296 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLANNE R C. The client was reinforced for participating in a wide range of possible activities, and developing self-determination skills. D. The client continues to be quite limited in his/her involvement in community activities and was provided with additional assistance in this area. 18. Arrange Brainstorming and Commitment to Goals ( 18) A. The significant people in the client's life were encouraged to brainstorm regarding creative options to expand his/her personal choices. B. The significant people in the client's life were asked to commit to assist him/her in attaining the identified goals. C. As a result of brainstorming, a variety of creative options was id entified and processed. D. As a result of the assistance given by the significant people in the client's life, he/she has increased his/her involvement in chosen activities. E. Very few creative options were identified for helping the client attain his/h er identified goals, and the significant people in his/her life were encouraged to think more creatively. 19. Assess the Potential for Adverse Choices ( 19) A. The client's potential for making adverse choices was assessed. B. The risk of the client's ch oices was determined by talking with the client, his/her family, and professionals, as well as by direct observation. C. Those choices that have a low potential for resulting in physical and/or mental harm were identified and processed with the client. D. Those choices that have a high potential for resulting in physical and/or mental harm were identified and processed with the client. 20. Weigh Risks against Rights (2 0) A. The risk-of-harm level regarding the client's choices was weighed against his/he r right to make his/her own choices. B. A variety of factors was used to help weigh risks versus rights (e. g., the likelihood of short- or long-term harm, physical or psychological harm, direct or indirect harm, and predictable or unpredictable harm to th e client or others). C. The weight of the risk of harm versus the client's right to make his/her own choices was used to determine the degree of freedom of choice that is best suited for the client. D. The client was urged to identify his/her desired lev el of freedom of choice when factoring in his/her risk of harm and right to make own choices. E. Total independence with unrestricted choice was identified as a healthy option for the client. F. Limited independence with restricted options available from which to choose was identified as the best level of freedom for the client. 21. Remind about Service Choice (2 1) A. The client was reminded that he/she has a choice about the services to be provided, who provides them, and where he/she receives these se rvices. B. The client's guardian was reminded about the choice of services provided, who provides these services, and where the client receives the services. C. The client's choice of services, service providers, and locations was processed. 