He wonders if he will ever be able to stop taking medications and tells you he does not want this “daily reminder” that he is chronically mentally ill.
Case 5 (continued)	• Hospitalization due to relapse • Family member reports medication nonadherence	You decide not to alter his medication at this point. One month later, he is hospitalized because of a relapse in which he was experiencing hallucinations, delusions, and disordered thinking, which were severely interfering with daily functioning and leading to failing grades. A family member reports that he is inconsistent in taking his medication, despite their efforts to assist with this.