140 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The client was provided with information specific to his/her gender, sexual orientation, and mental illness pattern to help shape his/her perspective of his/her own HIV risk. C. The client was reinfor ced for displaying an understanding of the risk of HIV and other STDs. D. The client has not displayed an understanding of his/her HIV/STD risk and was provided with additional information in this area. 33. Obtain Condoms or Clean Needles ( 33) A. The cl ient was referred to programs that will supply free condoms and/or needles to help reduce the risk of HIV infection and other STDs. B. The client has reduced his/her risk for HIV and other health concerns through the use of condoms and clean needles, and this was reviewed with him/her. C. The client continues to be at high risk for HIV and other health concerns due to his/her health behaviors and was strongly redirected to take precautions. 34. Use Peer Education ( 34) A. The client was assisted through a peer education model in learning more about HIV and other STD concerns. B. The client was reinforced for an increased understanding of STDs through the use of the peer education model. C. The client has begun to educate others using the peer education model regarding HIV and other STDs and was supported for this. D. The client refused involvement in the peer education model and was urged to seek out involvement in this area. 35. Include Partner in STD Education (35) A. The client's partner was includ ed in education about HIV and other STDs. B. With proper authorization to release confidential information, the client and his/her partner were assisted in discussing HIV and other STD issues. C. The client's partner has declined any involvement in discu ssion about HIV or other STDs and was reminded of this option. 36. Observe and Support Caregivers ( 36) A. The client's caregivers were observed for signs of frustration that may reduce their ability to interact effectively with him/her. B. The client's caregivers were provided with opportunities to express their feelings of frustration relative to providing care for him/her. C. As the client's caregivers have been assisted in venting their frustrations with providing care for the severely and persistent ly mentally ill client, his/her care has improved. D. The client's caregivers were confronted if they became demeaning toward him/her while venting. E. The client's caregivers denied any pattern of frustration or difficulty in providing care for him/her and were invited to access the clinical support should they feel more stressed by his/her pattern of symptoms. 