5/26/2023 EnchantaVaughn Approved 1. Behavior: QMHP-C greeted Ashiyah upon arrival to the home setting. Upon arrival to the home setting, Ashiyah appeared to be in a positive mood evident by her facial expressions such as a smile on the face. QMHP-C inquired about her evening. Ashiyah verbalized to QMHP-C that her evening was going well. QMHP-C informed Ashiyah that this session was going to focus on reducing angry verbal and physical outburst and how replace with positive decision-making skills. 2. Behavior: Ashiyah presented off-task behaviors evident by her looking in her phone when QMHP-C was discussing the second portion of the session with her mother. 1.Intervention: QMHP-C began session by inquiring about Ashiyah’s current thoughts, feelings and emotions. QMHP-C discussed her mood and learning to cope with the sadness, being unhappy. QMHP-C presented Ashiyah with handout on positive self-talk. The handout supported Ashiyah with reducing negative thoughts and decision-making. QMHP-C then processed with Ashiyah on the handout. QMHP-C talked with Ashiyah on how her impulsive behaviors triggers negative consequences for her actions. QMHP-C then engaged Ashiyah in coping skills to include thinking before acting, thought-stopping skills. QMHP-C taught Ashiyah that in any case thinking of acceptable and unacceptable behaviors before reacting supports dealing with impulsive behaviors. 2. Intervention: QMHP-C modeled effective ways for Ashiyah to communicate with authority figures, and peers. QMHP-C also utilize role-rehearsal with Ashiyah to model ways to show respect to authority figures and learning to use anger management skills when becoming upset and frustrated with others. QMHP-C employed active listening skills as Ashiyah was able to converse about her angry feelings and acting out behaviors toward others whether authority figures in the school, and/or peers. QMHP-C presented Ashiyah with arts and crafts to model effective ways Ashiyah can control her anger and frustrations. QMHP-C then processed Ashiyah’s anger with to help better understand how to control her feelings. 1. Response: Ashiyah appeared to be receptive to QMHP-Cs’ interventions and services that were provided to her during the session. Ashiyah has difficulty with expressing her feelings and thoughts age-appropriately. However, when completing the handout Ashiyah would answer questions and when confronted about negative behaviors Ashiyah denies her negative interactions and behaviors. 2. Response: Ashiyah hunches her shoulders when she refuses to take responsibility for her actions. Ashiyah indicated that she do not think about the consequences of her actions. Ashiyah was able to demonstrate to QMHP-C effective communication skills when expressing her thoughts and feelings about certain situations that occur within the community and home setting; however, she continues to be able to explain to QMHP-C why things make her so upset and why she is not able to handle herself in an assertive manner.