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182 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 5. Assist in Legal Representation Decisions ( 5) A. The client was assisted in making decisions about the need for legal representation. B. The client was encouraged to meet with an attorney to discuss plans for resolvin g his/her legal issues. C. Th... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
LEGAL CONCERNS 183 9. Coach Preparation for Court Hearings ( 9) A. The client was coached regarding his/her need to prepare himself/herself for court hearings (e. g., doing personal grooming, clothing selection, and gathering appropriate documentation). B. The client was provided with positive feedback regarding his/he... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
184 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. The client displayed a lack of understanding of the indications for and expected benefits of psychotropic medications and was provided with additional informatio n and feedback regarding his/her medications. 14. Monitor Medications (14) A. The cli... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
LEGAL CONCERNS 185 B. The client identified specific ways in which his/her mental illness symptoms may interact with incarceration (e. g., increased paranoia, more acute anxiety, or difficulty managing mania), and this was reviewed. C. The client's more complete understanding of the interaction of his/her mental illnes... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
186 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER D. As a result of regular involvement regarding the client's appointments with the court officers, he/she has been able to successfully c omplete the sentencing requirements imposed upon him/her. 23. Attend Probation Meetings (2 3) A. The client's pr... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
LEGAL CONCERNS 187 C. The client's support system has not kept in regular contact with him/her and were encouraged to maintain more regular contact. 27. Identify the Effect of Illegal Behaviors ( 27) A. The client was requested to identify ways in which his/her illegal behaviors have affected others. B. The client was ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
188 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER D. The client's mental health and substance abuse treatment services were coordinated in an integrated fashion. E. The client's substance abuse treatment providers have been furnished with increased information about the client's mental health diagno... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
LEGAL CONCERNS 189 36. Assist in Developing Advan ced Directives ( 36) A. The client was assisted in developing an advanced directive should he/she decompensate and become unable to legally make such decisions. B. The client was assisted in developing specific wishes for treatment, emergency contact, medication needs, ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
190 MANIA OR HYPOMANIA CLIENT PRESENTATION 1. Increased, Pressured Speech (1) * A. The client gave evidence of increased, pressured speech within the session. B. The client reported that his/her speech rate increases as he/she feels stressed. C. The client' s pressured speech has shown evidence of a decrease in intens... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
MANIA OR HYPOMANIA 191 E. The client no longer demonstrates a pattern of bizarre, persecutory delusions and has verbalized not feeling personally threatened. 5. Lack of Sleep (4) A. The client desc ribed a pattern of attaining far less sleep than would ordinarily be needed. B. The client has gone through periods of tim... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
192 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The client verbalized that he/she sees social rules or mores as applying to others but not to himself/herself. C. The client is beginning to accept the need for rules within any society and to apply them to himself/her self. D. The client has not ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
MANIA OR HYPOMANIA 193 4. Arrange for a More Restrictive Setting (4) A. Arrangements were made for the client to be hospitalized in a psychiatric setting based on the fact that his/her mania is so intense that he/she could be harmful to himself/herself or others or unable to care for his/her own basic needs. B. The cli... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
194 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 9. Monitor Medication Rea ction (9) A. The client's reaction to the medication in terms of side effects and effectiveness were monitored. B. The client reported that the medication has been effective at reducing energy levels, flight of ideas, and th... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
MANIA OR HYPOMANIA 195 E. The client was reinforced for his/her clear understanding of the stress diathesis model of Bipolar Disorder. F. The client struggled to display a clear understanding of the stress diathesis model of Bipolar Disorder and was provided with additional remedial information in this area. 15. Provid... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
196 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 19. Educa te about Lab Work (19) A. The client was educated about the need to stay compliant with necessary lab work involved in regulating his/her medication levels. B. The client was encouraged to stay compliant with necessary lab work. C. The clie... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
MANIA OR HYPOMANIA 197 24. Teach Communi cation Skills (24) A. Behavioral techniques were used to teach communication skills. B. Communication skills such as offering positive feedback, active listening, making positive requests for behavioral change, and giving negative feedback in an honest, respectful manner were ta... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
198 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 29. Increase Sensitivity to Effects of Behavior (2 9) A. Role-playing, role reversal, and behavioral rehearsal were used to increase the client's sensitivity to the negative effect s of his/her impulsive behavior. B. The client was reinforced for his... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
MANIA OR HYPOMANIA 199 35. Reinforce Agitation Control (35) A. The client was reinforced for controlling his/her motor agitation and h elped to set goals for and limits on his/her behavior. B. The client was taught relaxation techniques to help him/her reduce the level of agitation and restlessness. C. The “Plan Before... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
200 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. The client has minimized or denied that relationships have been affected by his/her symptoms and was redirected to reconsider this issue. 41. Provide Feedback about Behavior (4 1) A. The client was prov ided with feedback about how his/her behavio... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
201 MEDICATION MANAGEMEN T CLIENT PRESENTATION 1. Failure to Take Medications (1) * A. The client has failed to consistently take his/her psychotropic medications as prescribed. B. A review of the client's medications indicates that he/she has not used the ex pected amounts. C. The client has become more regular in hi... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
202 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The client's lack of knowledge regarding his/her medications has led to poor decisions about using them. C. As the client has gained more knowledge about his/her medications, their usefulness, and potential side effec ts, he/she has been more regu... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
MEDICATION MANAGEMEN T 203 G. The client seemed to minimize his/her noncompliance with prescribed medications and was confronted about this. 3. Obtain Blood Levels (3) A. A blood draw was conducted, and the client's blood levels for specific medications have been assessed. B. The analysis of the client's blood chemistr... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
204 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 7. Behavioral Experiments ( 7) A. The client was directed to conduct “behavioral experiments” in which bias predictions about medications are tested against the client' s past, present, and/or future experience using the medication. B. The client was... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
MEDICATION MANAGEMEN T 205 C. The client has been prescribed psychotropic medications. D. The client declined evaluation by a physician for a prescription of psychotropic medication and was redirected to cooperate with this referral. 12. Review Side Effects of the Medications ( 12) A. The possible side effects related ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
206 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 16. Assess Su icidal Ideation (1 6) A. The client was asked to describe the frequency and intensity of his/her suicidal ideation, the details of any existing suicide plan, the history of any previous suicide attempts, or any family history of depress... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
MEDICATION MANAGEMEN T 207 C. The client has made substantial changes in his/her li festyle habits, which have increased the efficacy of his/her medications, and this was reinforced. D. The client has failed to make any lifestyle changes to assist with medication efficacy and was redirected to do so. 21. Coordinate Dos... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
208 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 25. Encourage a Consis tent Place and Time for Taking Medications ( 25) A. The client was encouraged to take his/her medications at a specific, consistent place and time every day. B. The client was encouraged for his/her use of a specific, consisten... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
MEDICATION MANAGEMEN T 209 30. Train the Support Network in Medication Managem ent (30) A. The client's family members, peers, and others in his/her support network were trained in the proper use and administration of medications. B. The client's support network was directed to encourage and reinforce him/her when he/s... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
210 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER D. The client continues to use substances despite the effects on his/her symptoms and medication efficacy and was provided with additional confrontation in this area. 36. Refer for Substance Abuse Treatment ( 36) A. The client was referred to a 12-st... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
211 OBSESSIVE-COMPULSIVE DISORDER (OCD) CLIENT PRESENTATION 1. Recurrent/Persistent Thoughts (1) * A. The client described recurrent and persistent thoughts or impulses that are viewed as senseless, intrusive, and time consuming and that interfere with his/h er daily routine. B. The intensity of the recurrent and pers... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
212 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER F. The client's anxiety over some dreaded event has diminished significantly, and his/he r compulsive rituals have also decreased in frequency. G. The client has not engaged in any ritualistic behaviors designed to prevent some dreaded situation. 5. ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
OBSESSIVE-COMPULSIVE DISORDER (OCD) 213 3. Conduct Psychological Testing (3) A. Psychological testing was administered to evaluate the nature and severity of the client's obsessive-compulsive problem. B. The Yale-Brown Obsessive-Compulsive Scale (Goodman and colleagues) was used to assess the depth and breadth of the c... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
214 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 7. Recommend Substance Abuse Evaluation and/or Term ination (7) A. It was recommended to the client that he/she terminate the consumption of substances that could contribute to anxiety. B. The client was referred for a substance abuse evaluation to m... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
OBSESSIVE-COMPULSIVE DISORDER (OCD) 215 12. Educate about Psychotropic Medication (12) A. The client was taught about the indications for and the expec ted benefits of psychotropic medications. B. As the client's psychotropic medications were reviewed, he/she displayed an understanding about the indications for and exp... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
216 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 16. Discuss Usefulness of Treatment (16) A. A discussion was held about how treatment serves as an arena to desensitize learned fear, reality test obsessional fears and underlying beliefs, and build confidence in manag ing fears without compulsions. ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
OBSESSIVE-COMPULSIVE DISORDER (OCD) 217 B. The client was assessed in regard to the nature of any internal cues (e. g., thoughts, images, impulses) that precipitate the client's obsessions and compulsions. C. The clie nt was provided with feedback about his/her identification of cues. 21. Construct a Hierarchy of Fear ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
218 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. The client was reinforced for his/her appropriate use of lapse management skills. D. The client was redirected in regard to his/her poor use of lapse management skills. 26. Encourage Routine Use of Strategies (26) A. The client was instructed to r... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
OBSESSIVE-COMPULSIVE DISORDER (OCD) 219 C. It was difficult for the client to get in touch with, clarify, and express emotions, as his/her pattern is to detach himself/herself from feelings; this pattern was reflected to the client. 31. Assign Ericksonian Task (31) A. The client was assigned an Ericksonian task of perf... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
220 PANIC/AGORAPHOBIA CLIENT PRESENTATION 1. Severe Panic Symptoms (1) * A. The client has experienced sudden and unexpected severe panic symptoms that have occurred repeatedly and have resulted in persistent concern about additional attacks. B. The client h as significantly modified his/her normal behavior patterns i... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PANIC/AGORAPHOBIA 221 5. Avoids Public Places and Large Groups (5) A. The client avoids public places, such as malls or large stores. B. The client avoids large groups of people. C. The client has constricted his/her involvement with others in order to avoid social situations. D. The client has b egun to reach out soci... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
222 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 3. Explore Panic Stimulus Situations (3) A. The client was assisted in identifying specific stimulus situations that precipitate panic symptoms. B. The client could not describe any specific stimulus situations that produce panic; he/she was helped t... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PANIC/AGORAPHOBIA 223 C. The client has been following up on the recommendations from the medical evaluation. D. The client has not regularly followed up on his/her medical evaluation r ecommendations and was redirected to do so. 8. Review Psychoactive Chemicals (8) A. The client's use of psychoactive chemicals, such a... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
224 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 12. Identify Diagnostic Classification (12) A. The client was assisted in identifying a specific diagnostic classification for his/her anxiety symptoms. B. Utilizi ng a description of anxiety symptoms such as that found in Bourne's The Anxiety and Ph... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PANIC/AGORAPHOBIA 225 17. Assign Information on Panic Disorders and Agoraphobia (17) A. The client was assigned to read psychoeducational chapters of books or treatment manuals about Panic Disorders and Agoraphobia. B. The client was assigned specific chapters from Mastery of Your Anxiety and Panic (Barlow and Craske).... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
226 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 21. Urge External Focus (21 ) A. The client was urged to keep his/her focus on external stimuli and behavioral responsibilities rather than be preoccupied with internal states and physiological changes. B. The client was reinforced as he/she had made... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PANIC/AGORAPHOBIA 227 26. Assign Reading Materials (26) A. The client was assigned to read psychoeducational chapters of books or treatment manuals on cognitive restructuring. B. The client was assigned to read psyc hoeducational chapters of books or treatment manuals for the rationale for cognitive restructuring for p... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
228 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER D. The client has read the assigned information on the sensation exposure techniques and was reinforced for his/her understanding of these concepts. E. The client does not display an understanding of the sensation exposure technique and was provided ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PANIC/AGORAPHOBIA 229 D. The clie nt has read the assigned information on situational exposure and his/her key learnings were reviewed. E. The client has not read the assigned information on situational exposure and was redirected to do so. 34. Assign Homework on Situational Exposures (34 ) A. The client was assigned h... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
230 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER D. The client was redirected about ways to incorporate his/her new strategies into his/her routine and life. 38. Develop a Coping Card (38) A. The client was provided with a coping card on which specific coping strategies wer e listed. B. The client ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PANIC/AGORAPHOBIA 231 D. The client has declined support from his/her family, friends, and caretakers, and was urged to utilize this support. 44. Schedule a Booster Session (44) A. The client was scheduled for a booster session between 1 and 3 months after therapy ends. B. The client was advised to contact the therapis... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
232 PARANOIA CLIENT PRESENTATION 1. Fixed Persecutory Delusions (1) * A. The client described a pattern of fixed persecutory delusions regarding others, their intentions, and possible harm. B. The client described beliefs that others are persecuting him/her or intend to do him/her harm, but was unable to identify thes... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PARANOIA 233 B. The client has experienced visual hallucinations suggesting harm, threats to safety, or disloyalty. C. The client's hallucinations have decreased in intensity and frequency. D. The client reported no longer experiencing hallucinations of any type. 6. Avoids Others (6) A. The client acknowledged that he/... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
234 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER INTERVENTIONS IMPLEM ENTED 1. Review History of Paranoia Symptoms (1) * A. The client was requested to identify his/her history of persecutory hallucinations, delusions, or other paranoia symptoms. B. The client was provided with positive feedback as... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PARANOIA 235 D. Based on the information o btained, the conclusion is drawn that the client displays significant paranoia. E. Based on the information obtained, the conclusion is drawn that the client does not display significant paranoia. 6. Assess Reality Orientation ( 6) A. The client's immedi ate ability to maintai... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
236 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 11. Provide Empathetic Acceptance (11) A. Empathetic listening was provided to the client, displaying respect for him/her by accepting him/her, despite his/her angry or delusional presentation. B. Acceptance was communicated to the client, despite hi... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PARANOIA 237 16. Refer for Vision/Hearing Exams ( 16) A. The client was referred to an audiologi st for a clinical assessment of his/her hearing abilities. B. The client was referred to an ophthalmologist for a specific evaluation of his/her vision needs. C. Expert clinical review of the client's hearing and vision ind... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
238 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The client was educated about the symptoms of and the treatmen t for his/her mental illness. C. The client was provided with positive feedback, as he/she was able to accept the assertion that his/her delusional, persecutory beliefs are symptoms of... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PARANOIA 239 26. Review Side Effects of Medications (2 6) A. The possible side effects related t o the client's medications were reviewed with the client. B. The client identified significant side effects, and these were reported to the medical staff. C. Possible side effects of the client's medications were reviewed, ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
240 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. Behavioral experiments were used to help test the reality of the client's delusional thoughts. C. As a result of Cognitive Restructuring and Behavioral Experiments the client is less fearful, more confident, and more reality oriented. D. Despite t... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PARANOIA 241 C. The client was taught cognitive techniques, such as thought-stopping, positive self-talk, and attention-focusing skills (e. g., distraction from urges, staying focused, behavioral goals o f abstinence). D. The client has used his/her coping package techniques to help reduce his/her anxiety symptoms; thi... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
242 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The level of contact with or support from the clinician during the outing was controlled by the client. C. The client was reinforced for successfully negotiating the social/recreational event with close contact from the clinician. D. The client wa... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PARANOIA 243 D. The client displayed poor social skills and was redirected to use the social skills for which he/she has been trained. 45. Reduce Threats in the Environment (4 5) A. The client was assisted in identifying and implementing strategies for reducing stress in his/her environment. B. The client was provided ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
244 PARENTING CLIENT PRESENTATION 1. Symptoms Affect Interactions with the Child (1) * A. The client's severe and persistent mental illness symptoms often affect his/her interactions with his/her child. B. The client's child often appears to be confused by t he client's erratic behavior due to his/her severe and persi... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PARENTING 245 B. The client described that his/her severe and persistent mental illness symptoms have exacerbated his/her relationship conflicts. C. The client described a pattern of increasing relationship stress due to disagreements regarding child rearing practices. D. The client reporte d a decrease in his/her leve... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
246 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. A family session was conducted in which a genogram was developed that was complete, denoting family members, patterns of interaction, rules, and secrets. C. The dysfunctional communication patterns between family members were highlighted. D. Famil... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PARENTING 247 B. As the client's symptoms of mental illness were discussed, he/she displayed an understanding of how these symptoms may affect h is/her functioning as a parent. C. The client struggled to identify how symptoms of his/her mental illness may negatively impact his/her parenting and was given additional fee... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
248 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER F. Although the client was monitored for medication side effects, he/she reported no concerns in this area. G. The client displayed a lack of understanding of the indications for and expected benefits of psychotropic medications and was provided with... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PARENTING 249 B. The conjoint session was focused on the types of parenting approaches to be used with the child. C. The client and his/her partner have identified specific approaches to be used with the child and were encouraged for this plan. D. The client and his/her partner were reinforced for using parenting techn... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
250 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 21. Coordinate Child Care during Acute Phases (2 1) A. The assistance of the extended family was enlisted in order to provide supervision and parenting to the child during acute stages of the client's mental illness. B. The client was reassured and r... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PARENTING 251 D. The client has n ot used diversionary activities to relieve parenting stress and was encouraged to do so. 26. Coordinate Conjoint Sessions with the Child ( 26) A. Conjoint sessions were coordinated for the client's child to ask questions about the client's mental illness symptoms. B. The client was ass... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
252 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 31. Refer to a Support Group for Children (31) A. The client and his/her child were referred to a multifamily support group for family members of an individual with a mental illness. B. The clien t's child was referred to an age-appropriate support g... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PARENTING 253 36. Assist in Custody/Child Protection Case ( 36) A. The client was assiste d in understanding the multiple, intricate steps that occur during a custody or child protection case. B. The client was supported for displaying an increased understanding of the intricate steps that occur during a custody or chi... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
254 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. The client continues to m ake life-changing decisions during the acute phase of his/her mental illness and was cautioned against this. 41. Weigh the Pros and Cons of Giving Up Custody (41) A. The client was assisted in identifying the pros and con... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
255 POSTTRAUMATIC STRESS DISORDER (PTSD) CLIENT PRESENTATION 1. Exposure to Death/Injury to Others (1) * A. The client has a history of having been exposed to the death or serious injury of others that resulted in feelings of intense fear, helplessness, or ho rror. B. The client's severe emotional response to fear has... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
256 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLANNER B. The client reported having been exposed to some reminders of the traumatic event without experiencing overwhelming distress. 7. Physiological Reactivity (6) A. The client experiences physio logical reactivity associated with fear and anger when he/... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
POSTTRAUMATIC STRESS DISORDER (PTSD) 257 B. The client reported beginning to be in touch with his/her feelings again. C. The client is able to experience the full range of emotions. 14. Pessimistic/Fatalistic (13) A. Since the traumatic event occurred, the client has had a pessimistic and fatalistic attitude regarding ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
258 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLANNER B. The client's depression symptoms have diminished considerably. C. The client reported that he/she is no longer experiencing symptom s of depression. 21. Alcohol/Drug Abuse (20) A. Since the traumatic experience, the client has engaged in a pattern ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
POSTTRAUMATIC STRESS DISORDER (PTSD) 259 INTERVENTIONS IMP LEMENTED 1. Develop Trust (1) * A. Today's clinical contact focused on building the level of trust with the client through consistent eye contact, active listening, unconditional positive regard, and warm acceptance. B. Empathy and support were provided for the... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
260 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLANNER D. Upon the review of the stimuli, thoughts and situations that precipitated the client's fears and avoidance, he/she has been able to decrease his/her level of fear and avoidance. 5. Differentiate Anxiety Symptoms (5) A. The client was assisted in di... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
POSTTRAUMATIC STRESS DISORDER (PTSD) 261 11. Request Substance Use Information from Su pport System (11) A. The client's family and peers were asked to provide additional information regarding the client's substance use history. B. The treatment staff that have worked closely with the client were asked to provide an ob... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
262 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLANNER C. The client reports little to no improvement in his/her moods or anger control since being placed on the med ication; he/she was directed to share this information with the prescribing clinician. D. The client was reinforced for consistently taking ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
POSTTRAUMATIC STRESS DISORDER (PTSD) 263 E. The client has not read the assigned information on PTSD and was redirected to do so. 21. Teach Stress Inoculation Training (21) A. The client was taught strategies from stress inoculation training, such as relaxation, breathing, covert modeling, and role-play. B. The client ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
264 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLANNER 25. Recommend Exercising Your Way to Better Mental Health (25) A. The book Exercising Your Way to Better Mental Health (Leith) was recommended to the client as a means of encouragin g physical exercise. B. The client has followed through with reading ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
POSTTRAUMATIC STRESS DISORDER (PTSD) 265 E. The client has completed his/her homework related to self-talk and creating reality-based alternatives; he/she was provided with corrective feedback for his/her failure to identify and replace self-talk with reality-based alternatives. F. The client has not attempted his/her ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
266 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLANNER 34. Teach Thought Stopping (34) A. The client was taught a thought-stopping technique. B. The client was taught to internally voice the word STOP immediately upon noticing unwanted trauma or otherwise negative unwanted thoughts. C. The client was taug... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
POSTTRAUMATIC STRESS DISORDER (PTSD) 267 39. Encourage Use of Therapy Strategies (39) A. The client was encouraged to routinely use strategies used in therapy. B. The client was urged to use cognitive restructuring, social skill, and exposure techniques while building social inte ractions and relationships. C. The clie... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
268 PSYCHOSIS CLIENT PRESENTATION 1. Bizarre Thought Content (1) * A. The client demonstrated delusional thought content. B. The client has experienced persecutory delusions. C. The client's delusional thoughts have diminished in frequency and intensity. D. The client no longer experiences delusional thoughts. 2. Illo... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PSYCHOSIS 269 6. Psyc homotor Abnormalities (6) A. The client demonstrated a marked decrease in reactivity to his/her environment. B. The client demonstrated various catatonic patterns (e. g., stupor, rigidity, posturing, negativism, and excitement). C. The client gave eviden ce of unusual mannerisms or grimacing. D. T... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
270 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. As the client has been approached in a calmer manner, his/her psychotic agitation has decreased. D. The client continues to display increased agitation, d espite the use of calm, open, and soothing mannerisms. 2. Identify History of Psychosis ( 2)... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PSYCHOSIS 271 B. Due to concerns about the client's inability to manage himself/herself within a less restrictive setting, he/she was referred to a crisis residential facility. C. The client was supported for cooperating voluntaril y with admission to a more supervised environment. D. The client refused to voluntarily ... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
272 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. As the crisis plan has been implemented, the client has been able to remain within the community as h e/she stabilizes from his/her period of psychosis. D. The client continues to decompensate and is not safe to maintain within the community, desp... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PSYCHOSIS 273 18. Investigate Sleep-Inducing Medications with the Physician ( 18) A. The client's treating physician was consulted regarding the need for sleep-inducing medications to provide the client and his/her caregivers time to regroup relative to this curren t psychotic episode. B. The treating physician has pre... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
274 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 23. Educate the Family about Symptoms of Mental Illness ( 23) A. The client's family, friends, and caregivers were educated about the symptoms of mental illness, with specific emph asis on the nonvolitional aspects of some symptoms. B. The client's f... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PSYCHOSIS 275 D. The client was reinforced for his/her insight into the effects of his/her ps ychosis. E. The client has not understood or accepted the effects of his/her psychotic symptoms, and was provided with remedial assistance in this area. 28. Assess Adaptive and Maladaptive Strategies (28) A. The client was ass... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
276 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER E. The client was reinforced for his/her use of coping and compensation strategies. F. The client has not used the coping and compensation strategie s and was redirected to do so. 32. Teach/Refer for Communication and Social Skills (3 2) A. The clien... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
PSYCHOSIS 277 D. The client was taught lifestyle management considerations that may help to decrease his/her level of stress. E. The client has implemented many stress management techniques, and t he benefits of these techniques were reviewed and reinforced. F. The client has not utilized many stress management techniq... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
278 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. The client was compliant with the substance abuse evaluation, and the results of the evaluation were discussed with him/her, resulting in admission to a substance abuse program. D. The client declined to participate in the substance abuse evaluati... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
279 RECREATIONAL DEFICIT S CLIENT PRESENTATION 1. Lack of Involvement (1) * A. The client described a history of limited involvement in recreational activities. B. The client displayed a pattern of limited involvement in recreational activities. C. The clien t has become more involved in his/her chosen recreational ac... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
280 THE SEVERE AND PERSISTEN T MENTAL ILLNESS PRO GRESS NOTES PLANNER 6. Symptoms Disrupt Recreational Act ivities (5) A. The client described that his/her mental illness symptoms often disrupt involvement in recreational activity. B. The client's poor reality orientation makes it difficult for him/her to appropriately... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
RECREATIONAL DEFICIT S 281 INTERVENTIONS IMPLEM ENTED 1. Request a History of Recreational Involvement (1) * A. The client was requested to relat e his/her history or pattern of recreational involvement. B. The client was assisted in developing an understanding of his/her pattern of recreational deficiencies. C. The cl... | Arthur E. Jr. Jongsma David J. Berghuis - The Severe and Persistent Mental Illness Progress Notes Planner Practice Planners 2008.pdf |
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