 244 PARENTING CLIENT PRESENTATION 1. Symptoms Affect Interactions with the Child (1) * A. The client's severe and persistent mental illness symptoms often affect his/her interactions with his/her child. B. The client's child often appears to be confused by t he client's erratic behavior due to his/her severe and persistent mental illness symptoms. C. As treatment has progressed, the client's severe and persistent mental illness symptoms have improved. 2. Loss of Custody (2) A. The client's child is at risk of being removed from his/her custody due to safety concerns or his/her inability to care for the child. B. The client has lost custody of his/her child due to safety concerns or inability to care for the child. C. The client has decompensated due to the increased stress and emotional response related to losing custody of his/her child. D. The client has become more focused and more open to treatment subsequent to losing custody of his/her child. E. As the client has stabilized in treatment, he/she has pursued regaining custody of his/her child. 3. Lack of Interest (3) A. The client described a pattern of very limited or only superficial interest in the child's activities. B. The client displayed a pattern of limited interest in his/her child's activi ties. C. The client's severe and persistent mental illness has caused a decreased level of involvement in the child's activities. D. The client has taken steps to become more involved in his/her child's activities. 4. Difficulty Coping with Parenting (4 ) A. The client described a sense of being overwhelmed by the day-to-day stressors of parenting. B. The client reported a lack of coping skills for the day-to-day stressors of parenting. C. As the client's severe and persistent mental illness has stabil ized, he/she reports an increased ability to function with day-to-day stressors. 5. Disagreement with Significant Other (5) A. The client described a pattern of disagreement with his/her partner regarding child rearing practices. * The numbers in parentheses cor relate to the number of the Behavioral Definition statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 