11/9/2023 EnchantaVaughn Approved 1.Behavior: Upon arrival to Ashiyah’s home, Ms. Hodge stated “Ashiyah is just out of control with her behaviors today” . Ashiyah got upset with her when she talk about her behaviors to others. Ms. Hodge reported that Ashiyah doesn’t care about other people feelings when she is upset or in a bad mood. exhibited these behaviors for up to one hours inconsistently and has had difficulty focusing at least 3-5xs weekly for the past 30 days. 2. Behavior: Ms. Hodge reported that Ashiyah has become upset upset with her wife and stated “you aint my father” . Ms. Hodge reported that Ashiyah can be a “smart ass” sometimes. Ms. Hodge went on to report that Ashiyah has continues to talk back toward authurity figures within the home, school, and community. Ashiyah exhibited these behaviors for up to two hours inconsistently and has had difficulty focusing at least weekly for the past 30 days. 1.Intervention: QMHP-C provided Ashiyah examples of things that she should look for in peers/friends. QMHP-C explained to Ashiyah an exercise that she was encouraged to participate in. QMHP-C informed Ashiyah that the purpose of this exercise was to identify the reasons for Ashiyah’s excessive involvement with negative peers. QMHP-C was sensitive and alert to any rejection experiences, family stressors, environmental factors, or feelings of insecurity that contributed to Ashiyah gravitating toward negative peers. QMHP-C processed with Ashiyah that before she begins to disengage herself from these negative peers, she needed to learn how to do this effectively and permanently. QMHP-C taught Ashiyah positive social skills and assertiveness training to help her successfully resist negative peer influences. 2. Intervention: QMHP-C assisted in Ashiyah in developing effective coping strategies to deal with her feelings of insecurity or rejection. QMHP-C processed with Ashiyah that there can be a variety of reasons as to why teenagers hang out with the wrong crowd or go along with their peers and get into trouble. Through the use of role-modeling, role reversal, and role-playing, Ashiyah was taught effective ways in which she can terminate involvement with negative peers as well as learning how to implement positive social skills when building positive social interactions with positive peers. 1. Response: Ashiyah appeared to be receptive to QMHP-Cs’ interventions and services that were provided to her during the session. Ashiyah QMHP-C that when it comes to friendship, she looks for someone who is going to be honest, respectful, and understanding as well as “keeping it real” with her. Ashiyah admitted to QMHP-C that she tends to hang around certain peers because they are cool, they have a lot in common, and because others respect them and do not pick on them. Ashiyah refused to admit that she might hang around them because she was looking for acceptance from those who were considered to be “cool”. Ashiyah informed QMHP-C that nobody can make her do anything that she does not want to do and she tended to participate in negative acts with her peers because she wanted. 2. Response: Ashiyah contradicted herself as she stated that she wanted to fight her peer at one point because her other friends were around them. Ashiyah did well with participating in the role-playing scenarios. She laughed and told QMHP-C that she thought the scenarios implemented were a little extreme and she would never let others peer pressure her to participate in anything that would cause her to get into trouble with the law because she has been there before and she is not trying to do that again.