1/24/2024 EnchantaVaughn Approved 1.Behavior: QMHP-C greeted Ashiyah upon arrival to the home setting. Upon arrival to the home of the setting, Ashiyah appeared to be in a content mood evident by her facial expressions such as a smile on the face. QMHP-C inquired about her day. She verbalized to QMHP-C that her day was going well. QMHP-C informed Ashiyah that this session was going to focus on anger management and communication skills at which mother reports behaviors last from 2-4 minutes in duration on a daily basis when she cannot have her way. 2. Behavior: Ashiyah appeared to be irritated when she seen her mother’s boyfriend come in the door. Ashiyah indicated that she did not want to interact with her mother’s boyfriend because he is annoying and he is controlling. Mother reports behaviors last at least 2-4 minutes in moderation when she cannot have her needs met. 1.Intervention: QMHP-C began session by inquiring about Ashiyah’s emotional wellbeing. QMHP-C role-played with Ashiyah respectful behaviors and expressing feelings to eliminate harmful acts toward others. QMHP-C talked with Ashiyah about hurtful feelings and self-dangerous behaviors. QMHP-C probed Ashiyah about her lack of cooperation toward her mother when rules are set. QMHP-C processed answers with Ashiyah. QMHP-C then discussed combative behaviors and how to better manage her behaviors. 2. Intervention: QMHP-C talked with Ashiyah about respect and her feeling when being disrespected. QMHP-C encouraged Ashiyah to listen, follow directives when given by authority, and obey rules and regulations whether in the home, and community. QMHP-C role-played scenarios with Ashiyah to demonstrate more effective ways to manage behaviors. 1. Response: Ashiyah was receptive to QMHP-C's given suggestions. Through role-playing Ashiyah struggled with expressing her feelings as she would stare into the ceiling when asked certain questions and she would twist in her sit before answering. Ashiyah reported that it's easier to express angry feelings and thoughts. Ashiyah reported that she has engaged in hurtful words and behavior to hurt her mother. 2. Response: Ashiyah reports that she respects her mother's rules and obey rules and regulations in the home setting, but what she is not going to do is sit in the house all day and not have a life when everyone else does. She reports that her mother does not like the fact that her boyfriend is mixed and she thinks that this virus is going to kill her because her boyfriend is mixed.