7/6/2023 EnchantaVaughn Approved Behavior: As the client prepared for family session, she was seen helping her mother and displaying responsible behaviors in the home. Mom gave client time to talk to her counselor but remained nearby for support. Client was in a calm mood, as evidenced by her laid back and relaxed expressions. Client wore clean clothes and displayed good hygiene. Client was observed being a good listener while QMHP reviewed her objectives and goals. Client displays good social behaviors, laughing and playing safely in the home. Client shared positive thoughts concerning her expectations and responsibilities in the home. Behavior: Client was engaged and focused in the session. Client stated that there a lot of different rules at home and she’s doing her best to follow them. Client admits that she has to remind herself to be patient with herself and not to expect more than she is willing to give. Client is happy to have a counselor to keep her on track with her goals and challenges her. Client stated that spending more time with her mom has made things more loving in the home. Client realizes that doing things for others is what family is about and she enjoys making her family happy and staying on top of everything that she cares so much about. Intervention: The QMHP provided client with a series of relaxation, mood regulation and self-control techniques, as a way for client to regain and regulate her courageous actions during the session. QMHP demonstrated and provided client with positive and empathetic acceptance, by applying talk therapy and active listening skills to help client recognize her own decisions. QMHP modeled how to show client more support. QMHP discussed ways to increase more positive coping mechanisms and how to display more positive behaviors. QMHP provided positive reinforcement towards client to help her facilitate ways to increase interactions that are respectful and constructive for her. Intervention: QMHP used home routine and school schedule to assist client in safety plan that will benefit her in all aspects of her life. QMHP assisted and coached mom with implementing the same steps to prevent destruction within the home environment when QMHP is not around. QMHP held consultations with client and mom about effective intervention strategies that build on the client's strengths and compensate for her ADHD. QMHP encouraged client’s mom to provide frequent positive reinforcement to maintain client's interest and motivation in maintaining positive behaviors and completing home duties on her own. Response: Client was happy to hear she was doing a good job and promised to continue to be good person because she knows that what her dad would want, watching over her. Client verbalized positive feelings about building relationships in the home, despite her feeling alone and unloved occasionally. Client is making progress with expressing her feelings and showing others respect and courtesy by talking with appropriate tone, initiating conversation with peers and authority. Client was receptive to the psycho education and training provided in the session. Response: Client displayed good participation and was responsive to all instructions provided by authority and staff. Client demonstrated good social skills and ability to get along with others without initiating conflict. Client was able to cooperate and comply to rules and regulations due to positive peer influence. Client implemented pro social skills successfully. Client was able to speak calmly and demonstrate her improved communication skills while engaging in self-reflection. Client communicated by nodding and exhibiting good eye contact. Client gained knowledge about her mental health.