HEALTH ISSUES 133 INTERVENTIONS IMPLEMENTED 1. Refer to a Physician (1) * A. The client was referred to a physician for a complete physical to evaluate his/her medical condition. B. The essential arrangements were made for the client to obtain necessary medical testing. C. The client followed through with a referral to a physician for a medical evaluation and was reinforced for obtaining proper health care. D. The client was supported for following through with the recommended medical testing, and the results were processed. E. The client has failed to follow through on the recommendation to obtain a medical evaluation and was redirected to do so. 2. Consult with a Physician ( 2) A. The client's physician has been contacted in order to review his/her orders with the client. B. The client was encouraged to follow the treatment orders as described by his/her physician during a consultation contact. C. The client signed a release of information allowing the clinician to obtain medical information from the physician for the purposes of treatment coordination and follow-through monitoring. 3. Provide Medical Information for Making Treatment Decisions (3) A. The client was provided with appropriate literature and references to material that would increase his/her understanding of his/he r medical condition. B. The client was encouraged to contact medical resources to obtain more information regarding his/her medical condition. C. The client was assisted in making decisions about his/her current medical treatment needs. D. Arrangements were made for the client to obtain the necessary medical services. E. The client was supported for obtaining appropriate medical treatment. F. The client has declined to seek further information regarding his/her medical condition, its treatment, and the prognosis and was redirected to do so. 4. Acknowledge Denial/Avoidance while Reinforcing Acceptance (4) A. The client's denial of the seriousness of his/her medical condition was acknowledged as a common emotional response. B. The client's denial of th e seriousness of his/her medical condition was confronted, and he/she was reinforced for showing any acceptance of the medical condition. C. The client accepted the confrontation regarding the seriousness of his/her medical condition and verbalized increa sed acceptance of the need for medical intervention. D. The client was reinforced for showing acceptance of the reality of his/her medical problems. E. The client was supported for his/her realistic statements regarding his/her medical condition. * The numbers in parentheses correlate to the number of the 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. 