10/31/2023 EnchantaVaughn Approved Upon arrival to the school setting, the client appeared to be in a flat state as evidenced by greeting QMHP-C with a lack of emotions. During morning observations, the client exhibited difficulty with controlling impulsive behavior by not staying in his resource class. During midday observations, the client still showed difficulty with staying in his assigned lunch area. During afternoon observations, the client exhibited difficulty with all of his target goals during dismal time as evidenced by not staying in his assigned bus area, communicating in an inappropriate manner with authority, and refusing to follow directions to get on the bus. QMHP-C greeted the client upon arrival to the school setting. `During morning observations, QMHP-C redirected the client to stop running throughout the hallway. QMHP-C reiterated the importance of controlling impulsive behavior and staying in his class. During midday observations, QMHP-C redirected the client and reiterated the importance of staying in his assigned lunch area. During afternoon observations, QMHP-C redirected the client and reiterated the importance of achieving all of his target goals. The client responded well towards TDT services as evidenced by participation and engagement. During morning observations, the client was unreceptive to redirection by running through the hallway. The client was then able to calm down and agreed to go back to his resource class. During midday observations, the client was receptive to redirection and agreed to stay in his designated lunch area. During the afternoon observations, the client was unreceptive to redirection by yelling and using inappropriate language. The client was then able to calm down and agreed to work towards achieving all of his target goals. QMHP-C will continue to redirect and prompt the client to control his impulse as evidenced by staying in his seat. QMHP-C will continue to encourage the client to communicate/respond to authority figures in an appropriate manner by verbalizing his thoughts and feelings daily. QMHP-C will continue to encourage the client to follow directives from authority figures within 3 prompts. QMHP-C will continue to provide support to the client within the school setting in an effort to maintain in school learning.