9/23/2023 EnchantaVaughn Approved 1.Behavior: Client was present and very relaxed when QMHP arrived, as evidenced by him lying on the couch and watching a movie with his siblings. Mom appeared to be in an energetic mood and preparing dinner for later. Mom explained that she was okay with having session today and wanted client to get the most out of in-home services since so many community resources are limited. Although both mother and client are getting along the two continue to have issues after sessions are being conducted. 2.Behavior: Client and QMHP discussed his role in the home. Client shared that he is learning to develop the skills needed to achieve his goals on a daily basis and is proud at how far he has come. Client admitted that him and his mom are getting along better and he’s beginning to see the value in family time and spending quality time with his loved ones. Client followed all directions given by mom and counselor. Client displayed a calm demeanor without getting angry or frustrated. Client was observed interacting on an age appropriate level and making it easy to conduct the session without having to redirect him or take small breaks. Client continued to state to QMHPC as well as mother that he is not going to change in one day and that he really does "believe in himself". 1.Intervention: QMHP conducted session on helping mother and family reduce the stressors in the home and community settings. QMHP informed mom that client can benefit from other contactless services, thus probing them to utilize resources in the community that will help client reduce his aggressive behaviors. QMHP reviewed with mother the ability to limit the stress in the home and to utilize the reward system appropriately. QMHP utilized active listening skills while probing mother on the affect ways that she attempts to reduce client's negative behaviors. 2.Intervention: QMHP went through program overview with family to reiterate key points and program objectives that would pertain to their specific situation and helping to build a new therapeutic relationship with the family and client without making them feel overwhelmed. QMHP encouraged client to continue displaying positive behaviors. QMHP supported client involvement in selected activities. QMHP processed with client about what he learned from activity after the review. 1.Response: Client appeared to be receptive to QMHP’s interventions and services that were provided to him during the session. Client reported that him and mom have a close relationship but have difficulty with communicating with anyone when he is upset. It was communicated by parent that client needs to realize that he has a lot going for himself, but he allows others to get him off track. Client reported that he is looking forward to receiving help and wants to learn how to deal with his anger and depression. Client understands that his treatment plan is a behavior contract that will reflect his improvements in the home. Client stated that he is open to new ideas. 2.Response: Client appeared to be receptive to receiving positive reinforcement from his mother as demonstrated by his happy and inviting body language. The frequency and intensity of the client's defiant affect decreased. Client shared some of the things he does at home to help him relax. Client stated he loves to listen to music, play video games, and be on the phone, tablet, or computer. Client is observed problem solving on his own and handling his emotions appropriately. Client responds well to feedback.