7/2/2023 EnchantaVaughn Approved Behavior: Client was focused, paying attention, and on task during initial contact. Client displayed cooperative behaviors toward QMHP and appeared to be in a positive mood, as evidenced by her straight forward expressions and pleasant demeanor. The client was provided with positive feedback regarding her socially appropriate use of eye contact and positive body language during social interactions. Client was supported for increasing her involvement in social and educational opportunities. Client continues to execute responsibility for her actions by making good choices and utilizing all coping strategies. Behavior: Client cooperated with counselor during role play and communicated that she understands how her past behaviors have negatively affected her present relationships. Client’s guardian communicated with counselor that they like the idea of engaging in role play with client because they feel the client would better understand negative decisions versus positive decisions. Mom assisted with the activity. Client enjoys being around her counselor. Client remained in a happy mood for the rest of the session. Client modeled good leadership skills and have developed in her own ways, demonstrating that she understands her role in the home and what she has to do in order to continue to manage her mental health. Intervention: QMHP monitored client individualized behavior modifications in the home. QMHP talked about her strengths and attributes so that client is more comfortable communicating about her needs and interests. QMHP offered active listening skills and showed client respect while she was sharing her ideas and thoughts about services. QMHP gave positive feedback and encouragement throughout the session. QMHP reminded client that she has everyone supporting her and rooting for her. QMHP praised client for her efforts and being respectful to her mom today. Intervention: QMHP interacted with client by reviewing important information related to her case. QMHP expressed gratitude toward positive interaction with her family. QMHP encouraged client to continue displaying positive behaviors. QMHP praised and recognized client for her hard work, efforts, participation, and working towards improvement by changing daily habits and implementing a positive and consistent routine. QMHP assisted client in normalizing the changes that are occurring in school and session. QMHP observed client complying with rules and expectations. QMHP supported client involvement in her therapy session. Response: Client was able to cooperate and comply to the rules in the home. Client implemented pro social skills successfully. Client has presented herself in a responsible way and is making progress towards her goals and objectives. Client maintains good etiquette by sitting in her seat during instructed activity, raising her hand and asking appropriate questions, being respectful toward mental health professional, remaining quiet during quiet time and active during social time, listening to her counselor, modeling appropriate behavior. Client says please, thank you, and excuse me appropriately during the session. Response: Client shows empathy towards everyone helping her. Client displayed a productive and constructive manner throughout the session. Client expressed she was happy. Client appeared to have a clear knowledge of the interventions. Client was sociable and friendly in regard to the QMHP’s positive empathy. Client was able to express and explore her perceptions of relationship skill building. Client displays appropriate attitude during the session, indicating she was learning and having fun. Client loved expressing herself around QMHP, as demonstrated by her high verbalizations with answering questions. Mom was satisfied and content in reference to the next session with QMHP.