Date Approved


Embargo Period


Document Type


Degree Name

M.A. in School Psychology


Educational Services and Leadership


College of Education

First Advisor

Klanderman, John


Affective disorders; Diseases--Relapse; Schizophrenics; Substance abuse


Educational Psychology


The objective of this study was to gather information on dual diagnosed clients' level of social support in the environment and to assess the degree to which this has an impact on the rate of relapse or rehospitalization. The sample for the study consisted of 46 clients with an Axis I diagnosis of schizophrenia or a chronic mood disorder according to the DSM IV criteria along with poly substance abuse. The age of the clients ranged from 19- 59 with a mean of 38.8. All clients used in the study were enrolled in a nonprofit intensive case management program (ICMS) for at least six months post discharge from a state or county psychiatric hospital.

The design of the study was conducted to establish that dual diagnosed clients' level of social support is directly correlated to the level of stability the client is able to maintain in the community. It is hypothesized that a positive relationship would exist between level of social support and rate of relapse or rehospitalization.