4/3/2023 EnchantaVaughn Approved (AM) Upon arrival to the spring break program, client is witnessed out of his seat and causing disruption in the classroom while counselor was reviewing instructions for the morning and beginning lesson for the day. Client pro social behaviors have declined. Client will not comply to rules or directions during morning instruction. Client had a hard time transitioning between group rooms and listening to authority. Client screamed outloud in a disrespectful tone wanting to frustrate and annoy everyone on purpose. Client was given several warnings. Client understands that there are consequences for his actions and that repercussions would follow if he continues to act out. Client was directed to correct his behaviors. Client refused and withdrew himself away from all staff. Client sat in his seat with a poor attitude, huffing and puffing and covering up his face. (PM) Client displays impulsive behaviors going to lunch, hopping around pushing and shoving and being silly. Client was directed to stay in line and walk calmly or consequences would follow. Client looked at QMHP with an aggressive expression and slowly got back in line. Client was monitored at lunch. Client held small conversation with peers. Client could not control his voice volume and began to be disruptive again. Client was escorted out by QMHP for one on one. Client required to be redirected by staff 2-3 times. Client made minimal progress towards ISP objectives. Client was heard using negative and vulgar language towards peers. Client was engaged in negative social interactions with peers and staff. Client was verbally aggressive as he explained his point of view to QMHP and staff about his reasons for acting out in school. Client was told that his behaviors are going to get him in trouble and if he chooses not to listen he will sit out of every activity and be given alternative work to do that’s not going to be fun. Client frowned and regrouped himself. Client returned to his group and prepared for the remaining activties. (EOD) Client was not polite, positive, or productive today. Client was very disruptive and defiant in group setting, refusing to listen to his counselor or follow instructions when he was asked. Client required 1-2 prompts of redirection during soccer, basketball, and kickball activities in the while out in the community. Client displayed restlessness and was unfocused during leisure activities, especially during group setting and psycho educational. Client was prompted to refocus 3-4 times by QMHP. Client was reluctant and hesitant to follow rules and stay with his age group. Client kept getting off task and involving himself in miscellaneous acts not directed by staff. Client got in trouble for leaving his assigned area without permission. Client continued to require 2-3 prompts of redirection by QMHP and other adult staff. Client refused to do what he was asked and QMHP pulled him to the side for one on one. Client presents anger and frustration at this time. Client was reminded that school is about learning together and being able to interact with our peers on our age level so that we learn the fundamental principles and develop a sense of maturity and self-control. Client was not able to reduce attention-seeking behaviors or follow directions.