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Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
Arthur E. Jongsma, Jr., Series Ed itor The Severe and Persistent Mental Illness Progress Notes Planner Second Edition David J. Berghuis Arthur E. Jongsma, Jr. JOHN WILEY & SONS, I NC. Practice Pla nner®
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
The Severe and Persistent Mental Illness Progress Notes Planner
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
Practice Planner s® Series Treatment Planners The Complete Adult Psychotherapy Treatment Planner, Fourth Edition The Child Psychotherapy Treatment Planner, Fourth Edition The Adolescent Psychotherapy Treatment Planner, Fourth Edition The Addiction Treatment Planner, Third Edition The Continuum of Care Treatment Planner...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
Arthur E. Jongsma, Jr., Series Ed itor The Severe and Persistent Mental Illness Progress Notes Planner Second Edition David J. Berghuis Arthur E. Jongsma, Jr. JOHN WILEY & SONS, I NC. Practice Pla nner®
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
This book is printed on acid-free paper. Copyright © 2008 by David J. Berghuis and Arthur E. Jongsma, Jr. All rights r eserved. Published by John Wiley & Sons, Inc., Hoboken, New Jersey. Published simultaneously in Canada. No part of this publication may be reproduced, stored in a retrieval system, or transm itted in ...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
To my father, Donald W. Berghuis, with love. —D. J. B. To Justin David De Graaf and Carter Warren De Graaf, my grandsons, gifts from God, filled with promise. —A. E. J.
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
xi CONTENTS Practice Plan ners® Series Preface xiii Acknow ledgments xv Introduction 1 Activities of Daily Living (ADL) 3 Aging 14 Anger Management 27 Anxiety 39 Borderline Personality 50 Chemical Dependence 59 Depression 76 Employment Problems 89 Family Conflicts 99 Financial Needs 111 Grief and Loss 120 Healt h Issu...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
xii CONTENTS Sexuality Concerns 302 Social Anxiety 315 Social Skills Deficits 325 Specific Fears and Avoidance 336 Suicidal Ideation 346
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
xiii PRACTICE PLANNER S® SERIES PREFACE The practice of psychotherapy has a dimension that did not exist 30, 20, or even 15 years ago — accountability. Treatment programs, public agencies, clinics, and even group and solo practitioners must now justify the treat ment of patients to outside review entities that control...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
xiv PRACTICE PLANNERS® SERIES PREFACE Treatment Planner books. The handouts are included on CD-ROMs for easy printing from your computer and are ideal for use in waiting rooms, at presentations, as newsletters, or as information for clients struggling with mental illness issues. In addition, the series also includes Th...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
xv ACKNOWLEDGMENTS We need to thank many people who helped make this book a reality. The pr ofessional community that found these books to be so helpful has made it necessary for the series to be expanded, and this is the latest installment, making the Practice Planners a complete treatment package. So we thank the cl...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
1 INTRODUCTION ABOUT PRACTICE PLANNERS® PROGRESS NOTES Progress notes are not only the primary source for documenting the therapeutic process, but also one of the main factors in determining the client's eligibility for reimbursable treatment. The purpose of the Progress Notes Planner series is to assist the practitio...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
2 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER book, the date, time, and length of a session; those present within the session; the p rovider; provider's credentials' and a signature must be entered in the client's record. A FINAL NOTE ABOUT P ROGRESS NOTES AND HI PAA Federal regulations under the ...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
3 ACTIVITIES OF DAILY LIVING (ADL) CLIENT PRESENTATION 1. Substandard Grooming and Hygiene (1) * A. The client came to the session poorly groomed. B. The client displayed poor grooming, as evidenced by strong body odor, disheveled hair, or dirty clothing. C. Others have noted that the client displays substandard groom...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
4 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The client's decreased reality testing causes him/her to have a decreased motivation to perform ADLs. C. As the client has become more reality focused, his/her completion of ADLs has increased. 6. Social Skills Deficits (6) A. The c lient displayed ...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
ACTIVITIES OF DAILY LIVING (ADL) 5 INTERVENTIONS IMPLEM ENTED 1. Prepare an Inventory of ADLs (1) * A. The client was assisted in preparing an inventory of positive and negative functioning regarding his/her ADLs. B. The client's inventory of positive and negative functioning regarding ADLs was reviewed within the sess...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
6 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER D. The client could not identify painful experi ences related to poor performance of basic ADLs and was asked to continue to focus in these areas. 5. Review Medical Risks (5) A. Specific medical risks associated with poor hygiene and nutrition or lack ...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
ACTIVITIES OF DAILY LIVING (ADL) 7 B. The client was assisted in remediating his/her deficits for performing ADLs through the use of skill-building groups, token eco nomies, and behavior-shaping programs. C. As specific programs have assisted the client in removing deficits for performing ADLs, his/her ADLs have gradua...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
8 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER D. Concerns about the effectiveness and side effects of the client's medications were communicated to the physician. E. Although the client was monitored for side effects from the medications, he/she reported no concerns in this area. 14. Organiz e Med...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
ACTIVITIES OF DAILY LIVING (ADL) 9 18. Provide Educational Material (18) A. The client was provided with educational material to help him /her learn basic personal hygiene skills. B. The client was referred to specific portions of books and videos on the topic of personal hygiene. C. The client was referred to written ...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
10 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. As the client has increased his/her regular use of ADL techniques, he/she has earned rewards within the behavioral treatment plan. D. The client's increased completion of ADLs through the use of a behavioral treatment plan was reviewed. E. The clie...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
ACTIVITIES OF DAILY LIVING (ADL) 11 28. Teach Housekeeping Skills (28) A. The client was taught about basic housekeeping skills through references to books on this subject. B. As the client has been taught basic housekeeping skills, he/she has displayed an increased understanding of these needs and techniques. C. The c...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
12 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 34. Review for Safety Hazards (34) A. The client's living situation was inspected for potential safety hazards. B. The client has identified potential safety hazards and these were reviewed. C. The client was assisted in remediating his/he r potential...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
ACTIVITIES OF DAILY LIVING (ADL) 13 39. Assist in Developing Intervention Plans (39) A. The client was assisted in developing intervention plans to avoid injury, poisoning, or other self-care problems during periods of mania, psychosis, or other decompensation. B. The client reiterated specific procedures to obtain ass...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
14 AGING CLIENT PRESENTATION 1. Advanced Age (1) * A. As the client has grown older, he/she has become more dependent on others. B. The client's advanced age has exacerbated his/her severe and persistent mental illness concerns. C. The client displayed den ial regarding the effects of aging on his/her ability to funct...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
AGING 15 C. As the client has improved the relationship with his/her children, he/she has enjoyed increased support from them. 6. Serious Medical Condition (6) A. The client presented with serious medical problems related to his/her advanced age that are having a negative impact on d aily living. B. The client has purs...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
16 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 10. Suicidal Ideation (10) A. The client reported experiencing recent suicidal ideation but denied having any s pecific plan to implement suicidal urges. B. The client reported ongoing suicidal ideation and has developed a specific plan for suicide. C...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
AGING 17 B. The client was encouraged to read books on the aging process (e. g., The Practical Guide to Aging by Cassel or Alzheimer's and Dementia: Questions You Have... Answers You Need by Hay). C. The client has read material regarding the aging process, and this was discussed within the clinical contact. D. The cli...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
18 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. The client described his/her own pattern of decreased mental illness symptoms as he/she has aged. D. The client denied that he/she has experienced a pattern of decreased mental illness symptoms as he/she has aged. 8. Referral for a Physical Evaluat...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
AGING 19 B. The physician has provided infor mation about the client's physical health, and this was reviewed with him/her. C. The client's physical health report has not been received from the physician, so an additional request for information was sent. D. Health concerns and recovery needs were reviewed with the cli...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
20 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER D. The client was provided with positive feedback as he/she displayed the ability to adhere to his/her medication regimen. E. The client displayed a lack of understanding about his/her medications, has failed to adhere to his/her medicati on regimen, ...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
AGING 21 D. Contact was made with the family, community resources, and s taff to assist them in developing support treatment for the client's ADLs and IADLs. 19. Review Hearing and Vision Needs (19) A. An increase in the client's auditory and visual hallucinations was noted, not accompanied by other severe and persiste...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
22 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER E. The client continues to balk at the suggestion of a more restrictive residential placement due to aging concerns and was redirect ed in this area. 24. Empathize Regarding Losses (24) A. The client's history of significant losses due to death, geogr...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
AGING 23 B. The clien t has followed through with the recommendation to see a recreational therapist, and the results of this evaluation have been shared with the client. C. The client has not followed through on the referral to a recreational therapist and was redirected to d o so. 30. Focus on Self-Regulation (30) A....
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
24 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 35. Empathize with the Caregiver (35) A. The caregiver was allowed to vent about difficulties that are related to supervising the cli ent. B. Empathy was displayed as the caregiver was focused on making a commitment for continued care. C. The caregive...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
AGING 25 G. Peer or supervisory support was obtained regarding reporting suspected or confirmed elder abuse. 39. Educate about Elder Abuse (39) A. The client and caregivers were assisted in defining and identifying elder abu se. B. The client and caregivers were provided specific information about steps to take if they...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
26 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. The client was reinforced for develo ping a plan for guardianship, advanced medical directives, and last will and testament. D. The client has not developed a plan for his/her possible incapacitation and was redirected to do so.
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
27 ANGER MANAGEMENT CLIENT PRESENTATION 1. Explosive, Destructive Outbursts (1) * A. The client described a history of loss of temper in which he/she has destroyed property in fits of rage. B. The client described a history of loss of temper that dates back many years, involving verbal outbursts, as well as property d...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
28 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The client identified a pattern of impulsive anger outbursts without regard to the painful consequences that occur due to these anger outbursts. C. As the client has become more stable in his/her mood, he/she has reported a decrease in impul sive a...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
ANGER MANAGEMENT 29 C. The client's disrespectful treatment of authority figures has often erupted in explosive, aggressive outbursts. D. The client has made progress in controll ing his/her overreactivity to taking direction from those in authority and is responding with more acts of cooperation. E. The client now tak...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
30 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. Empathy and support were provided for the client's expression of thoughts and feelings during today's clinical contact. C. The client was provided with support and feedback as he/she described his/her maladaptive pattern of anger expression. D. As ...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
ANGER MANAGEMENT 31 B. The client identified that he/she often experiences his/her anger control problems in the context of using street drugs or alcohol, and this pattern was processed. C. The clien t denied any pattern of use of street drugs or alcohol as a contributing factor to his/her anger control problems and wa...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
32 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. The client was assigned “Anger Journal” in the Adult Psychotherapy Homework Planner, Second Edition (Jongsma). D. The client has kept a journal of a nger-producing situations, and this material was processed within the session. E. The client has be...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
ANGER MANAGEMENT 33 C. It was reflected to the client that his/her denial about the negative impa ct of his/her anger has decreased and he/she has verbalized an increased awareness of the negative impact of his/her behavior. D. The client has been guarded about identifying the negative impact of his/her anger and was p...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
34 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The client related situations in which he/she has appropriately used calming techniques when facing anger trigger situations; this progress was reinforced. C. The c lient described situations in which he/she has not used calming techniques and thes...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
ANGER MANAGEMENT 35 C. “I messages” and respectful communication were taught via role modeling, role-playing, and instruction. D. Assertiveness without aggression and compromise were emphasized to the client. E. “Applying Problem-Solving to Per sonal Conflict” from Adult Psychotherapy Homework Planner, 2nd ed. (Jongsma...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
36 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER D. The client was reinforced for his/her success at decreasing the frequency, intensity, and duration of his/her anger outbursts. E. The client has not decreased his/her frequency, intensity, or duration of anger outbursts and corrective feedback was ...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
ANGER MANAGEMENT 37 B. The client was urged to find ways to build his/her strategies into his/her life as much as possible. C. The client was reinforced a s he/she reported ways in which he/she has incorporated copying strategies into his/her life and routine. D. The client was redirected about ways to incorporate his/...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
38 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. The client has read the book Forgive and Forget, and key concepts were processed within the session. D. The client acknowledged that holding on to angry feelings has distinct disadvantages over his/her beginning the process of forgiveness; he/she w...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
39 ANXIETY CLIENT PRESENTATION 1. Apprehension Due to Severe and Persistent Mental Illness Symptoms (1) * A. The client identified a pattern of apprehension and nervousness in response to his/her severe and persistent mental illness symptoms. B. The client identified specific symptoms, such as frightening hallucinatio...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
40 THE SEVERE AND PERSI STENT MENTAL ILLNESS PRO GRESS NOTES PLANNER D. As the client's persecutory delusions or other bizarre beliefs have decreased, he/she has also identified a decrease in his/her fear. 5. Hypervigilance (5) A. The client related that he/she is constantly feeling on edge, sleep is interrupted, and c...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
ANXIETY 41 D. The assessment of the client's anxiety symptoms indicates that these symptoms are moderate and occasionally interfere with his/her daily functioning. E. The re sults of the assessment of the client's anxiety symptoms indicate that these symptoms are mild and rarely interfere with his/her daily functioning...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
42 THE SEVERE AND PERSI STENT MENTAL ILLNESS PRO GRESS NOTES PLANNER 7. Review Psychoactive Chemicals (7) A. The client's use of psychoactive chemicals (e. g., nicotine, caffeine, alcohol, street drugs) was reviewed. B. The client's pattern of psychoactive chemic al use was connected to his/her symptoms. C. The client ...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
ANXIETY 43 12. Identify Diagnostic Classification (12) A. The client was assisted in identifying a specific diagnostic classification for his/her anxiety symptoms. B. Using a description of anxiety symptoms such as t hat found in Bourne's The Anxiety and Phobia Workbook, the client was taken through a detailed review o...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
44 THE SEVERE AND PERSI STENT MENTAL ILLNESS PRO GRESS NOTES PLANNER 17. Discuss Anxiety Cycle (17) A. The client was ta ught about how anxious fears are maintained by a cycle of unwarranted fear and avoidance that precludes positive, corrective experiences with the feared object or situation. B. The client was taught ...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
ANXIETY 45 B. The client has regularly used relaxation exercises, and the helpf ul benefits of these exercises were reviewed. C. The client has not regularly used relaxation exercises and was provided with corrective feedback in this area. D. The client has used some relaxation exercises, but does not find these to be ...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
46 THE SEVERE AND PERSI STENT MENTAL ILLNESS PRO GRESS NOTES PLANNER D. The client was provided with corrective feedb ack for his/her failures to replace fearful self-talk with reality-based alternatives. E. The client has not completed his/her assigned homework regarding fearful self-talk and was redirected to do so. ...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
ANXIETY 47 B. A plan was developed with the client for managing the symptoms that may occur during the initia l exposure. C. The client was assisted in rehearsing the plan for managing the exposure-related symptoms within his/her imagination. D. Positive feedback was provided for the client's helpful use of symptom man...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
48 THE SEVERE AND PERSI STENT MENTAL ILLNESS PRO GRESS NOTES PLANNER D. “Applying Problem-Solving to Interpersonal Confl ict” from Adult Psychotherapy Homework Planner, 2nd ed. (Jongsma) was assigned to the client. E. The client was provided with feedback about his/her use of the problem-solving assignment. 35. Differe...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
ANXIETY 49 D. The client has not maintained his/her regular daily routine and was provided with redirection in this area. 40. Enlist the Client's Support System (40) A. The help of the client's support system was enlisted in his/her implementation of specific stress reduction techniques. B. The client's support system ...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
50 BORDERLINE PERSONALI TY CLIENT PRESENTATION 1. Emotional Reactivity (1 )* A. The client described a history of extreme emotional reactivity when minor stresses occur in his/her life. B. The client's emotional reactivity is usually quite short lived, as he /she returns to a calm state after demonstrating strong feel...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
BORDERLINE PERSONALI TY 51 E. There have been no recent reports of occurrences of suicidal gestures, threats, or self-mutilating behavior. 6. Feelings of Emptiness (6) A. The client reported a chronic history of feeling empty and bored with life. B. The client's frequent complaints of feeling bored and that life had no...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
52 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER INTERVENTIONS IMPLEM ENTED 1. Assess Behavior, Affect, and Cogn itions (1) * A. The client's experience of distress and disability was assessed to identify targets of therapy. B. The client's pattern of behaviors (e. g., parasuicidal acts, angry outbu...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
BORDERLINE PERSONALI TY 53 5. Assign Reading on Borderline Personality Disorder (5) A. The client was asked to read selected sections of books or manuals that reinforce therapeutic interventions. B. Portions of Skills Training Manual for Treating Borderline Personality Disorder (Linehan) were assigned to the client. C....
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
54 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. Positive feedback was provided as the client promised to utilize the emergency helpline telephone number rather than engaging in any self-harm behaviors. C. The client has not used the emergency helpline telephone system in place of engaging in s e...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
BORDERLINE PERSONALI TY 55 15. Monitor Medication Compliance (15) A. The client's compliance with prescribed medications was monitored, and effectiveness of the medication on his/her level of functioning was noted. B. The client reported that the medication has been beneficial in stabilizing his/her mood, and he/she wa...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
56 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER E. The client has struggled to understand the behavioral strategies and was provided with remedial information in this area. 19. Conduct Trauma Work (19) A. As the client's adaptive behavior patterns have been evident, work on rememb ering and accepti...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
BORDERLINE PERSONALI TY 57 C. The client was assisted in developing a hierarchy of feared and avoided trauma-related stimuli. D. The client's journaling was used to assist in developing a hierarchy of feared and avoided trauma-related stimuli. 24. Direct Imaginal Exposure (24) A. Imaginal Exposure was directed by havin...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
58 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 28. Use Multiple Family Group Treatment (28) A. The client was referred for multiple family group treatment. B. The client was enrolled in a multiple family group treatment program. C. The client's family has participated in a multiple family group tr...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
59 CHEMICAL DEPENDENCE CLIENT PRESENTATION 1. Consistent Abuse of Alcohol (1) * A. The client described a history of alcohol abuse on a frequent basis, often until intoxicated or passed out. B. Family members confirmed a pattern of chronic alcohol abuse by the client. C. The client acknowledged that his/her alcohol us...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
60 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The client has displayed increased anxiety, unstable affect, and disorganiz ation as a result of withdrawal from mood-altering illicit substances. C. As the client has terminated his/her use of mood-altering illicit substances, his/her experience o...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
CHEMICAL DEPENDENCE 61 9. Diversion of Resources (7) A. The client displayed a pattern of diverting limited financial or personal resource s into obtaining the substance, using the substance, or recovering from the effects of the substance. B. The client's basic needs have gone unfulfilled due to his/her diverting fina...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
62 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER INTERVENTIONS IMPLEM ENTED 1. Remove Substances (1) * A. After obtaining permission from the client, illicit substances were removed from his/her immediate access and disposed of. B. The client was assisted with disposing of his/her available illicit ...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
CHEMICAL DEPENDENCE 63 5. Assess Suicide Risk (5) A. The client was asked to describe the frequency and intensity of his/her suicidal ideation, the details of any suicide plan, the history of any previous suicide attempts, and any fami ly history of depression or suicide. B. The client was asked to promise to be forthr...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
64 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The client was provided with feedback as he/she described aspects of his/her current residential needs. C. The client identified that he/she needs a place to live that will be supportive of his /her abstinence from substance abuse and was praised f...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
CHEMICAL DEPENDENCE 65 B. Legal authorities were provided with feedback regarding the impact of the client's mental illness on his/her behavior, and this assisted in the appropriate adjudication of his/her legal concerns. C. Legal authorities appear to be disinterested in the client's mental illness issues, and further...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
66 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 18. Gather Drug/Alcohol History (18) A. The client was asked to describe his/her substance abuse in terms of the amount a nd pattern of use, symptoms of abuse, and negative life consequences that have resulted from chemical dependence. B. The client w...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
CHEMICAL DEPENDENCE 67 23. List Reasons Why Substance Abuse Is Attrac tive (2 3) A. Today's clinical contact focused on developing a list of reasons why the client finds substance abuse attractive. B. The client was assisted in identifying specific reasons why he/she finds substance abuse to be attractive (e. g., self-...
Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf
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