280 THE SEVERE AND PERSISTEN T MENTAL ILLNESS PRO GRESS NOTES PLANNER 6. Symptoms Disrupt Recreational Act ivities (5) A. The client described that his/her mental illness symptoms often disrupt involvement in recreational activity. B. The client's poor reality orientation makes it difficult for him/her to appropriately interact with others in recreational act ivities. C. The client finds it difficult to maintain recreational interest due to his/her widely varying moods. D. As the client has stabilized his/her mental illness symptoms, he/she has become more capable of involvement in recreational activities. 7. Discrimination (6) A. The client described a pattern of discrimination due to his/her mental illness symptoms, which prohibits involvement in community activities. B. The client has often been barred from involvement in community activities due to his/ her bizarre behavior or other symptoms of his/her mental illness. C. The client is often discouraged from involvement in community activities by those who have organized the activities. D. As advocacy has been provided for and by the client, discriminati on regarding his/her involvement in community activities has declined. 8. Negative Medication Effects (7) A. The client reports decreased coordination due to his/her medications, which decreases his/her ability to be involved in some recreational activit ies (e. g., sports). B. The client's medications are known to have negative side effects, which will decrease his/her ability to perform in some recreational activities. C. The client has replaced those activities that are affected by his/her medication w ith other activities not affected by the medication. 9. Lack of Invitations (8) A. The client described that he/she is rarely invited to recreational activities due to limited social contact. B. The client has rarely been invited to recreational activit ies due to his/her poor social skills. C. The client rarely reciprocates invitations to recreational activities. D. As the client has learned increased social skills and stabilized his/her mental illness symptoms, he/she reports increased social contacts. 10. Lack of Funds (9) A. The client described that he/she is often unable to pay for recreational activities. B. The client is often unable to obtain transportation to recreational activities. C. As the client's severe and persistent mental illness s ymptoms have stabilized, he/she reports increased ability to procure funds for transportation and involvement in recreational activities. 