1/29/2023 EnchantaVaughn Approved Behavior: Upon joining QMHP, client was observed in the home environment conducting herself appropriately. Client spoke in a polite way when acknowledging QMHP support. Client demonstrates she is capable of paying attention in session without exhibiting attention-seeking behaviors. Client continues to display appropriate social skills in therapeutic setting. Client demonstrates ability to multi task by working independently and helping her mom with whatever she needed. The family showed positive interactions during today’s session. They interacted well with one another and spoke to each other calmly and effectively. Client showed she is capable of exhibiting responsible behavior at home by being fair and showing compassion to others. Client was seen modeling safety plan by being observant to her surroundings and separating herself from undesirable behaviors (e.g. talking out of turn and making inappropriate noises). Client displayed great socialization with mom and counselor, engaging in conversation by asking and answering questions related to the topic of discussion. 2. Behavior: Client was supported for displaying active listening skills and attending to her work. The client has become less defensive, due to interventions. Client was able to cope and relax in her environment and complete her assignment. Client communicated positive attitude and engaged in activity without frustration or being distracted by external stimuli. Client gave really good feedback and was responsive to all instructions given to her. Client exhibited excellent participation with therapy assignment and displayed a cooperative attitude toward her counselor, communicating her feelings about her daily life functioning. Client was given praise and reinforced for participating in the session and developing self-determination skills. Client has shown a lot of improvement with dealing with her symptoms and building healthy relationships on a daily basis. 1. Intervention: QMHP praised client for her positive conduct and waiting quietly for instructions. QMHP applauded client for the behavior that she was displaying. QMHP complimented client on her outfit, clean face, and fresh braids and display of personal hygiene practice. QMHP coached client to acknowledge and list her strengths, resilience and the positive outcomes that often occur when she makes informed decisions opposed to impulsive ones. QMHP processed client positive behaviors. QMHP reviewed several strategies for conflict resolution and positive social behaviors with client in efforts to increase client’s awareness. QMHP explored positive self-talk, use instruction modeling, and increase social communication skills with positive reinforcement role play. QMHP shared with client that this is the type of behavior her mom had tried to encourage her to display in school. QMHP verbalized the awareness that all people are unique, learn differently, and have various strengths and weaknesses and that she shouldn’t feel ashamed of her process. QMHP reviewed the positive things that client had done and encouraged her to continue in making positive decisions in all ways. 2. Intervention: QMHP assisted client in understanding where she is mentally with her goals versus where she should be mentally with her goals. QMHP practiced calming techniques with client that can be used in moments of high anxiety. QMHP commended client on her improvement and doing a better job at home with her mom. QMHP urged mother and client to participate in role reversal activity to aid mother and client to realize how to respond to and interact with each other. QMHP observed client’s behaviors as seemingly calm and controlled as demonstrated by her ability to release her tension appropriately without feeling misjudged and overlooked. QMHP isolated client from distractions to decrease disruptive behaviors and to reduce manic episodes. QMHP assisted client in normalizing the changes that are occurring around her and how she can apply her objectives. QMHP will implement a routine that will encourage client to be responsible and promote self-confidence in social and virtual settings. QMHP reflected with client on her day, reviewing both good and bad experiences. QMHP will monitor effects of meditation and coping practices daily and report progress weekly. 1. Response: Client was attentive and open with counselor about her feelings and how to identify them. Client discussed mental illness and its causes with mom and QMHP. Client displayed interest in learning about ADHD. Client reviewed ISP objectives as a reminder to stay focus and have faith. Client said she was aware of her expectations and what she is expected to do each day. Client practiced some of the examples of alternate behaviors (e.g. listening to music, going for a walk, coloring or drawing in her journal, pray or talk to someone, repeat positive “I-statements” and ask questions in front of a mirror). Client participated in reviewing key concepts. Client showed good understanding of what it means to be respectful, encouraging, mindful, and fair to others. Client provided several scenarios for QMHP to model positive prosocial behaviors within. Client responded well to feedback, interacting well with others. Client implemented her plan for restoring relationships, and this was reviewed. Client acknowledged QMHP and explored her options. As the client developed understanding of home expectations, she reported increased satisfaction and function. 2. Response: Client was acceptive of support and encouragement as she was able to reflect openly with QMHP. Client exhibited good social behaviors and did not require redirection to stay on task. Client was able to reevaluate herself and display a more positive attitude toward peers and authority. Client has become more involved in her therapy and was given positive reinforcement for this. Client demonstrated expectations and responded well to feedback. Client communicated positive affirmations and self-talk when expressing herself and responding to the interventions. Client shared some of the things she does at home to help her relax. Client participated in reviewing key concepts to learn more about her illness. Client displayed self-determination to stay focused in session. Client displayed management of individualized behaviors. Client responded in a pleasant manner acknowledging the positive reinforcement that the QMHP provided. Client was able to demonstrate fairness and kindness to peers and authority. Client was able to detect and acknowledge the positive response modeled by QMHP. Client shared that she enjoyed the session she had with counselor.