7/12/2023 EnchantaVaughn Approved Behavior: When the QMHP came to the residence, client personality was viewed as happy, well-mannered, and compliant. Client communicated pleasant and kindhearted manners toward QMHP as she transitioned into the session. Client exhibited appropriate conversation at this time. QMHP informed her this session was going to focus on her learning how to implement communication skills. Behavior: Client was supported for being on task and cooperative while counselor administered the next activity. Client was receptive to QMHP prompts and directives. Client was open to sharing with QMHP her feelings and the things she believed she needed the most assistance with. Client stated that she needs help with building relationships and trusting others. Client find it difficult to communicate her emotions without being defensive. Intervention: QMHP actively listened and provided support to client when needed. QMHP inquired about how client was feeling. QMHP made sure client was comfortable and in a good space before introducing her to new therapeutic skills to practice at home. QMHP revisited effective communication skills and positive verbal affirmations with client to help her express herself in a calm and open way. QMHP examined and evaluated client’s demeanor in order to manage her compliance with following rules. QMHP commended client on utilizing coping strategies to increase her understanding of feelings and emotions. QMHP processed client positive behaviors and provided positive words of praise and reassurance to encourage and promote confidence and respect for herself. Intervention: QMHP went through program overview with client and mom to reiterate key points and program objectives that would pertain to client specific wants and needs. QMHP reiterated to the client the support she would bring in order to assist client in achieving her goals. QMHP brainstormed possible ideas for activities to facilitate with client that she may be more interested in. QMHP asked client open ended questions to get her to interact and to increase her participation. QMHP reminded and practiced breathing and relaxation techniques to teach client the importance of the “stop, think before act” method. QMHP assisted client with finding and utilizing necessary resources to assist with her daily habits and routine. QMHP supported client involvement in her therapy, in order to accommodate other areas that are challenging to her. Response: Client understood the expectations and rules for one on one session. Client and mom verbalized that they are doing well with each other. Client participated and cooperated well with her counselor. Client was receptive and open to the information that was provided by QMHP, as she listened attentively to all that was presented to her regarding her behaviors. Client was able to answer the thinking questions with assistance from counselor. Client asked questions to counselor concerning her mental health. Client was able to express her feelings and moods in a positive way. Client was able to demonstrate positive interaction and excellent manners without having an episode. Client said thank you and continued to display healthy manners in the home. Client stayed on task and returned a sociable and friendly rapport back to mental health counselor without any negativity. Response: Client was receptive and actively participated in the therapeutic activity. Client was able to use her active listening skills to pay attention and concentrate in her session. Client displayed management of individualized behaviors in the home. Client expressed non-aggressive emotions and showed respect to her counselor when asked questions about how she deals with stress. Client verbalized good thoughts and understanding, at this time. Client developed better communication skills by expressing herself in a calm manner. Client was observed practicing breathing and relaxation strategies and mastering the “stop, think, act” method. Client was acceptive of QMHP support. Client followed all directions, as she demonstrated ability to adhere to the rules and expectations of individual session. Client displayed high self-esteem and confidence with meeting her objectives.