272 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. As the crisis plan has been implemented, the client has been able to remain within the community as h e/she stabilizes from his/her period of psychosis. D. The client continues to decompensate and is not safe to maintain within the community, despite the use of the crisis plan, and arrangements for a more restrictive setting were initiated. 13. Coordinate Access to Professional Consultation ( 13) A. The client and his/her caregivers were told how to access round-the-clock professional consultation. B. The client was supported for using the 24-hour, professionally staffed crisis line to help decrease his/h er agitation and psychosis. C. The client's caregivers were reinforced for accessing professional consultation on an as-needed basis to help determine how best to cope with his/her difficult behaviors in this less restrictive setting. D. The client and h is/her caregivers have not used the available professional consultation and were encouraged to do so. 14. Provide Cues to Focus on Reality ( 14) A. The client was provided with visual and verbal cues to increase his/her focus on reality. B. The date, tim e, and place were written in a clearly visible area to help anchor the client in reality. C. Verbal interactions with the client focused on the here and now. 15. Use a Wristband ( 15) A. A wristband was placed on the client's arm with the date, place, an d his/her name written clearly. B. The client was reinforced for being more reality-focused with the use of the wristband. C. The client continues with illogical and unrealistic psychotic thoughts, despite implementing visual cues with the client (e. g., a wristband on the arm). 16. Focus on Concrete Events ( 16) A. Conversations with the client focused on real events in basic, concrete terms. B. As the client displayed his/her psychotic process, he/she was consistently refocused onto actual, current eve nts described in basic, concrete terms. C. As the client has been focused onto more concrete information, he/she has decreased his/her bizarre or irrational comments in favor of more reality-based thoughts. D. The client continues to experience psychotic process, despite others focusing on real events in basic, concrete terms. 17. Reinforce a Focus on Reality ( 17) A. The client was provided with positive reinforcement as he/she displayed an appropriate focus on reality. B. As the client became more rea lity-focused, he/she was gradually returned to a less restrictive environment and decreased supervision. C. The client has relapsed into more delusional thought and other psychotic processes, despite being reinforced for his/her appropriate focus on reali ty. 