3/24/2023 EnchantaVaughn Approved (AM) Upon arrival, client was observed eating breakfast and listening to announcements. Client was a little more hyperactive due to teacher being absent today. Client left his class without permission and was seen walking back and forth to speak to counselor. Client was inquired why he was out of class roaming the hallways. Client communicated he was trying to help someone. Client was prompted to get back to class and not to initiate himself in unnecessary drama. Client was reminded of this week’s psycho educational with being mindful of how we act in our surroundings. Client responded well by smiling and attending to his class time. Client communicated that his teacher was not here and that they had a sub. Client was encouraged to be on his best behavior if he wants a good report. (PM) Client was observed in lunch displaying appropriate attitude. Client was observed displaying appropriate behaviors. Client was monitored and supported for conducting himself appropriately. Client entered his session with a positive attitude. Client participated in team building exercise. Client was seen making insightful comments and giving good feedback to each group member. Client was praised and rewarded. Client returned to class without incident. (EOD) Client was seen sitting at his table and keeping his hands to himself. Client was polite and respectful to his classmates, sharing and taking turns during station time. Client was seen cleaning up behind himself and preparing for dismissal. No incidents were reported, client left school safely while meeting all objectives. (AM) QMHP will teach client necessary coping skills to decrease impulses. QMHP will brainstorm strategies with client and encourage self monitoring. QMHP will assist client with self monitoring skills to enable him to participate in fundamental learning. QMHP will provide mediation and relaxation techniques. QMHP inquired about after school activities. QMHP will collaborate with teacher regarding behaviors and performance. (PM) QMHP applauded client for being the bigger person. QMHP will review and give feedback regarding ADHD and its causes and affect toward client well being and academic functioning. QMHP will provide client with support and encouragment. QMHP will monitor, observe, and redirect client behaviors as needed. QMHP will build rapport. QMHP will explore positive self talk, use instruction modeling, and increase social communication skills with positive reinforcement role play activities. (EOD) QMHP will educate client on behavior modification to help client identify what behavior he need to decrease and avoid daily. QMHP will utilize behavior modification system to aid the client with following directions given by authority figures. QMHP will meet with client daily to discuss progress and expectations that are working and not working in school daily. (AM) Client communicated positive affirmations and self talk. Client utilized self monitoring skills in class. Client displayed management of individualized behaviors. The client has not overreacted with anger to minor frustrations or irritants. Client responded in a pleasant manner acknowledging the positive reinforcement that the QMHP provided. (PM) Client was able to reevaluate himself and display a more positive attitude toward peers and authority. Client has become more involved in age appropriate social activities and was given positive reinforcement for these choices. Client demonstrated expectations and responded well to feedback. Client reported a decreased stress level due to her modulation of social contact, and the success of this was reviewed. (EOD) As the client developed understanding of academic expectations, she reported increased satisfaction and function. Client responded well to feedback, interacting well with others. Client implemented her plan for restoring relationships, and this was reviewed.