... including handouts and ip charts, to reduce the requirements on memory and atten-tion. Participants are prompted as many times as necessary and there is also extensive repetition within and across ... treatment and to generate discussion among them. e groups are designed to be supportive and encouraging, and to provide a safe and nonjudgmental place for members to talk about substance use and ... with Serious and Persistent Mental Illnesswith SPMI clients. ese clients experience biases and stressors of their own, live lives that are di cult and o entimes lled with hardship, and...