 153 INDEPENDENT ACTIVITI ES OF DAILY LIVING ( IADL) CLIENT PRESENTATION 1. Lack of Access to IADLs (1) * A. The client has had limited access to IADLs (e. g., transportation, banking, shopping, or use of community services). B. The client has often been barred from using IADLs due to his/her mental illness. C. The client has begun to access IADLs. D. The client displays an increased pattern of independence through engaging in IADLs. 2. Lack of Experience with IADLs (1) A. The client described a pattern of in experience with IADLs (e. g., transportation, banking, shopping, or use of community services). B. The client has often relied on others for IADLs. C. The client reports increased experience with IADLs. D. The client displays more independence as he/she gains experience with IADLs. 3. Poor Functioning on IADLs (1) A. The client described poor functioning on IADLs, despite his/her regular access to and experience with areas such as transportation, banking, shopping, or use of community services. B. As t he client's severe and persistent mental illness symptoms have stabilized, he/she has improved his/her functioning relative to IADLs. C. The client regularly takes care of his/her own IADLs in a functional manner. 4. Anxiety Regarding Increasing IADLs (2 ) A. The client described feelings of anxiety regarding becoming more independent. B. The client reported feelings of uncertainty and fear regarding specific areas of IADLs. C. The client is avoidant of areas in which he/she could increase his/her IADLs. D. The client has become more confident regarding performing his/her IADLs. 5. Lack of Community Resource Knowledge (3) A. The client has limited information regarding available community resources. B. The client often fails to use community resource s due to his/her ignorance in this area. C. As the client has gained increased knowledge of community resources, he/she has increased his/her independence. 6. Poor Emergency Response (4) A. The client has failed to respond appropriately in emergency sit uations. * The numbers in parenthe ses correlate to the number of the Behavioral Definition statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 