282 THE SEVERE AND PERSISTEN T MENTAL ILLNESS PRO GRESS NOTES PLANNER B. The client was assisted in identifying recreational areas in which he/she has had little experience due to severe and persistent mental illness. C. The client receiv ed positive feedback as he/she identified areas in which he/she has experienced limited involvement. D. The client has failed to identify recreation areas in which he/she has had little experience and was redirected to review this area. 6. Refer to a Phy sician (6) A. The client was referred to a physician for an evaluation for a prescription of psychotropic medications. B. The client was reinforced for following through on a referral to a physician for an assessment for a prescription of psychotropic me dications, but none were prescribed. C. The client has been prescribed psychotropic medications. D. The client declined evaluation by a physician for a prescription of psychotropic medications and was redirected to cooperate with this referral. 7. Educa te about Psychotropic Medications ( 7) A. The client was taught about the indications for and the expected benefits of psychotropic medications. B. As the client's psychotropic medications were reviewed, he/she displayed an understanding about the indicat ions for and expected benefits of the medications. C. The client displayed a lack of understanding of the indications for and expected benefits of psychotropic medications and was provided with additional information and feedback regarding his/her medicat ions. 8. Monitor Medications ( 8) A. The client was monitored for compliance with his/her psychotropic medication regimen. B. The client was provided with positive feedback about his/her regular use of psychotropic medications. C. The possible side eff ects related to the client's medications were reviewed with the client. D. The client was monitored for the effectiveness and side effects of his/her prescribed medications. E. Concerns about the client's medication effectiveness and side effects were co mmunicated to the physician. F. Although the client was monitored for medication side effects, he/she reported no concerns in this area. 9. Acknowledge/Consult about Medication Effects ( 9) A. The manner in which the side effects of the medications may i nhibit the client's involvement in some recreational activities was acknowledged. B. The client endorsed examples in which his/her medications have inhibited his/her involvement in recreational activities (e. g., slowed reaction time, decreased motor dexte rity), and this was processed. C. The client's physician was consulted regarding the possible change in the client's medication regimen to decrease side effects that inhibit involvement in recreational activities. 