22 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER E. The client continues to balk at the suggestion of a more restrictive residential placement due to aging concerns and was redirect ed in this area. 24. Empathize Regarding Losses (24) A. The client's history of significant losses due to death, geographical move, aging, or physical/mental disability was reviewed. B. The client was provided with support and empathy as he/she expresse d feelings regarding his/her history of losses. C. The client was reluctant to express his/her emotions regarding his/her pattern of loss but was encouraged to do so. 25. Educate about Grief and Mental Illness (25) A. The client was educated about the t ypical pattern of grief. B. The client was educated about how the grief process may impact his/her severe and persistent mental illness symptoms. C. The client failed to understand the effect of the grief process on his/her severe and persistent mental i llness symptoms, and this information was reviewed again. 26. Refer for Individual/Group Therapy (26) A. The client was referred for individual therapy to work through the grief associated with his/her losses. B. The client has followed through on parti cipating in individual therapy focused on grief and was provided with reinforcement for this. C. The client was referred to a support group for grief and loss issues. D. The client was referred to a support group for chronic mental illness concerns. E. The client has become involved in a support group and reports that this is helpful. F. The client has not followed through on the referral to therapy and was encouraged to do so. 27. Develop Social Skills (27) A. The client was assisted in developing s ocial skills. B. The client was provided with positive support as he/she displayed increased social skills. C. The client has struggled to develop social skills and was provided with additional feedback in this area. 28. Coordinate Social Activities (28 ) A. The client was linked to age-appropriate social activities. B. The client has become more involved in age-appropriate social activities and was given positive reinforcement for these choices. C. The client has refused involvement in age-appropriate social activities and was redirected to investigate available options. 29. Refer to a Recreational Therapist (29) A. The client was referred to a recreational therapist for an evaluation of recreational abilities, needs, and opportunities. 