164 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 38. Role-Play Asking for Assistance ( 38) A. Role-playing was used to help the client practice how to approach strangers for basic assistance (e. g., asking for directions). B. Feedback was provided to the client about his/her approach, personal hygiene, and dress, plus how appearance and manner affect a stranger's comfort level. C. The client displayed an understanding of the issues related to asking others for assistance and was praised for this insight. D. The client displayed poor understanding of how his/her appearance and manner affect others' comfort level and was provided with additional feedback in this area. 39. Develop a Written Plan for Decompensation (39) A. The client was assisted in developing a written plan for use when he/she is at risk of decompensation. B. The client's written plan regarding decompensation includes telephone numbers of resources and how to obtain clinical assistance, and this was noted to be a rather comprehensive plan. C. The client was praised for the development of his/her written plan for resources and assistance when he/she is at risk for decompensation. D. The client was reinforced for his/her use of his/her plan when he/she fee ls to be at risk of decompensation. E. The client has not used his/her written plan for early responding to decompensation and was reminded of how and when to use this resource. 40. Refer to an Activity Therapist ( 40) A. The client was referred to an ac tivity therapist for recommendations regarding physical fitness activities that are available in the community. B. The client was referred to community physical fitness resources (e. g., health clubs and other recreational programs). C. The client has bee n actively 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. 41. Assist in Identifying and Learning about Recreatio nal Activities ( 41) A. The client was assisted in identifying a variety of recreational activities in which he/she might be interested in participating. B. The client was provided with educational material regarding his/her chosen activities. C. The cli ent displayed an increased understanding regarding how to access chosen activities as a result of reviewing the information provided to him/her. D. The client has been reluctant to identify or learn about recreational activities and was redirected to do s o. 42. Shadow at Recreational Activities ( 42) A. As the client attended his/her chosen recreational activities, he/she was shadowed in order to provide support and direction. B. To decrease stigma and increase independent functioning, the client was all owed to determine how closely the clinician was involved as he/she was shadowed at his/her selected activity. 