276 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER E. The client was reinforced for his/her use of coping and compensation strategies. F. The client has not used the coping and compensation strategie s and was redirected to do so. 32. Teach/Refer for Communication and Social Skills (3 2) A. The client was referred for an assertiveness-training group that will educate and facilitate assertiveness skills and other adaptive communication techniques. B. Role-playing, modeling, and behavioral rehearsal were used to train the client in assertiveness skills, communication, and social skills. C. The client has demonstrated a clearer understanding of important social skills and was provided with positive feedb ack in this area. D. The client could not demonstrate a clear understanding of important social and communication skills and was provided with additional feedback in this area. 33. Practice New Skills In Session and Out (33) A. The client was asked to pr actice new skills in reality testing, changing his/her maladaptive beliefs and managing his/her symptoms within the session. B. The client was provided with homework assignments between sessions that focus on practicing his/her new skills, reality testing, changing maladaptive beliefs, and managing his/her symptoms. C. The client was helped to process his/her maintenance exercises. D. The client has not completed his/her maintenance exercises and was redirected to do so. 34. Identify Emotional Indicators of Stress (3 4) A. The client was requested to identify three emotional indicators of stress and how they affect his/her functioning. B. The client identified three emotional indicators of stress (e. g., anxiousness, uncertainty, and anger) as well as how they affect his/her functioning, and these indicators were processed. C. The client failed to identify indicators of stress and how they affect his/her functioning and was provided with feedback in this area. 35. Identify Physical Indicators of Stress ( 35) A. The client was requested to identify three physical indicators of stress and how they affect his/her functioning. B. The client identified three physical indicators of stress (e. g., tense muscles, headaches, psychomotor agitation) and how they aff ect his/her functioning, and these indicators were processed. C. The client failed to identify physical indicators of stress and was provided with additional feedback in this area. 36. Teach Stress Management Strategies (36) A. The client was taught stre ss management strategies to help him/her decrease his/her overall subjective level of stress. B. The client was taught relaxation techniques to help him/her manage his/her level of stress. C. The client was taught positive self-talk, problem-solving, and communication skills to help him/her decrease his/her level of stress. 