9/27/2023 EnchantaVaughn Approved The client appeared to be in a content state upon arrival to the school setting. During morning observations, the client followed directions the first time given while completing his morning stations. During midday observations, the client exhibited difficulty interacting with his peers in a positive manner while in the cafeteria for lunch. During afternoon observations, the client exhibited difficulty remaining focused in class while completing his assignments. QMHP-C greeted the client upon arrival to the school setting. During morning observations, QMHP-C provided the client with verbal praise and encouraged him to continue following directions the first time given. During midday observations, QMHP-C redirected the client and reiterated the importance of interacting with his peers in a positive manner. During afternoon observations, QMHP-C redirected the client and reiterated the importance of remaining focused in class. The client actively engaged in Therapeutic Day Treatment services throughout the day. The client responded well towards services as evidenced by positive feedback. During morning observations, the client agreed to continue following directions the first time given while completing his morning stations. During midday observations, the client was receptive to redirection and agreed to interact with his peers in a positive manner while in the cafeteria for lunch. During afternoon observations, the client was receptive to redirection and agreed to remain focused in class while completing his assignments. The client also agreed to continue to track his behavior on his self-monitoring chart.