3/15/2024 EnchantaVaughn Approved Behavior: Upon arrival to the home setting, Ashiyah was non-compliant for most of the session, refusing to conduct herself appropriately and show leadership skills during the activity. Ashiyah is often observed showing frequent anger reactions, in which she exhibited oppositional defiance. It was difficult for Ashiyah to stay on task at which mother reports these behaviors last for days for about 10 minutes in duration. Behavior: Ashiyah appeared very moody today for no reason neglecting her duties in the home and in the session. Ashiyah did not take constructive criticism well and proceeded to walk away without permission at which this behavior last for about 2-4 minutes in duration. Intervention: QMHP-C developed a plan to help Ashiyah with her challenges in the home. QMHP-C utilized role playing to demonstrate the calming effects of predicting the thoughts, feelings and actions of self and others prior to the outbreak of a conflict. QMHP-C prompted Ashiyah to share anticipated thoughts and feelings and to indicate how this process reduces angry reactions. QMHP-C role played with Ashiyah to assist her in bettering her social-emotional-mental skills. QMHP-C completed an activity with Ashiyah that allowed her to write the words of the thoughts and emotions that she feels when she thinks of her family and close relationships. Intervention: QMHP-C discussed Ashiyah’s responses with her and modeled for her how to approach her family/friends about her feelings, good or bad. QMHP-C educated Ashiyah about using good manners in the home and offering alternative methods and suggestions to model appropriate language that Ashiyah should use to ask for things or to get someone’s attention. QMHP-C processed Ashiyah feelings and offered choices of what to do when faced with trauma and conflict. QMHP-C retrained Ashiyah on relaxation skills, which included pace breathing, muscle relaxation, and calming imageries as a way for Ashiyah to regain and control her rebellious and hyperactive conduct. Response: Ashiyah participation level was under the required expectation when practicing calming techniques, as evidenced by Ashiyah flat mood and demeanor. Ashiyah looked disordered, indicating that she didn’t know the reason for her negative behaviors. Ashiyah displayed a disinterest in the therapeutic activities provided by QMHP-C, due to avoiding discussion and prompts. Ashiyah was unable to relax when being instructed by the use of the calming and relaxing techniques. Ashiyah was resistant and reluctant in regard to QMHP-C positive empathetic acceptance. Ashiyah was inattentive and unfocused throughout the session. Response: Ashiyah informed QMHP-C of her behaviors after QMHP-C confronted her again about her behaviors. Mother collaborated with counselor in coming up with consequences for certain behaviors displayed in the home. Mother verbalized that she is trying her best to implement consequences even if the principal is small to teach Ashiyah the level of seriousness that comes with having mental issues.