250 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 21. Coordinate Child Care during Acute Phases (2 1) A. The assistance of the extended family was enlisted in order to provide supervision and parenting to the child during acute stages of the client's mental illness. B. The client was reassured and reinfo rced regarding the longer-term supervision of the child provided by members of the extended family. C. The client has not agreed to have the child supervised by extended family members during his/her acute stages of mental illness and was strongly encoura ged to do so. 22. Coordinate Respite Services (2 2) A. The client was directed to funding resources for obtaining respite services. B. Respite services were coordinated for the client in order to provide short-or long-term periods of relief from the add itional stress of parenting. C. The client was encouraged to use respite funds and services in order to obtain relief from the stress of parenting. D. The client was reinforced for his/her use of respite services in order to improve the overall relations hip with the child. E. The client has not used the respite services and was encouraged to do so. 23. Suggest One-to-One Time (2 3) A. The client was urged to set specific times to spend alone with each child. B. The client was encouraged to treat his/he r one-to-one time with each child as a priority while still being flexible enough to reschedule if his/her mental illness symptoms are more acute. C. The client's use of one-to-one time with his/her child was reviewed. D. The client was supported for usi ng good judgment in rescheduling one-to-one time when his/her mental illness symptoms were more acute. E. The client has not appropriately used one-to-one time with each child and was provided with feedback in this area. 24. Teach Relaxation Techniques ( 24) A. The client was taught deep muscle relaxation and deep breathing techniques as ways to reduce muscle tension. B. The Relaxation and Stress Reduction Workbook (Davis, Eshelman, and Mc Kay) was used to provide the client with examples of techniques to help himself/herself relax. C. The client was reinforced for implementing the relaxation techniques. D. The client has not implemented the relaxation techniques presented to him/her and continues to feel quite stressed; use of relaxation procedures was again encouraged. 25. Brainstorm Diversionary Activities ( 25) A. The client was assisted in brainstorming diversionary activities that can relieve parenting stress (e. g., going for a walk, calling a friend, or engaging in a hobby). B. The client identif ied a variety of diversionary activities that would appeal to him/her and was encouraged to use these. C. The client was provided with positive feedback as he/she has regularly used diversionary activities to relieve parenting stress. 