10/1/2023 EnchantaVaughn Approved 1. Behavior: Upon arrival to the home setting, Client appeared to be in a content mood evident by his facial expressions such as a smile on the face. QMHP-C engaged mother in a discussion about behaviors since the last session. Mother reports she continues to struggle with Client not being able to build healthy relationships with his peers in the home and school setting. 2. Behavior: Client displayed withdrawn behaviors during the second portion of the session as Client was leaving the room when discussing his behaviors about resolving conflict. 3.Behavior: Client presented cooperative and normal behaviors as he did not need any redirection from QMHP-C as well as him answering open -ended questions and being praised by QMHP-C. At times within the session, be became defensive with his mother as well as grandmother as they were addressing his behaviors. 1.Intervention: QMHP-C assessed him for any changes in mood or negative interactions with others. QMHP-C discussed the benefits of maintaining positive relationships with family and peers. QMHP-C utilized a handout on ways to build and maintain positive relationships. QMHP-C engaged him in a role-play activity for building a new relationship. QMHP-C discussed ways to step outside of ordinary actions and daily ways in order to meet new peers and develop those relationships. 2. Intervention: QMHP-C also discussed the importance of maintain positive relationships in the home and with family. QMHP-C encouraged him to be mindful of aggressive behaviors that may cause conflicts while building relationships. 3. Intervention: QMHP-C explored with Client on the information that he was discussing with QMHP-C and processed on his feelings and thoughts. QMHP-C engaged Client in role-playing to model age-appropriate ways to display respectful behaviors toward authority and peers. QMHP-C assisted Client in brainstorming providing positive alternatives as a means of controlling anger and express frustration in a positive manner. 1.Response: He engaged in the session and discussion on building positive relationships. He discussed ongoing interactions with others. He discussed how he has been trying to maintain his interactions socially with others. He stated that he feels as if he has positive relationships with peers and family when he tries. 2.Response: He was receptive to ways to maintain positive relationships. He engaged in identifying ways to engage in different activities now since the protocols are becoming less strict. He engaged in the role play exercise and was able to discuss other ways to engage in activities in the home. 3. Response: Client shared that he only gets upset with his siblings when they tell on him for not cleaning up or when they lie on him for no reason. He reports that he and his sister are always fussing with each other because she thinks that she is the boss of him which really makes him upset.