144 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 5. Express Emotions (5) A. The client was encouraged to share his/her feelings regarding his/her pattern of homelessness (e. g., fear, sadness, loss). B. The client has shared his/her feelings and has been assisted in identifying causes for the emotions. C. Emotions such as frustration, discouragement, and embarrassment were acknowledged as natural emotions related to the client's experience of homelessness. D. The distorted cognitive messages that contribute to th e client's emotional response were identified and processed. E. The client was provided with support and understanding regarding his/her emotional concerns relative to his/her homeless situation. F. The client was supported as he/she presented with a sad affect and tearfulness when describing his/her feelings. G. The client described increased acceptance of his/her emotions regarding homelessness, and this was processed within the session. 6. Explore Fears Regarding Seeking a Permanent Residence (6) A. Possible fears associated with seeking a permanent residence were explored, including the fear of rejection, embarrassment, or failure. B. The client was provided with support and empathy as he/she described his/her fears related to seeking a permanent r esidence. C. The client tended to avoid and deny any expression of negative emotions related to seeking a permanent residence and was encouraged to share these when he/she is able to do so. 7. Provide Feedback Regarding Paranoia (7) A. The client was pr ovided with realistic feedback regarding his/her paranoia or other irrational delusions. B. The client accepted the more realistic feedback provided regarding his/her paranoia or other irrational delusions and was reinforced for becoming more reality focu sed. C. The client denied the realistic feedback provided regarding his/her paranoia or other irrational delusions and was encouraged to seek a reality check for his/her perceptions. 8. Encourage Maintaining Relationships When Becoming Independent ( 8) A. The client was encouraged to maintain important relationships at the homeless shelter when he/she moves to a more independent status. B. The client has moved into a more independent status and was encouraged to continue his/her important relationships a t the homeless shelter regardless of his/her more independent status. C. The client was reinforced for maintaining important relationships that have helped to ease the emotional stress of a more independent living situation. D. The client has not maintai ned important relationships at the homeless shelter, and this was reviewed. 9. Describe Barriers to Maintaining Housing ( 9) A. The client was asked to describe specific barriers to maintaining his/her housing. B. The client was provided with feedback re garding his/her specific barriers to maintaining his/her housing. 