68 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER F. The client has not sought out recommended media and was redirected to do so. 28. Assign AA/NA Member Contact (28) A. The client was assigned to meet with an Alcoholics Anonymous/Narcotics Anonymous (AA/NA) member who has been working the 12-step program for several years to find out specifically how the program has helped him/her stay sober. B. The client has followed through on meeting with the AA/NA member and was encouraged about the role that AA/NA can play in maintaining sobriety. C. The client met with the AA/NA member but was not encouraged about the role of self-help groups in maintaining sobriety; his/her experience was processed. D. The client has not followed through on meeting with an AA/NA member and was redirected to do so. 29. Identify Sobriety Expectations (29) A. The client was requested to write out basic expectations that he/she has regarding sobriety. B. The client has identified specific expectations that he/she has regarding sobriety (e. g., physical changes, social changes, emotional needs), and these were processed with the clinician. C. As the client has been assisted in developing a more realistic expectation regarding his/her sobriety, he/she has felt more at ease and willing to work t oward sobriety. D. The client has not identified his/her expectations regarding sobriety and was redirected to do so. 30. Encourage Sobriety Despite Relapses (3 0) A. Although the client has relapsed, he/she was refocused on the need for substance abuse recovery and on the need for sobriety. B. As the client has received continued support for his/her recovery and sobriety despite his/her relapses, he/she has become more confident regarding his/her chances for success. C. The client lacks confidence in his/her ability to obtain recovery and sobriety due to his/her pattern of relapses; this pessimism was challenged and processed. 31. Plan for Extended Monitoring (3 1) A. Due to the chronic nature and high recidivism of mentally ill substance abusers, the client was advised about the need for an extended pattern of monitoring of his/her symptoms. B. The client was supported for endorsing the need for extended monitoring due to the chronic nature of his/her substance abuse and mental illness symptoms. C. The client struggled to endorse the need for extended monitoring of his/her symptoms and was provided with additional feedback and information in this area. 32. Assign Good-Bye Letter to Drug (32) A. The client was assigned to write a good-bye letter to h is/her drug of choice as a means of terminating his/her emotional and cognitive involvement with that drug. B. The client has followed through with writing the good-bye letter to his/her drug of choice, and the contents of it were processed. 