204 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 7. Behavioral Experiments ( 7) A. The client was directed to conduct “behavioral experiments” in which bias predictions about medications are tested against the client' s past, present, and/or future experience using the medication. B. The client was assisted in identifying the criteria against which to test his/her experience with medication. C. The client has conducted the behavioral experiments to test his/her predic tions about the medication, and these conclusions were reviewed. D. The client has not engaged in the behavioral experiments and this resistance was problem-solved. 8. Reinforce Positive Cognitive Messages ( 8) A. The client was reinforced for positive, reality-based cognitive messages that enhance medication prescription compliance. B. The client used positive, reality-based cognitive messages, he/she was taught to use those messges to enhance his/her medication prescription compliance. C. The client h as not engaged in positive, reality-based cognitive message to enhance his/her medication prescription compliance, and was provided with specific examples in this area. 9. Refer to Family Psycho-Educational Program ( 9) A. The family was referred to a psy cho-educational program to help learn about the client's severe and persistent mental illness and the need for medication. B. The client was referred to a multi-group family psycho-educational program to help learn about the client's severe and persistent mental illness and the need for medication. C. The family was engaged in the psycho-educational program and has identified ways in which they have learned about the client's severe and persistent mental illness and the need for medication. D. The client 's family has not engaged in the psycho-educational program and was redirected to do so. 10. Use Family-Focused Treatment Therapy Model ( 10) A. The client was referred to therapy program based on the principles of family-focused treatment, as noted in Bipolar Disorder: A Family-Focused Treatment Approach (Miklowitz and Goldstein). B. Family-focused treatment was conducted to assist in improving communication patterns between the client and his/her family. C. The family and the client have engaged in the family-focused treatment, and the positive results of this treatment were reviewed. D. The family and the client have not engaged in the family-focused treatment and were encouraged to do so. 11. Refer to a Physician ( 11) A. The client was referred to a physician for an evaluation for a prescription of psychotropic medications. B. The client was reinforced for following through on a referral to a physician for an assessment for a prescription of psychotropic medications, but none were prescribed. 