INDEPENDENT ACTIVITI ES OF DAILY LIVING ( IADL) 157 8. Teach and Reinforce Social Skills ( 8) A. The client was taught some skills that are necessary for appropriate social behavior. B. The client was provided with feedback regarding his/her use of social skills. C. As the client has developed more appropriate social skills, his/her social interaction has been more appropriate, and he/she was provided with positive feedback about this progress. D. The client was confronted about not learning appropriate social skills, and not increasing the frequency and appropriateness of his/her social interactions. 9. Develop IADL Completion Schedule ( 9) A. The client was assisted in developing a specific schedul e for completing IADLs (e. g., arranging finances on Monday mornings or going to the grocery store on Tuesday). B. The client has developed his/her own schedule for completing IADLs, and this schedule was reviewed. C. The client's use of scheduling IADLs has helped him/her complete these on a regular basis, and he/she was provided with positive feedback for this follow-through. D. The client was taught about situations in which he/she should break from his/her established routine. E. The client acknowled ged specific situations in which he/she should break from his/her established routine (e. g., do the banking on a different day due to a holiday or do the weekly cleaning one day earlier to attend a desired social function) and was provided with support for this flexible approach. F. The client has not used his/her schedule for completing IADLs and was redirected to do so. 10. Educate about Mental Illness (1 0) A. The client was educated about the expected or common symptoms of his/her mental illness, whic h may negatively impact IADL functioning. B. As the client's symptoms of mental illness were discussed, he/she displayed an understanding of how these symptoms may affect his/her IADL functioning. C. The client struggled to identify how symptoms of his/h er mental illness may negatively impact IADL functioning and was given additional feedback in this area. 11. Interpret Psychiatric Decompensation (11) A. The client's poor performance on IADLs was interpreted as an indicator of psychiatric decompensation. B. The client's pattern of poor IADLs and psychiatric decompensation was shared with him/her, along with caregivers and medical staff. C. The client acknowledged his/her poor performance on IADLs as prodromals of his/her psychiatric decompensation, and this was supported. D. The client, caregivers, and medical staff concurred regarding his/her general psychiatric decompensation. E. The client denied psychiatric decompensation, despite being told that his/her poor performance on IADLs is an indication of psychiatric decompensation. 12. Refer to a Physician (12) A. The client was referred to a physician for an evaluation for a prescription of psychotropic medications. 