8/10/2023 EnchantaVaughn Approved Behavior: Upon arrival to the home setting, the home was organized and clean when QMHP-C arrived. Ashiyah’s appearance was well kept up, indicating she took a bath, brushed her teeth, and took the time to iron her clothes. Ashiyah greeted her counselor in a polite and respectful way. Ashiyah and mom communicated good thoughts to each other and seemed to be in a good space, ready to participate in the family session. Ashiyah interacted safely, while QMHP-C expressed gratitude for her behaviors. Behavior: Ashiyah spoke with high confidence and self-esteem as she talked to QMHP-C. Ashiyah is observed displaying age appropriate manners, avoiding distractions and impulsive responses. Ashiyah shared that she had been working on her objectives so that she can take some relief off her family who supports her daily. Behavior: Ashiyah demonstrated discipline and self-control in her chair while listening to instructions and paying attention to her surroundings. Ashiyah was applauded for her leadership and taking initiative during the session. Intervention: QMHP-C discussed and spoke with mom and Ashiyah about how they liked the services so far. QMHP-C discussed with the family one goal they believe they need to work on individually and as a family. QMHP-C brainstormed with the Ashiyah on how she can keep up with her improvements and still show love to others. QMHP-C had Ashiyah write down her goals and discuss through brainstorming and creating a goals chart on how to achieve each one. Intervention: QMHP-C led the Ashiyah through each treatment exercise. QMHP-C encouraged Ashiyah to be more conscious of her behaviors. QMHP-C provided and demonstrated empathy, compassion, and support to help her become more comfortable in the session. Intervention: QMHP-C provided strategies such as positive reframing to educate Ashiyah on how to look at things from a different perspective. QMHP-C assisted Ashiyah with practicing reframing negative thoughts with more positive thoughts in efforts to reduce impulsive reactions to situations. Response: Ashiyah demonstrated good calming skills by deep breathing and having good voice volume in the home. Ashiyah recognized when she’s not paying attention and quickly corrected herself. Ashiyah displays good social behavior, as observed and supported by mental health professional. Ashiyah is observed making good choices as she proceeded to follow all prompts. Ashiyah is reported building healthy relationships in the home, due to Ashiyah and mom interacting well with one another. Response: Ashiyah was receptive and open to the interventions, as she was attentive and focused on the information and activities that were being processed without any difficulties. Ashiyah was able to identify both positive and negative statements during the reframing skills activity. Response: Ashiyah utilized meditation and relaxation techniques. Ashiyah reported a decrease in symptoms following the relaxation techniques. Ashiyah smiled at QMHP-C and said thank you, communicating that she was going to continue making good choices at home.