66 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 18. Gather Drug/Alcohol History (18) A. The client was asked to describe his/her substance abuse in terms of the amount a nd pattern of use, symptoms of abuse, and negative life consequences that have resulted from chemical dependence. B. The client was reinforced for openly discussing his/her substance abuse history and giving complete data regarding its nature and extent. C. The client was confronted for minimizing his/her substance abuse and not giving reliable data regarding the nature and extent of his/her chemical dependence problem. 19. Gather Drug/Alcohol Abuse Information from Support Network (19) A. Family member s, peers, and other treatment staff were requested to provide additional information regarding the client's substance use history. B. Family members have not given reliable data regarding the nature and extent of the client's chemical dependence problems and were confronted on minimizing the client's substance abuse. 20. Administer Objective Test of Drug/Alcohol Abuse (20) A. The Alcohol Severity Index was administered to the client. B. The Michigan Alcohol Screening Test (MAST) was administered to the client. C. The results of the objective test of drug/alcohol abuse, which indicated a significant substance abuse problem, were processed with the client. D. The results of the objective test of drug/alcohol abuse indicated that the client's problem with chemical dependence is relatively minor, and this was shared with the client. 21. Refer to a Physician (21) A. The client was referred to a physician/psychiatrist who is familiar with both mental illness and chemical dependence issues for an evaluation f or a prescription of psychotropic medications. B. The client was reinforced for following through on a referral to a physician for an assessment for a prescription of psychotropic medications, but none were prescribed. C. The client has been prescribed p sychotropic medications. D. The client declined evaluation by a physician for a prescription of psychotropic medication and was redirected to cooperate with this referral. 22. Monitor Medications (22) A. The client was monitored for compliance with his/ her psychotropic medication regimen. B. The client was provided with positive feedback about his/her regular use of psychotropic medications. C. The client was monitored for the effectiveness and side effects of his/her prescribed medications. D. Concer ns about the client's medication effectiveness and side effects were communicated to the physician. E. Although the client was monitored for medication side effects, he/she reported no concerns in this area. 