16 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 10. Suicidal Ideation (10) A. The client reported experiencing recent suicidal ideation but denied having any s pecific plan to implement suicidal urges. B. The client reported ongoing suicidal ideation and has developed a specific plan for suicide. C. The frequency and intensity of the client's suicidal urges have diminished. D. The client was admitted to a psyc hiatric facility because he/she had a specific suicide plan and strong suicidal urges. E. The client stated that he/she has not experienced any recent suicidal ideation. 11. Abuse Vulnerability (11) A. The client displayed increased vulnerability to sex ual, physical, and psychological abuse due to his/her age-related limitations. B. The client reported an increased exposure to sexual, physical, or psychological abuse. C. The client's vulnerability to abuse has declined as he/she has developed better co ping mechanisms. D. The client reported feeling safer regarding the potential of being subjected to sexual, physical, or psychological abuse. 12. Anger Outbursts (12) A. The client has displayed anger outbursts due to his/her frustration over age-relate d declining abilities. B. The client often vents his/her anger in an inappropriate manner when he/she experiences the effects of his/her aging. C. As treatment has progressed, the client has developed better frustration coping mechanisms and has decrease d his/her pattern of anger outbursts. D. The client does not often display anger outbursts. INTERVENTIONS IMPLEM ENTED 1. Identify Aging Issues and Fears (1) * A. The client was requested to identify negative situations that have occurred due to aging iss ues. B. The client was requested to list fears about concerns related to aging issues. C. Empathic listening was used as the client discussed his/her fears about concerns related to aging issues. D. The client received support and encouragement as he/sh e identified some of the concerns that have occurred due to his/her advancing age. E. The client did not clearly identify concerns or fears related to aging issues and was redirected to review these areas. 2. Provide Aging Information (2) A. The client was provided with general information regarding the aging process. * The numbers in parentheses correlate to the number of t he Therapeutic Intervention 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. 