292 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLANNE R C. As the client has become more involved in determining and meeting his/ her own needs, he/she has had increased experience in problem solving and decision making. D. The client displays an increased ability regarding solving problems and making decisions. 11. Choice Limited by Treatment Agency Structure (9) A. The agency pr oviding treatment to the client has limited his/her choice of services. B. The agency providing treatment to the client has limited his/her choice regarding which provider provides services to him/her. C. Agency structure tends to limit the client's choi ces. D. As the client has been allowed to have greater choice regarding his/her services and providers, he/she has been more motivated in treatment. 12. Limited Knowledge Regarding Self-Determination (10) A. The client, family, caregivers, and clinical staff lack knowledge or training in the concepts of self-determination. B. As the client, family, caregivers, and clinical staff have gained knowledge in the concepts of self-determination, the client has been given more responsibility for his/her own nee ds and choices. C. As the client, family, caregivers, and clinical staff have used self-determination techniques, the client has experienced increased functioning. INTERVENTIONS IMPLEM ENTED 1. Assess Understanding of Self-Determination (1) * A. The clien t's understanding of the concept of self-determination or person-centered planning was assessed. B. The client displayed a partial understanding of the concept of self-determination and person-centered planning and was provided with additional information in this area. C. The client was reinforced for displaying a complete understanding of the concepts related to self-determination and person-centered planning. D. The client described very little understanding of the concepts of self-determination or per son-centered planning and was provided with remedial information in this area. 2. Identify Examples of Self-Determination (2) A. The client was assisted in identifying examples of self-determination in his/her own life, as well as in the lives of others. B. The client's caregivers were assisted in identifying examples of self-determination in their own lives, as well as in the lives of others. C. Personal examples of how the clinician experiences self-determination were provided. D. Additional informat ion was provided in areas in which the client and caregivers have limited knowledge or experiences regarding self-determination. * The numbers in parentheses correlate to the number of the Therapeutic In tervention 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. 