242 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The level of contact with or support from the clinician during the outing was controlled by the client. C. The client was reinforced for successfully negotiating the social/recreational event with close contact from the clinician. D. The client was reinforced for successfully negotiating the social/recreational event with limited contact from the clinician. E. The client has declined any support from the clinician during social/recreational events and was reminded of the availability of this support. 41. Educate the Family about Symptoms of Mental Illness ( 41) A. The client's family, friends, and caregivers were educated about the s ymptoms of mental illness, with specific emphasis on the nonvolitional aspects of some symptoms. B. The client's family members were supported for their increased understanding about the symptoms of mental illness and the nonvolitional aspects of some sym ptoms. C. The client's family members, friends, and caregivers rejected the information regarding his/her symptoms of mental illness and the nonvolitional aspects of some symptoms, and they were given additional feedback in this area. 42. Teach Calm Resp onses to Paranoia ( 42) A. The client's family, friends, and caregivers were taught to give calm, assertive responses to paranoid behaviors. B. Modeling and role-playing techniques were used to teach to the client's family, friends, and caregivers how to give calm, assertive responses to his/her paranoid behaviors. C. The client's family, friends, and caregivers were cautioned against issuing challenges that are too vigorous for his/her delusional beliefs. D. The client's family, friends, and caregivers were given positive feedback regarding their calm, assertive responses to his/her paranoid behavior. E. The client's family, friends, and caregivers tend to react too strongly to his/her pattern of delusional beliefs, causing increased stress and conflict s within the relationship; this overreaction was processed. 43. Explore Stressors that Trigger Psychosis (4 3) A. The client was probed for recent stressors that may have triggered his/her most recent psychotic episode. B. The client was provided with emo tional support and feedback as he/she described the stressors that have contributed to his/her most recent psychotic episode. C. The client's feelings regarding his/her stressors were processed. D. The client maintained a pattern of denial and minimizati on regarding his/her stressors and psychosis and was provided with additional feedback in this area. 44. Teach Social Skills ( 44) A. The client was taught skills to help reduce his/her stress (e. g., using assertiveness, problem-solving, or other stress r eduction techniques). B. The client was referred for training to increase his/her social skills. C. The client was reinforced for displaying a better understanding of social skills and for using them to help decrease his/her stress level. 