70 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. The client has beg un to make changes in his/her social and/or recreational activities and reports feeling good about this change; the benefits of this progress were reviewed. D. The client was very resistive to any changes in social and recreational activities that have previously been a strong part of his/her life, but was encouraged to begin with small changes in this area. 37. Evaluate Living Situation (37) A. The client's current living situation was reviewed as to whether it fosters a pattern of chemical dependence. B. The client was supported as he/she agreed that his/her current living situation does encourage continuing substance abuse. C. The client could not see any reason why his/her current living situation would have a negative effect on his/her chemical depe ndence recovery; he/she was provided with tentative examples in this area. 38. Encourage a Change in Living Situation (38) A. The client was encouraged to develop a plan to find a more positive living situation that will foster his/her chemical dependence recovery. B. The client was reinforced as he/she found a new living situation that is free from the negative influences that the current living situation brings to his/her chemical dependence recovery. C. The client is very resistive to moving from his/ her current living situation; he/she was assisted in processing this resistance. 39. Identify Sobriety's Positive Family Effects (39) A. The client was assisted in identifying the positive changes that will occur within family relationships as a result of his/her chemical dependence recovery. B. The client reported that his/her family is enjoying a reduction in stress and increased cooperation since his/her chemical dependence recovery began; his/her reaction to these changes was processed. C. The client was unable to identify any positive changes that have or could occur within family relationships as a result of his/her chemical dependence recovery and was provided with tentative examples in this area. 40. Reinforce Making Amends (40) A. The negative e ffects that the client's substance abuse has had on family, friends, and work relationships were identified. B. A plan for making amends to those who have been negatively affected by the client's substance abuse was developed. C. The client's implementat ion of his/her plan to make amends to those who have been hurt by his/her substance abuse was reviewed. D. The client reported feeling good about the fact that he/she has begun to make amends to others who have been hurt by his/her substance abuse; this p rogress was reinforced. 