288 THE SEVERE AND PERSISTEN T MENTAL ILLNESS PRO GRESS NOTES PLANNER C. The client continues to feel uncomfortable, despite the use of family members and peers to accompany the client to recreational activities, and was prov ided with additional support in this area. 32. Refer for a Complete Physical ( 32) A. The client was referred to a physician for a complete physical examination to determine his/her ability to participate in physical activities. B. The client has complet ed the physical examination, and the physician has identified that he/she is able to participate in physical activities. C. The client has completed the physical examination, and specific limitations were identified regarding his/her ability to participat e in physical activities, and these were reviewed with him/her. D. The client has not submitted himself/herself for the physical examination and was redirected to do so. 33. Coordinate Exercising with Others ( 33) A. The client's physical exercise involv ement with others who have similar interests was coordinated. B. The client was assisted in locating and attending physical exercise with other individuals with severe and persistent mental illness. C. The client was assisted in locating and attending ph ysical exercise with the nondisabled population. D. The client was reinforced for increasing his/her physical exercise involvement with others. E. The client does not take advantage of physical exercise involvement with others and was redirected in this area. 34. Advise Nondisabled Peers on Coping with Mental Illness (34) A. An appropriate authorization to release confidential information was obtained in order to meet with the client's nondisabled peers. B. The client's nondisabled peers were provided with information about how best to cope with their friend's severe and persistent mental illness symptoms. C. The client's involvement in social relationships has increased as his/her nondisabled peers have developed better coping skills for his/her sever e and persistent mental illness symptoms. 35. Review Social Experiences Regularly (35) A. The client's successes and difficulties in social settings were reviewed. B. The client identified a variety of successes and difficulties in social settings and w as provided with support and feedback in this area. C. A specific time to reassess these concerns was identified with the client. 36. Teach Relaxation Techniques ( 36) A. The client was taught deep muscle relaxation and deep breathing techniques as ways to reduce muscle tension when feelings of stress are experienced. B. The Relaxation and Stress Reduction Workbook (Davis, Eshelman, and Mc Kay) was used to provide the client with examples of techniques to help himself/herself relax. 