1/18/2023 EnchantaVaughn Approved Behavior: Client exhibited poor social behaviors around her family. Client displayed appropriate conversation with her counselor, mom. Client communicated positive attitude toward and maintained a respectful and courteous demeanor throughout the session. Client was engaged and focused. Client was observed building healthy relationships with her family in the presence of QMHP. Client was observed being a team player and working well with others in the home. Behavior: Client was in a happy mood and expressing healthy emotions toward the activity provided by QMHP. Client did her best to ignore distractions and stay on task. Client was observed displaying inappropriate manners by sitting properly in her seat and being quiet when QMHP explained the activity and directions in the session. Client was able to complete the session and learn new skills that she plans to practice with mom for 30 minutes each day. Intervention: QMHP will provide client with support and encouragement. QMHP will monitor, observe, and redirect client behaviors as needed. QMHP will continue to build a rapport. QMHP will educate client on behavior modification to help client identify what behavior she needs to decrease and avoid daily. QMHP will implement strategies with client and encourage self-monitoring in the home. Intervention: QMHP will explore positive self-talk, use instruction modeling, and increase social communication skills with positive reinforcement role play activities. QMHP will utilize behavior modification system to aid the client with following directions given by authority figures. QMHP inquired about activities client might be interested in for future outings. QMHP will meet with client 4x a week to discuss progress and expectations that are working and not working in the home. Response: Client is reminded to tell an adult if someone is interrupting her learning no matter where she is. Client presents a positive attitude when given the opportunity to earn a reward. Client implemented the positive reinforcement provided by her mom and was able to stay motivated and enjoy her day. Client exhibited good manners after earning incentive for her hard work. Client interacted well within her home environment. Response: Client reported a decreased stress level due to her modulation of social contact, and the success of this was reviewed. Client implemented the positive reinforcement provided by her counselor and is able to stay motivated and enjoy her day. Client exhibited good manners in the home. Client reduces sadness and finds more excitement in learning about her family history and mental health. Client continues to make progress with ISP objectives.