7/21/2023 EnchantaVaughn Approved 1.Behavior: Anthony greeted QMHP-C as QMHP-C arrived to the home. Anthony appeared to be in a positive mood while discussing with QMHP-C how his day was going. QMHP-C informed Anthony that this session would include his mother at which mother discussed with QMHP-C on how Anthony is struggling with managing his anger. 2. Behavior: Anthony displayed off-task behaviors evident by him starring off into the wall and or being distracted by others surrounding him such as people entering in and out of the home. 3. Behavior: Anthony displayed a poor attitude toward mental health professional due to personal conflicts and external distractions. Anthony refuses to participate or contribute to group discussion. Anthony constantly complains and make excuses for his behavior. Anthony was seen preoccupied, as he was involved in his own feelings, thoughts, and activities. 1.Intervention: QMHP-C utilized open communication with Anthony to discuss any feelings and thoughts that may trigger his anger aggression and cause him to act out inappropriately. QMHP-C encouraged Anthony to communicate feelings of sadness, hurt, and anger. QMHP-C supported Mrs. Shabazz with understanding and to communicate the respect of Anthony’s feelings. 2. Intervention: QMHP-C assisted Anthony with developing coping strategies when he is angered such as family involvement, peer interaction, music therapy and journaling. QMHP-C assisted Anthony assisted in identifying positive and hopeful things in his daily routine at the present time. 3. Intervention: QMHP-C examined and evaluated Anthony responses to feedback. QMHP-C focused on Anthony’s ISP objectives and what he needs to do in order to achieve them. QMHP-C offered new ways to heighten Anthony awareness of his ill-mannered behaviors, as well as helping him with functioning more constructively within his daily life. QMHP-C encouraged Anthony to present healthier habits and routine by challenging himself to make better choices and try new things. QMHP-C questioned Anthony on the statements he made about having difficulty expressing his feelings. 1.Response: While exploring Anthony’s emotional state, Anthony mentioned to QMHP-C that he was having a good day. Mother indicated to QMHP-C that she knows that Anthony is not going to always do the right things because that is what children do. 2.Response: Anthony discussed with QMHP-C that he does not do communicate like he should because if he did then he would have gotten his brother in trouble when he sent that picture but he didn’t say anything because he did not want his brother to get in trouble. 3.Response: Anthony was reluctant and hesitant. Anthony did not offer any forms of social or friendly rapport back to QMHP-C, remaining unemotional displaying an unresponsive and nonchalant attitude throughout the session. Anthony took over 20 minutes to reduce hyperactive behaviors. Anthony became more impulsive and started to cause more disruptions. Anthony explored numerous ways to express her anger and negative behaviors during the role play with QMHP-C. Anthony stated his difficulties in certain situations but displayed a negative tone. Anthony required assistance as he was unable to lower his voice.