124 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 3. Arrange for Hospitalization/Crisis Residential P lacement (3) A. The client was judged to be uncontrollably harmful to himself/herself and psychiatrically unstable; therefore, arrangements were made for psychiatric hospitalization. B. The client was judged to be at risk for harm to himself/herself; the refore, arrangements were made for a crisis residential admission. C. The client was reinforced for cooperating voluntarily with admission to a more intensive level of treatment. D. The client refused to cooperate voluntarily with admission to a psychiat ric facility, and therefore commitment procedures were indicated. 4. List Relationship Losses (4) A. The client was asked to elaborate on the circumstances, feelings, and effects of the loss or losses in his/her life. B. The client was supported as he/s he identified the losses that have been experienced in his/her life and shared the feelings of pain and grief associated with these losses. C. The client talked about the losses experienced, but the feelings associated with these losses were not shared; c ontinued efforts to explore these feelings were implemented. 5. Resolve Relationship Problems (5) A. The client was assisted in resolving specific relationship problems. B. The client was provided with specific examples of how to resolve relationship pr oblems. C. The client was provided with feedback as he/she explained his/her attempts at resolving his/her relationship problems. D. As the client has resolved relationship problems, he/she has improved his/her overall functioning and was provided with p ositive feedback in this area. 6. Explore Losses Due to Mental Illness (6) A. The client was asked to describe his/her experience of job losses and other losses related to his/her mental illness symptoms. B. The client was provided with feedback and sup port as he/she described the losses that he/she has experienced due to the loss of occupational and other functional abilities. C. The client avoided providing meaningful feedback about the losses that he/she has experienced related to mental illness conc erns and was given further encouragement to focus on these losses. 7. Resolve Occupational Problems (7) A. The client was assisted in resolving specific occupational problems. B. The client was provided with specific examples of how to resolve occupatio nal problems. C. The client was provided with feedback as he/she explained his/her attempts at resolving his/her occupational problems. D. As the client has resolved occupational problems, he/she has improved his/her overall functioning and was provided with positive feedback in this area. 8. Vent Emotions (8) A. The client was assisted in identifying, clarifying, and expressing feelings associated with his/her losses. 