FAMILY C ONFLICTS 105 D. Family me mbers have been assisted in developing a comprehensive plan for managing the client's potential crises. E. The family members are not in agreement on how to manage the client's potential crises and were provided with additional coordination in this area. 21. Develop Relapse Drill (21) A. The client and family were assisted in drawing up a relapse drill, detailing roles and responsibilities. B. Family members were asked to take responsibility for specific roles (e. g., who will call a meeting of the famil y to problem solve potential relapse; who will call physician, schedule a serum level, or contact emergency services, if needed). C. Obstacles to providing family support to the client's potential relapse were reviewed and problem solved. D. The family w as asked to make a commitment to adherence to the relapse response plan. E. The family was reinforced for their commitment to the adherence to the relapse response plan. F. The family has not developed a clear commitment to the relapse prevention plan an d was redirected in this area. 22. Assess and Educate about Aversive Communication (22) A. The family was assessed for the role of aversive communication in family distress and in the risk for the client's manic relapse. B. The family was educated about the role of aversive communication (e. g., highly expressed emotion) in developing greater family stress and in increasing the client's risk for manic relapse. C. The family displayed a clear understanding of the effects of aversive communication, and this was reinforced. D. The family was provided with remedial feedback, as they did not display a clear understanding of the risk for relapse due to aversive communication. 23. Teach Communication Skills (23) A. Behavioral techniques were used to teach commu nication skills. B. Communication skills such as offering positive feedback, active listening, making positive requests for behavioral change, and giving negative feedback in an honest, respectful manner were taught to the client and family. C. Behaviora l techniques were used to teach the family healthy communication skills. D. Education, modeling, role-playing, corrective feedback, and positive reinforcement were used to teach communication skills. 24. Assign Communication Skills Homework (24) A. The c lient and family were assigned homework exercises to use and record newly learned communication skills. B. Family members have used newly learned communication skills, and the results were processed within the session. C. Family members have not used the newly learned communication skills and were redirected to do so. 