312 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER E. The client's follow-up on the recommendations for his/her STD was reviewed. F. The client was reinfo rced for following up on the recommendations for treatment for STDs. G. The client has not complied with the request to be evaluated for STDs or treatment recommendations and was redirected to do so. 37. Refer to an HIV-Positive Support Group ( 37) A. The client has tested positive for HIV and was referred to an appropriate support group. B. The client has attended the support group for individuals who are HIV-positive, and the benefits of this support group were reviewed. C. The client reported that he /she has not experienced any positive benefit from the use of a support group but was encouraged to continue to attend. D. The client has not used the HIV-positive support group and was redirected to do so. 38. Review Motivations for Parenthood ( 38) A. The possible motivations for the client's interest in parenthood (e. g., a redefinition of his/her self-concept from “mentally ill individual” to “parent” or a greater desire to maintain his/her psychological health) were reviewed. B. The client's specific motivations for parenthood related to his/her mental illness were reviewed. C. The client denied any specific motivations related to parenthood and was redirected to review this area. 39. Focus on Parenthood Stressors ( 39) A. The client was focused on stressors that are related to parenthood (e. g., financial burdens, increased responsibilities) and how these may exacerbate his/her mental illness symptoms. B. The client displayed an adequate understanding of the stressors related to parenthood, and the effects of these stressors on his/her mental illness symptoms were processed. C. The client displayed a poor understanding of the stressors related to parenthood, or how these may exacerbate his/her mental illness symptoms, and was provided with additiona l feedback in this area. 40. Teach about Birth Control ( 40) A. The client was taught about the correct and effective use of condoms, birth control pills, and other contraceptives. B. The client was praised as he/she displayed an adequate understanding o f the use of contraceptives. C. The client was reinforced for his/her report of regularly using contraceptives. D. The client displayed a poor understanding of the use of contraceptives and was provided with remedial information in this area. 41. Refer for Long-Lasting Birth Control ( 41) A. The client was referred for birth control measures that are less likely to fail due to human error (i. e., Depo-Provera shots). B. The client was reinforced for following through on the procurement of longer-lasting birth control measures. 