278 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. The client was compliant with the substance abuse evaluation, and the results of the evaluation were discussed with him/her, resulting in admission to a substance abuse program. D. The client declined to participate in the substance abuse evaluation or treatment and wa s encouraged to do so. 42. Teach Coping Skills to Caregivers (42) A. Caregivers for the client were taught problem-solving and assertiveness skills, as well as respite care options to assist in meeting their own needs when they feel overly stressed by his/her psychosis. B. Caregivers for the client have appropriately used problem-solving and assertiveness skills, as well as respite care to help meet their own needs when they feel overly stressed by his/her psychosis and were encouraged for this as a posi tive way to care for him/her. C. Caregivers for the client have not used coping skills to help meet their own needs when they feel overly stressed by his/her psychosis and were redirected in this area. 43. Encourage Emotions Regarding Mental Illness (4 3) A. The client was encouraged to express his/her feelings related to the acceptance of his/her mental illness. B. The client was provided with positive support and empathy as he/she expressed his/her emotions related to his/her mental illness. C. As the client has expressed his/her feelings, he/she reports a greater acceptance of his/her mental illness, and this was processed. D. The client tends to deny and minimize his/her feelings related to the acceptance of his/her mental illness and was provided w ith additional feedback in this area. 44. Explain Psychosis ( 44) A. The client was provided with information related to the psychotic process, it's biochemical component, and its confusing effect on rational thought. B. The client's questions regarding his/her psychotic process were answered. C. As the client has gained a greater understanding of his/her psychotic process, he/she has been observed to be more at ease with his/her pattern of symptoms. D. The client failed to understand the nature of his/ her psychotic process and was provided with additional feedback in this area. 45. Refer to a Support Group ( 45) A. The client was referred to a support group for individuals with severe and persistent mental illness. B. The client has attended the suppo rt group for individuals with severe and persistent mental illness, 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 con tinue to attend. D. The client has not used the support group for individuals with severe and persistent mental illness and was redirected to do so. 