356 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER D. The client was referred for substance abuse treatment. E. The client did not participate in the substance abuse evaluation and was encouraged to do so. 40. Teach Problem-Solving Skills ( 40) A. The client was taught problem-solving skills through modeling and didactic training. B. The client was taught specific problem-solving skills (e. g., focusing on the positive, negotiation, evaluating the pros and cons of alternatives, and practicing assertiveness). C. The client was provided with positive feedback as he/she displayed increased understanding regarding his/her use of problem-solving skills. D. The client continues to struggle with underst anding problem-solving skills and was provided with additional feedback in this area. 41. Teach Social Skills ( 41) A. The client was taught social skills through the use of modeling, role-playing, and behavioral rehearsal. B. The client was referred to a group training program for social skills. C. The client has developed increased social skills, and the benefits of this were reviewed. D. The client has not developed increased social skills, and he/she was urged to place more emphasis in this area. 42. Monitor Possible Crisis ( 42) A. The client was monitored more closely at possible crisis intervals (e. g., change in clinician, periods of loss). B. The client was provided with additional support and supervision as he/she is experiencing possible cris is periods. C. The client reported that he/she has been able to function well in his/her crisis situation due to the increased support that he/she has received. D. The client has decompensated, despite being more closely monitored and supported, and an increased level of service was provided. 43. Develop a Long-Term Plan ( 43) A. The client and his/her family were assisted in developing a long-term plan for dealing with stressors/symptoms contributing to his/her suicidal ideation. B. Specific long-term plans for monitoring and supporting the client were developed. C. The necessary portions of the client's long-term plan for support and coping with his/her stressors were coordinated. D. It was noted that as a result of the long-term plans, the client ha s decreased his/her pattern of suicidal ideation. E. A plan was developed to gradually taper the supervision of the client to a maintenance level. F. The client's other therapeutic needs are cared for; therefore, the level of contact with him/her has bee n tapered to a maintenance level. 44. Develop Personalized Crisis Cards ( 44) A. Personalized crisis cards were developed for the client, including a brief description of relapse prevention techniques, encouragement, and crisis contact numbers. B. The cl ient was provided with personalized crisis cards. 