92 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The client identified specific reasons why he/she is hesitant to obtain employment (e. g., his/her loss of disability payments or fear of increased responsibility or expectations), and this was accepted as an important factor. C. The client's reasons for not wishing to obtain employment were evaluated, reviewed, and processed. D. The client has been unable to identify any reasons why he/she would not desire to gain employment and was challenged to pursue employment. E. As the client has worked through his/her reasons for not wishing to obtain or maintain employment, he/she was assisted in acknowledging his/her tendency to sabotage his/her employment. F. As the client has processed his/her reasons for not obtaining or maintaining employment, he/she has rejected them and is noted to have an increased commitment to ob taining and maintaining employment. 6. Identify Positive Reasons for Employment (6) A. The client was asked to identify positive reasons for obtaining or maintaining employment. B. The client was assisted in developing positive reasons for obtaining or maintaining employment C. As the client has developed his/her positive reasons for obtaining or maintaining employment, he/she has been provided with feedback and support. D. The client has struggled to identify positive reasons for obtaining or maintain ing employment and was given additional support in this area. 7. Arrange Psychiatric Evaluation ( 7) A. The client was referred to a physician for an evaluation for a prescription of psychotropic medications. B. The client has followed through on a refe rral to a physician and has been assessed for a prescription of psychotropic medications, but none were prescribed. C. The client has been prescribed psychotropic medications. D. The client declined evaluation by a physician for a prescription of psychot ropic medication and was redirected to do so. 8. Encourage Consistent Use of Medications ( 8) A. The client was encouraged to take his/her medications on a consistent basis. B. The client was provided with positive reinforcement for his/her regular use o f psychiatric medications. C. The client has been erratic with his/her use of psychiatric medications and was provided with feedback in this area. 9. Coordinate Privacy at Work Site ( 9) A. The availability of a secure, private area where the client can keep and take his/her medications was coordinated at his/her work site. B. The client's employer has provided a secure, private area where the client can store and take his/her medications, and the benefits of this accommodation were reviewed. C. The cli ent has been able to regularly take his/her medications in a secure, private area at his/her work site, and the benefits of this were reviewed within the session. 