170 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER E. The client's partner provided feedback regarding the client's medication complia nce and medication efficacy, which was used to help monitor his/her use of medications. F. The client's partner refused to monitor the client's medication compliance and efficacy; this resistance was processed. 11. Coordinate Medication Agreement (1 1) A. An agreement was coordinated between the client and his/her partner about the responsibility for administration and monitoring of the client's medications, including the circumstances under which control of medications will be returned to the client. B. The client and his/her partner were reinforced for developing a helpful, supportive agreement to make certain that his/her medication is administered and monitored appropriately. C. As a result of the client's agreement regarding the responsibility for a dministration and monitoring of his/her medications, he/she has been more regular in his/her use of medications and has stabilized psychiatrically; reinforcement was given for this progress. D. Specific criteria (e. g., extended period of time in remission ) were developed to identify when the client should be able to regain control of administration of his/her medications. E. The client was reinforced for agreeing to specific plans for regaining control of his/her medications. F. The client has declined t o develop an agreement with his/her partner regarding the administration and monitoring of his/her medications, and additional redirection was given in this area. 12. Assign Reading Material for the Partner (1 2) A. The client's partner was assigned to re ad books on coping with a loved one who has a severe and persistent mental illness. B. The client's partner was referred to specific texts regarding coping with mental illness (e. g., When Someone You Love Has a Mental Illness by Woolis; Surviving Schizoph renia: A Manual for Families, Consumers, and Providers by Torrey; or Bipolar Puzzle Solution: A Mental Health Client's Perspective by Cort and Nelson). C. The client's partner has read books on coping with a loved one who has severe and persistent mental illness symptoms, and this information was reviewed and processed. D. The client's partner has not read books on coping with a loved one who has a mental illness and was redirected to review this information. 13. Teach the Partner Techniques for Managing the Client (13) A. The client's partner was taught specific techniques to help manage the client when he/she is agitated, psychotic, or manic (e. g., maintaining a calm demeanor, providing basic directives, giving redirection). B. The client's partner wa s supported for displaying an understanding of the specific techniques that were taught to help manage the client during agitation, psychosis, or mania. C. The client's partner was provided with reinforcement for regular use of management techniques when the client is agitated, psychotic, or manic. D. The client's partner has not used specific techniques to help manage the client when he/she is agitated, psychotic, or manic and was redirected to do so. 