24 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 35. Empathize with the Caregiver (35) A. The caregiver was allowed to vent about difficulties that are related to supervising the cli ent. B. Empathy was displayed as the caregiver was focused on making a commitment for continued care. C. The caregiver was assisted in developing alternative plans for the client's care. D. The caregiver was confronted when he/she began to deride the cl ient. 36. Educate the Caregiver and Family Members (36) A. The client's caregivers and family members were educated about programs, techniques, and options for caring for older adults. B. The client's caregivers and family members were referred to guide books regarding caring for older adults. C. The client's caregivers and family members were referred to specific materials (e. g., Coping with Your Difficult Older Parent by Lebow, Cane, and Lebow) regarding caring for older adults. D. The client's caregi vers and family members were assisted in processing key concepts from their reading and learning about how to care for older adults. 37. Assess Elder Abuse (37) A. The client was assessed for whether he/she has been a victim of elder abuse in any form. B. Concerns related to abuse of the client were identified, and immediate steps were taken to secure his/her safety. C. Elder abuse was suspected, and the appropriate adult protective services agency has been informed. D. There is no evidence that the cl ient has been a victim of elder abuse in any form. E. The client was gently, empathetically probed for his/her emotional reaction to being the victim of abuse. F. The client was cautious and defensive about describing his/her emotional reaction to his/he r abuse and was provided with support and feedback in this area. G. The client struggled to identify and coherently express his/her emotions regarding the abuse done to him/her and was provided with support and feedback in this area. 38. Facilitate Chang es to Stop Abuse (38) A. The client was assisted in making specific changes related to his/her residence in order to immediately terminate the abuse he/she has suffered. B. The client was assisted in making changes in the programs in which he/she is invo lved to terminate the abuse that has occurred to him/her within those programs. C. The client was assisted in making any necessary changes to assist in terminating the abuse he/she has been experiencing. D. The client has failed to make changes to help t erminate the abuse and was redirected and assisted to make these changes. E. Applicable abuse reporting procedures as outlined in local law were followed regarding the suspected or identified elder abuse. F. Agency guidelines were followed regarding the suspected or identified elder abuse. 