208 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 25. Encourage a Consis tent Place and Time for Taking Medications ( 25) A. The client was encouraged to take his/her medications at a specific, consistent place and time every day. B. The client was encouraged for his/her use of a specific, consistent place and time for taking his/her medications. C. The client continues to take his/her medications on a sporadic basis and was provided with additional encouragement to be more consistent. 26. Arrange Prescription Distribution in a Compartmentalized Medication Box ( 26) A. Arrange ments were made for the client's prescriptions to be distributed in a multidose, compartmentalized daily medication box. B. The client was monitored for his/her accurate usage of the compartmentalized daily medication box. C. The client was reinforced fo r the appropriate use of the compartmentalized daily medication box. D. The client has failed to properly take his/her medications, despite the use of a compartmentalized daily medication box, and this was reflected to him/her. 27. Monitor Expected Use o f Medications ( 27) A. The number of pills left in the client's prescription of psychotropic medications was counted and compared with the expected amount that should remain. B. Discrepancies within the expected and actual amounts of the medications remai ning were reviewed with the client and medical staff. C. The client's remaining medications correspond with the amount expected to remain, and this was reviewed with him/her. 28. Coordinate All Prescriptions from One Pharmacy ( 28) A. Arrangements were m ade to transfer all of the client's prescriptions, including nonpsychiatric medications, to one pharmacy. B. The client's variety of prescribing clinicians were requested to use the same pharmacy for all of his/her prescriptions. C. The client described that he/she finds it easier to obtain all of his/her medications from the same pharmacy, and the benefits of this simplified process were reviewed. 29. Coordinate Family/Couple's Therapy (29) A. Conjoint sessions with the client's significant other and o ther family members were coordinated to promote an understanding of his/her illness and the impact of the illness on his/her and the family's needs. B. The client's family members were supported for participating in the conjoint sessions and increasing th eir understanding of his/her illness and the impact on his/her and the family's needs. C. The client reported an increased understanding from his/her significant other or family members subsequent to conjoint sessions and was urged to allow family members to assist him/her in his/her medication management. D. The client, his/her significant other, and other family members have not regularly participated in conjoint sessions and were redirected to do so. 