100 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 5. Family Denial/Rejection (4) A. Family members have often demonstrated rejection toward the client due to his/her mental illness. B. The family members have often denied the client's diagnosis of mental illness. C. The client described family conflicts due to his/her family's difficulty accepting him/her and his/her diagnosis. D. The client reported that he/she has begun to feel more accepted by family members despite his/her mental illness concerns. E. The client described a consistent pattern of his/her family members accepting him/her despite his/her mental illness. 6. Lack of Prodromal Knowledge (5) A. Family members displayed a consistent pattern of ignorance about the client's chronic mental illness symptoms and indicators of decompensation. B. Family members have often been slow to assist the decompensating client due to their lack of knowledge about his/her chronic mental illness symptoms and indicators of decompensation. C. Family members have begun to learn about the client's mental illness sy mptoms and indicators of decompensation. D. Family members have been more supportive as they have learned about the client's pattern of symptoms and indicators of decompensation. 7. Lack of Treatment Knowledge (6) A. Family members displayed a poor unde rstanding of the treatment options available to the client. B. Family members have not accessed helpful treatment for the client due to their lack of knowledge or understanding of treatment options. C. Family members have inadvertently thwarted treatment due to their lack of understanding of the treatment options available to the client. D. As family members have become knowledgeable about treatment options, they have been more supportive of the client's treatment. 8. Embarrassment (7) A. Family member s described a feeling of embarrassment and a tendency to hide the client because of his/her erratic behaviors related to his/her severe mental illness symptoms. B. The client feels rejected when his/her family members display embarrassment and a tendency to hide him/her because of his/her mental illness symptoms. C. Family members have begun to support the client and accept his/her pattern of symptoms. D. The client reports that he/she feels more accepted and has experienced decreased family conflicts du e to his/her family members being more open about his/her symptoms and needs. 