This month's column features a case presentation and discussion from the Psychiatry Grand Rounds of the Menninger Foundation, Topeka, Kansas. James Buskirk, MD, Section Chief of C.F. Menninger Memorial Hospital, presents a brief case vignette of a newly admitted, recently-diagnosed schizophrenic. Dr. Buskirk's presentation is followed by an analysis of the case by Werner Mendel, MD. Dr. Mendel, Clinical Director of the Hastings Regional Center in Hastings, Nebraska and an internationally renowned authority on the treatment of schizophrenia, discusses the case from the standpoint of determining the optimal approach to the treatment of the newly-diagnosed schizophrenic and describes a "mainstreaming" program that enables schizophrenic patients to return quickly and successfully to community living.