PARANOIA 237 16. Refer for Vision/Hearing Exams ( 16) A. The client was referred to an audiologi st for a clinical assessment of his/her hearing abilities. B. The client was referred to an ophthalmologist for a specific evaluation of his/her vision needs. C. Expert clinical review of the client's hearing and vision indicated deficits in these areas, as well as suggestions for remediation. D. No concerns were identified through the expert clinical evaluations of hearing and vision. 17. Support/Monitor Physical Evaluation Recommendations ( 17) A. The client was supported in following up on the recomm endations from the medical evaluation. B. The client's follow-up on the recommendations from the medical evaluation has been monitored. C. The client was reinforced for following up on the recommendations from the medical evaluation. D. The client has n ot regularly followed up on his/her medical evaluation recommendations and was redirected to do so. 18. Refer for Psychological Evaluation ( 18) A. The client was referred for a complete psychological evaluation in order to rule out cognitive disorders (e. g., dementia) as a cause for the paranoia. B. The client has completed his/her psychological evaluation, and the results of this evaluation were processed. C. The client has not submitted to a psychological evaluation and was redirected to do so. 19. Evaluate Substance Abuse ( 19) A. The client was evaluated for his/her use of substances, the severity of his/her substance abuse, and treatment needs/options. B. The client was referred to a clinician knowledgeable in both substance abuse and severe and persistent mental illness treatment in order to assess his/her substance abuse concerns and treatment needs. C. The client was compliant with the substance abuse evaluation, and the results of the evaluation were discussed with him/her. D. The client did not participate in the substance abuse evaluation and was encouraged to do so. 20. Refer for Substance Abuse Treatment ( 20) A. The client was referred to a 12-step recovery program (e. g., Alcoholics Anonymous or Narcotics Anonymous). B. The client was r eferred to a substance abuse treatment program. C. The client has been admitted to a substance abuse treatment program and was supported for this follow-through. D. The client has refused the referral to a substance abuse treatment program, and this refu sal was processed. 21. Identify Delusions as Symptoms ( 21) A. The client was gently informed that his/her delusional, persecutory beliefs are based in a mental illness and not in reality. 