GRIEF AND LOSS 129 D. The client has not followed through on development of a grieving ritual and was encouraged to do so. 29. Develop a Meaningful Release (29) A. The client was assisted in developing and safely carryi ng out a meaningful ritual for letting go of the loss. B. The client was provided with specific examples of meaningful personal rituals for letting go of the loss (e. g., tying a journal entry, letter, or picture to a helium balloon and letting it go). C. The client has selected his/her own personalized, meaningful ritual for letting go of the loss and was assisted in completing this. D. The client has not developed his/her own meaningful ritual for letting go of the loss and was provided with additional encouragement in this area. 30. Develop Meaningful Activities (30) A. The client was assisted in developing meaningful activities that assist in resolving grief issues (e. g., volunteering to help in a support group that focuses on his/her loss issue). B. The client has identified his/her own meaningful activities to assist in resolving grief issues and was assisted in implementing these activities. C. The client's experience of involvement in meaningful activities to assist in resolving grief issues was processed. D. The client has not instituted the use of meaningful activities to assist in resolving grief issues and was redirected to do so. 31. Encourage Increased Activities (31) A. The client was encouraged to increase his/her involvement in social activities, hobbies, or volunteer placements. B. The client's increased involvement in social activities, hobbies, or volunteer placements was coordinated. C. As the client has increased his/her involvement in social activities, hobbies, or volunteer placements, he/she has reported increased emotional stability, and this progress was processed. D. The client has not become more involved in social activities, hobbies, or volunteer placements and was encouraged to do so. 32. Explore or Refer Spiritual Iss ues (3 2) A. The client's spiritual struggles were explored. B. The client was referred to an appropriate clergy person to allow for further discussion of the client's spiritual struggles. C. The client was reinforced for resolving his/her spiritual stru ggles and demonstrating an increased pattern of functioning. D. The client has not focused on his/her spiritual struggles and was redirected to do so. 33. Suggest Faith Readings (3 3) A. The client was urged to read spiritual material suitable to his/her faith. B. The client was urged to read How Could It Be All Right When Everything Is All Wrong? by Smedes. C. The client was urged to read When Bad Things Happen to Good People by Kushner. 