80 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 7. Administer Psychological Tests for Depression (7) A. Psychological testing was arranged to objectively assess the client's depression and suicide risk. B. The Beck Depression Inventory —2 was used to assess the client's depression and suicide risk. C. The Beck Hopelessness Scale was used to assess the client's depression and suicide risk. D. The results of the testing indicated severe concerns related to the client's depression and suicide risk, and this was reflected to the client. E. The results of the testing indicated moderate concerns related to the client's depression and suicide risk, and this was reflected to the client. F. The results of the testing indicated mild concerns rela ted to the client's depression and suicide risk, and this was reflected to the client. 8. Review Use of Stimulants and Depressants (8) A. The client's acknowledged use of stimulants (e. g., nicotine, caffeine, street drugs) was reviewed. B. The client's acknowledged use of depressants (e. g., barbiturates, alcohol) was reviewed. C. The client was provided with feedback about his/her use of stimulants and depressants and the relationship to his/her symptoms. D. The client denied any use of stimulants or d epressants and was warned about the effect of such mood-altering substances on his/her pattern of symptoms. 9. Evaluate Substance Abuse ( 9) A. The client was evaluated for his/her use of substances, the severity of his/her substance abuse, and treatment needs/options. B. The client was referred to a clinician knowledgeable in both substance abuse and severe and persistent mental illness treatment in order to assess accurately his/her substance abuse concerns and treatment needs. C. The client was compli ant with the substance abuse evaluation, and the results of the evaluation were discussed with him/her. D. The client did not participate in the substance abuse evaluation and was encouraged to do so. 10. Review Sleep Hygiene ( 10) A. Basic steps to sleep hygiene (e. g., decreasing stimulants in the evening; having a quiet, comfortable place to sleep; spending time winding down) were reviewed. B. The client's sleep hygiene pattern was reviewed, and he/she was reinforced for positive use of sleep induction techniques. C. As the client has developed more structure to his/her sleep hygiene pattern, he/she has experienced a better pattern of sleep, and this was reviewed. D. The client has not used the sleep hygiene techniques, continues to have poor sleep, an d was given additional feedback in this area. E. Behavior strategies to reinforce a structured sleep routine were introduced. 11. Refer for Sleep Study (11) A. The client was referred to a sleep disorder specialist for an evaluation of his/her sleeping patterns. 