## 2 Literature Review
### Mental Health Management Through Remote Healthcare Monitoring Systems
#### Importance of Early Detection and Continuous Management of Schizophrenia  
The importance of early detection and continuous management in schizophrenia care cannot be overstated, particularly in light of recent technological advancements. AI-powered monitoring systems provide real-time data and predictive insights, allowing for earlier identification of warning signs and timely interventions. This proactive approach helps prevent severe episodes and reduces the likelihood of hospitalization. Continuous management is essential for addressing the fluctuating symptoms of schizophrenia, and these innovative systems enable more consistent, long-term care, ultimately enhancing patient outcomes and quality of life.  
Continuous remote monitoring is instrumental in the early detection of symptoms, which is crucial for preventing relapses in patients with schizophrenia. By closely monitoring behavioral and physiological indicators, healthcare providers can make timely adjustments to treatment plans, potentially averting severe episodes. For instance, smartphone-based symptom monitoring has been shown to effectively reduce psychotic symptoms and provide early warnings for relapses, allowing for prompt intervention [30; 45; 46]. This proactive approach helps maintain stability in patients' mental health, minimizing the disruptive impact of relapses.  
Regular monitoring and timely interventions can significantly reduce hospitalizations, which are often distressing and disruptive for patients, leading to an improved quality of life. Moreover, consistent management supports patients in maintaining their daily routines and living more independently. Studies have demonstrated that these approaches not only enhance the ability of individuals with schizophrenia to function in their communities but also improve their overall well-being [30]. This underscores the importance of integrating continuous monitoring into standard care practices for schizophrenia.  
Effective RPM systems also play a critical role in reducing healthcare costs associated with schizophrenia. By decreasing the frequency of emergency interventions and hospital admissions, these systems alleviate the financial burden on both healthcare providers and patients. Remote monitoring facilitates early identification of potential issues, allowing for less intensive and more cost-effective management strategies. Research indicates that this approach can lead to substantial cost savings for healthcare systems by minimizing the need for high-cost acute care services [47].  
Advancements in smartphone applications for symptom monitoring have shown promising results in improving self-management among individuals with recent-onset schizophrenia. These digital tools empower patients by providing them with real-time feedback on their symptoms and encouraging proactive management of their condition. Improved self-management is associated with better symptom control and overall outcomes, demonstrating the potential of remote monitoring to support patients in taking an active role in their care [48]. This shift towards patient-centered care is crucial for fostering long-term stability and independence.  
Early detection and continuous management of schizophrenia through remote monitoring systems offer numerous benefits, including the prevention of relapses, improved quality of life, reduced healthcare costs, and enhanced self-management. Integrating these technologies into routine care can transform the management of schizophrenia, ensuring that patients receive timely and effective support tailored to their needs. The ongoing development and implementation of these systems hold great promise for improving outcomes for individuals living with schizophrenia.