156 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. Specific feedback was obtained fr om the client's family members, friends, and caregivers about his/her performance of IADLs. C. The client's support network's feedback about his/her performance of IADLs was reviewed with the client. D. The client displayed increased understanding of IAD L issues subsequent to reviewing feedback from the support network. E. The client rejected the IADL feedback provided by his/her support network and was urged to consider this important information. 4. Identify Needed IADLs ( 4) A. The client was assiste d in identifying those IADLs that are desired but are not present in his/her current repertoire. B. The client received feedback regarding his/her description of IADLs that he/she wishes to increase. C. The client was unable to identify specific IADLs th at he/she wishes to increase and was assisted in reviewing this area. 5. Refer for Psychological Testing ( 5) A. The client was referred for an assessment of cognitive abilities and deficits. B. The client underwent objective psychological testing to ass ess his/her cognitive strengths and weaknesses. C. The client cooperated with the psychological testing, and feedback about the results was given to him/her. D. The psychological testing confirmed the presence of specific cognitive abilities and deficits. E. The client has not complied with taking the psychological evaluation and was encouraged to participate completely. 6. Recommend Remediating Programs ( 6) A. The client was referred to remedial programs that are focused on removing deficits for perfo rming IADLs, including skill-building groups, token economies, and behavior-shaping programs. B. The client was assisted in remediating his/her deficits for performing IADLs through the use of skill-building groups, token economies, and behavior-shaping p rograms. C. As specific programs have assisted the client in removing deficits for performing IADLs, his/her activities of daily living (ADLs) have gradually increased. D. The client has not complied with the referral to skill-building groups and was aga in encouraged to do so. 7. Explore Social Anxiety ( 7) A. The client's experience of social anxiety related to increased independence and social contacts was explored. B. The client was provided with support and empathy as he/she described his/her experi ence of anxiety. C. The client denied any anxiety related to increased independence, and this was noted. 