3/31/2023 EnchantaVaughn Approved Behavior: Upon arrival to the home setting, client appeared to be in a positive mood evident by her facial expressions such as a smile on the face. When engaging mother in conversation about behaviors since the last session, mother reports client has issues with being able to control her anger. Behavior: Client had difficulty displaying on-task behaviors as client was upset with her siblings for wanting to be involved in the session. Mother reports she has to redirect her several times a day for her behavior when it comes to her siblings.The member continues to have issues with controlling her anger. Intervention: QMHP-C isolated client from distractions to decrease disruptive behaviors and to reduce excessive talking. QMHP-C guided client by asking her why she believed her family was important to her and what is the overall image that she wants to depict when it comes to her family. QMHP-C assisted client in creating goals for her family and understanding what role would be in achieving them. QMHP-C applauded the behavior of client and recognized how mother and herself had been interacting positively together. QMHP-C provided praise when Client continued to display positive behaviors throughout the day, remaining on task and was very respectful to everyone. Intervention: QMHP-C processed client positive and negative behaviors in the home. QMHP-C role played with client and demonstrated for positive behaviors and responses to increase positive interactions between her and the family. QMHP-C assisted client in developing more social skills around her family. QMHP-C provided positive feedback. QMHP-C applauded client for making the big decision to want to work on changing her behavior. QMHP-C discussed with her the importance of working hard to make sure that she continues to stay focused on her goals. QMHP-C challenged client to continue displaying a positive attitude while employing positive reinforcement when client is able to achieve her goals and objectives. Response: Client responded in a constructive manner acknowledging the affirmative reinforcement that the QMHP-C provided with a warm smile and thumbs up. Client utilized relaxation strategies appropriately. Client showed her gratitude for being able to release physical tension stating that she felt relaxed. Client was able to cooperate and comply to rules and regulations due to positive reinforcement provided by the QMHP-C. Client was able to utilize coping skills to eliminate stressors and unwanted feelings. Client displayed self determination to stay focused and pay attention in the session. Response: Client is making progress with expressing her feelings and showing others respect and courtesy by talking with appropriate tone, and initiating conversation with peers. Client was able to speak calmly and demonstrate her improved communication skills while engaging in self-reflection. Client implemented her plan for restoring relationships, controlling her temper, and utilizing coping skills in the home. Client was supported by everyone in the home to make necessary improvements. Client has presented herself in a responsible way and is making progress towards her goals and objectives. Client implemented pro social skills successfully.