5/18/2023 EnchantaVaughn Approved Behavior: Upon arrival to the home setting, it was difficult for Ben-Nita to stay calm during family discussion and she started having episode, turning her back away from her counselor and refusing to communicate in the appropriate way. Ben-Nita increased aggressive and unpleasant behaviors after being redirected by QMHP-C. Ben-Nita began pouting and complaining saying that everything always fall on her regardless if it’s fault or not. Ben-Nita dislikes therapy, disregarding set rules in the session to do what she wanted without feeling obligated to be responsible or entitled to process and explain her emotions. Behavior: Ben-Nita presented defiance toward authority when confronted about her poor attitude. Ben-Nita was reminded to deep breathe whenever she felt she was about to explode or have an outburst. Ben-Nita was given another opportunity to participate and display cooperation. Intervention: During conversation at the home, QMHP-C utilized active listening as information was conveyed. QMHP-C communicated with Ben-Nita on displaying appropriate control. QMHP-C modeled language for Ben-Nita to use that will promote pro-social behaviors and effective communication. QMHP-C reiterated to Ben-Nita the benefits of following the rules and of the privileges she can receive when she does so. QMHP-C provided simple non-verbal praises as Ben-Nita was observed displaying positive social behaviors. QMHP-C educated Ben-Nita about using good manners. QMHP-C encouraged Ben-Nita to continue displaying age appropriate behavior no matter what. Intervention: QMHP-C monitored progress in demonstrating individualized pro-social skills (e.g. anger management, education, problem-solving, conflict resolution, appropriate verbalization of feelings, and cognitive-behavioral programming). QMHP-C processed with Ben-Nita about her feelings regarding her mental health. QMHP-C reminded Ben-Nita of goals and objectives. QMHP-C collaborated with mother in regard to home rules and regulations, home management, effective teaching practices, instruction and role-play exercises. QMHP-C assisted Ben-Nita with problem-solving on her own and provided Ben-Nita with appropriate feedback. Response: Ben-Nita exhibited techniques for appropriate self-expression and active listening. Ben-Nita understands that in order to do her best, she has to feel her best. Ben-Nita demonstrated appropriate interpersonal skills, assertiveness, confidence in self and ability to problem-solve on her own. Ben-Nita demonstrated how to verbalize her feelings without yelling and being aggressive. Ben-Nita appeared to be calm after the intervention. Ben-Nita demonstrated more acceptable responses, avoiding anger provoking situations. The Ben-Nita showed her gratitude for being able to release unwanted tension within the home environment. Response: Ben-Nita participated in brainstorming exercise and was able to identify possible triggers that can arise in the home with limited/inappropriate social interactions. Ben-Nita appeared very relaxed and upbeat during exercise and needed no redirection to transition to the next activity. Ben-Nita displayed appropriate understanding of exercise. Ben-Nita communicated positive self-talk and affirmations to stay motivated. Ben-Nita was able to recognize personal strengths and abilities to perform better. Ben-Nita was observed complying to authority requests and demands the first time they are given. Ben-Nita was open to the mutual and trusting relationship that was reestablished by the QMHP-C.