AGING 21 D. Contact was made with the family, community resources, and s taff to assist them in developing support treatment for the client's ADLs and IADLs. 19. Review Hearing and Vision Needs (19) A. An increase in the client's auditory and visual hallucinations was noted, not accompanied by other severe and persistent ment al illness symptoms, which triggered a review of his/her hearing and vision needs. B. The client reported difficulties relating to hearing and vision, and exams in these areas were coordinated. C. Upon inquiry, the client denied any pattern of hearing or vision concerns. 20. Refer for Vision/Hearing Exams (20) A. The client was referred to an audiologist for a clinical assessment of his/her hearing abilities. B. The client was referred to an ophthalmologist for a specific evaluation of his/her vision n eeds. C. Expert clinical review of the client's hearing and vision indicated deficits in these areas, as well as suggestions for remediation. D. No concerns were identified through the expert clinical evaluations of hearing and vision. 21. Refer to Supe rvised Residence (21) A. The client was referred to an appropriate supervised residential care center. B. The client agreed with the referral to a supervised residential care center. C. The client has been accepted at a supervised residential care cente r. D. The client has refused to accept a referral to an appropriate residential care center and was given additional encouragement to do so. 22. Advocate with Housing Programs (22) A. Advocacy was performed with age-appropriate housing programs to assis t the housing program in accepting the client and to provide needed adaptations for him/her. B. Training was provided to the housing program staff to assist them in adapting to the client's needs. C. Housing staff were trained about the client's symptoms, prodromals, and treatment techniques used for him/her. D. Housing staff displayed an increased understanding and comfort level with the client after receiving training. E. Despite advocacy, the housing program has been reluctant to accept the client. 23. Differentiate Hospitalization and Age-Appropriate Residence (23) A. The client's history of institutionalization was reviewed with him/her. B. The client was taught the difference between his/her previous psychiatric hospitalizations and a relatively restrictive residential placement due to aging concerns. C. The client's hard-won independence from restrictive psychiatric settings was acknowledged, and the restrictive residence due to aging was differentiated from the restrictive psychiatric setting. D. The client displayed understanding and acceptance of the more restrictive residential placement due to aging concerns. 