202 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The client's lack of knowledge regarding his/her medications has led to poor decisions about using them. C. As the client has gained more knowledge about his/her medications, their usefulness, and potential side effec ts, he/she has been more regular with his/her use of them. 6. Unwilling to Take Prescribed Medications (6) A. The client has indicated reluctance to take his/her prescribed medications. B. The client has made specific statements about his/her unwillingn ess to take prescribed medications. C. The client has refused any medications. D. As treatment has progressed, the client has become more willing to take his/her prescribed medications. E. The client is regularly taking his/her medications. 7. Alcohol/ Drug Use (7) A. The client has been consuming alcohol along with his/her psychotropic medications, which has negatively affected the usefulness of his/her medications. B. The client has been using illicit street drugs along with his/her psychotropic medi cations, which has altered the benefits of his/her medications. C. As the client's substance abuse has decreased, the benefits of his/her psychotropic medications have increased. D. The client is free from drugs and alcohol, which has helped his/her medi cations to be more beneficial. INTERVENTIONS IMPLEM ENTED 1. Request a List of Medications (1) * A. The client was asked to identify all of his/her currently prescribed medications, including names, times administered, and dosage. B. The client was provid ed with feedback regarding the accuracy of his/her list of medications. 2. Request a Description of Medication Compliance to Compare with Data (2) A. The client was requested to provide an honest, realistic description of his/her medication compliance. B. The client's description of his/her medication usage was compared with information from his/her medical chart, information from his/her personal physician/psychiatrist, and other objective data. C. An objective data review indicates a substantial patte rn of compliance. D. An objective data review indicates poor medication compliance. E. The client was praised for his/her realistic description of his/her medication compliance. F. The client reported complete medication compliance, and this description was accepted. * The numbers in parentheses correlate to the number of the Therapeutic Intervention statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planne r, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 