PSYCHOSIS 277 D. The client was taught lifestyle management considerations that may help to decrease his/her level of stress. E. The client has implemented many stress management techniques, and t he benefits of these techniques were reviewed and reinforced. F. The client has not utilized many stress management techniques and was redirected to do so. 37. Refer to an Activity Therapist (3 7) A. The client was referred to an activity therapist for re commendations regarding physical fitness activities that are available to help reduce his/her stress level. B. The client was referred to community physical fitness resources (e. g., health clubs and other recreational programs). C. The client has been ac tively participating in community physical fitness programs and was reinforced for this. D. The client has declined involvement in community physical fitness programs and was redirected to do so. 38. Identify Decompensation (3 8) A. The client was assist ed in identifying symptoms that indicate that he/she is decompensating. B. The client identified several symptoms of his/her decompensation, and these were reviewed. C. The client has failed to identify symptoms of his/her decompensation and was provided with additional feedback in this area. 39. Train Support Network about Decompensation Indicators ( 39) A. The client's support network was trained about the indicators of decompensation. B. The client's support network was focused on when to take approp riate action to get professional services for him/her. C. The client's support network has displayed an understanding of his/her decompensation indicators and the appropriate time to obtain professional services for him/her and was encouraged to use this information. D. Members of the client's support network have displayed a poor understanding of decompensation and when to obtain professional services for him/her and were provided with additional feedback in this area. 40. Encourage Discontinuation of S ubstance Use (4 0) A. The client was encouraged to decrease or to discontinue his/her substance use, including drugs, alcohol, nicotine, and caffeine. B. The client was reinforced for decreasing his/her substance use. C. The client was reinforced for dis continuing his/her substance use. D. The client continues to use a variety of substances and was refocused on the need to discontinue his/her substance use. 41. Refer for Substance Abuse Treatment (4 1) A. The client was evaluated regarding his/her use o f substances, the severity of his/her substance abuse, and treatment needs/options. B. The client was referred to a substance abuse program knowledgeable in the treatment of both substance abuse and severe and persistent mental illness. 