1/6/2024 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 duruation 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 the session by inquiring about Ashiyah’s current thoughts, feelings and emotions. QMHP-C reviewed with Ashiyah any behavioral updates that she felt as though she wanted to discuss with QMHP-C. QMHP-C encouraged the Ashiyah to stop, think, and process her feelings regarding her own behaviors and anger toward her mother. QMHP-C explored positive communication skills with Ashiyah and assertiveness without the frustration and aggression. 2. Intervention: QMHP-C taught Ashiyah positive skills to utilize before getting upset and frustrated. QMHP-C processed those skills with Ashiyah and engaged her in creating a booklet for herself with communication cues to reflect on when needed. QMHP-C engaged Ashiyah in a conversation that assists her with dealing with expressing her anger and to help with expressing her feelings instead of acting out sporadically with anger. QMHP-C discussed respectful communication and had Ashiyah to list 3 ways to communicate verbally. 1. Response: Ashiyah appeared to be receptive to QMHP-Cs’ interventions and services that were provided to her during the session. During the session, 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. Ashiyah expressed that she hates when he tells her what to do when she is grown or when he just thinks that he is going to tell her mother what to do most of the time. 2. Response: She stated to QMHP-C, “My mother is grown and she can make decisions for herself without his help”. Ashiyah was able to engage with QMHP-C and express anger and communicate her feelings accordingly. Ashiyah was able to problem-solve and respectfully identify 3 positive things to communicate. At the end of the session, Ashiyah was able to engage in handout and express healthy outlets.