Individual Resiliency Training for Individuals with Schizophrenia and Caregivers in India

INTERVENTION: Intervention1: Individual Resiliency Training: The Individual Resiliency Training or IRT is a structured, modular individual intervention developed as one of the core components of the NAVIGATE program, a coordinated speciality care model for people experiencing their first episode of psychosis in the US. It is designed to help individuals build resiliency, manage symptoms and stress, set and pursue meaningful personal goals, understand psychosis, and improve overall functioning in everyday life. The intervention combines elements of cognitive‐behavioural therapy, psychoeducation, motivational enhancement, and positive psychology within a recovery‐oriented framework. IRT extracts the theoretical and practical frameworks from the Stress‐Vulnerability Model, Recovery Model, Psychiatric Rehabilitation and CBT Principles, and Positive Psychology. Throughout IRT, clients and therapists work collaboratively to develop a personal resiliency narrative, a meaningful story of resilience that reflects strengths, coping, and purposeful goals. IRT is delivered individually, typically on a weekly, biweekly or monthly basis. It is manualized but flexible, allowing clinicians to tailor modules to client needs. The IRT sessions for the patients will consist of seven standard modules and seven customizable modules. Control Intervention1: Treatment‐as‐Usual: After the diagnosis of Schizophrenia according to ICD‐11, the Control group will receive the treatment as usual, as the Test group. It will receive standard treatment for Schizophrenia, which includes pharmacotherapy and counselling or psychotherapy as per standard protocols in the hospitals. CONDITION: Health Condition 1: F20‐ Schizophrenia PRIMARY OUTCOME: ResilienceTimepoint: 1st End Point ‐ 3 months ; ; 2nd End Point ‐ 6 months ; ; 3rd End Point ‐ 9 months ; ; 4th End Point ‐ 12 months ; SECONDARY OUTCOME: Cognitive Flexibility & Executive FunctioningTimepoint: 1st End Point ‐ 3 months ; ; 2nd End Point ‐ 6 months ; ; 3rd End Point ‐ 9 months ; ; 4th End Point ‐ 12 months ; Quality of LifeTimepoint: 1st End Point ‐ 3 months ; ; 2nd End Point ‐ 6 months ; ; 3rd End Point ‐ 9 months ; ; 4th End Point ‐ 12 months ; INCLUSION CRITERIA: A. Individuals with Schizophrenia ‐‐ 1.Individuals who will be able to understand and communicate in Kannada or English sufficiently to engage with the intervention and assessment procedures.‐‐ 2. Patients receiving treatment in hospitals, the outpatient department or OPD, or enrolled as inpatients in hospitals.‐‐ 3. Patients with a score on BPRS between 25 and 60 indicate clinical stability and mild to moderate severity.‐‐ 4. Patients who have at least one primary caregiver or legally acceptable representative or LAR who can take part in the intervention‐related sessions. ‐‐‐‐ B. Caregivers ‐‐ 1. Ability to understand and communicate in Kannada or English. ‐‐ 2. Caregivers should be willing to participate in the intervention‐related sessions and provide written informed consent. ‐‐ 3. Caregivers with scores indicating absence of severe psychological distress as on the Kessler Psychological Distress Scale