102 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. The client was given positive feedback as he/she d isplayed insight into the positive and negative effects that his/her behavior has on relationships. D. The client failed to connect his/her behavior with the positive or negative impact on relationships and was given additional feedback in this area. 6. Identify Past Positive Interactions ( 6) A. Solution-focused techniques were used to assist the client in identifying how he/she has facilitated positive social interaction in the past. B. The client identified specific situations in which he/she has been able to facilitate some positive social interactions in the past, and these were processed. C. Solution-focused techniques were used to help the client generate a list of additional situations in which he/she could use his/her positive social skills. D. The client struggled to identify positive interactions from the past and was provided with additional feedback and support in this area. 7. Facilitate Family Emotional Expression ( 7) A. Family members were assisted in identifying and expressing emotions regarding the client's mental illness. B. Family members were supported as they expressed their emotions regarding the client's mental illness concerns. C. Family members expressed multiple emotions regarding the client's mental illness, which were processed within the session. D. Family members have been reluctant to express emotions relating to the client's mental illness concerns and were encouraged to do so when they felt more comfortable with it. 8. Use Magical Question ( 8) A. A magical question (i. e., “What would happen in your family if the client did not have any mental illness symptoms?”) was used to help the family members identify the impact of the mental illness symptoms on the family. B. Family members identified specific ways in which th e client's mental illness symptoms have impacted the family, and these were reviewed and clarified. C. Family members displayed a greater understanding of the impact on the family relative to the client's mental illness symptoms and were reinforced for th is increased understanding. 9. Use Multiple Family Group Treatment (9) 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 treatment program, gaining insight into family dynamics and how to cope with the client's symptoms. D. The family is not enrolled in the multiple family group treatment program, and the reasons for this resistance were reviewed. 10. Conduct Family-Focused Treatment (10) A. The client and significant others were included in the family-focused treatment model. B. Family-focused treatment was used with the client and significant others as indicated in Bipolar Disorder: A Family Appr oach (Miklowitz and Goldstein). 