4/12/2023 EnchantaVaughn Approved (AM) Upon arrival, client was witnessed in his seat and behaving normally. Client presented himself in a good manner. Client continued his morning by holding conversation with his peers. Client had trouble completing his assignment and could not focus for a long time. Client had a small episode. Client was given redirection. Client was able to deescalate outbursts after talking to his behavioral specialist. Client returned to class to start morning work. (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 was seen building rapport with QMHP. Client interacted well with his group members during team building exercise. Client expressed positive thoughts about the activity, making insightful comments. Client was engaged in group discussion, giving good feedback to others while they shared their work. Client was praised and rewarded. Client returned to class without incident. (EOD) Client was seen participating in class. Teachers reported client had a great day due to completing all of his work and taking his social studies test. Client was recognized for his improvement with meeting objectives 1,2, and 3 and the benefits of this were reviewed. Client left school safely with parent. (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.