5/21/2023 EnchantaVaughn Approved 1.Behavior: Upon arrival, Ben-Nita behaviors were viewed as inattentive and chatty. Ben-Nita appeared to be frantic and restless. Ben-Nita was lectured about her hyperactive conduct in the house and what she needs to do in order to meet her objectives. Mother appeared to be in a tired mood and was frustrated Ben-Nita was refusing to listen or do the right thing, especially once her counselor arrived. 2. Behavior: Ben-Nita displays impulsive and hyperactive behaviors 3-4x per, lacking self-control while engaging in family and individual therapeutic activities. Ben-Nita is observed displaying inappropriate behavior by sucking her teeth and rolling her eyes repeatedly. Ben-Nita struggles with handling her emotions, displaying multiple outbursts when given redirection and has a hard time accepting the consequences of her actions. Ben-Nita struggles with listening and following directions even with mother present. 1.Intervention: QMHP-C observed Ben-Nita’s progression and responded accordingly. QMHP-C reiterated the directives twice to ensure Ben-Nita understands the exercise. QMHP-C encouraged Ben-Nita to try to release her emotions so that she doesn’t bottle them up and explode all at once. QMHP-C reminded Ben-Nita that talking about her feelings is healthy. QMHP-C reviewed Ben-Nita’s goals and objectives with parent. QMHP-C prompted Ben-Nita to think about how her negative actions can affect others. QMHP-C communicated with mom that Ben-Nita need to learn how to calm down on her own. QMHP-C will continue to assist Ben-Nita with managing anger and frustration by reviewing and role-playing effective coping skills. QMHP-C helped Ben-Nita problem solve when she began displaying negativity towards herself and others. QMHP-C utilized worksheet exercises to have Ben-Nita make appropriate decisions when faced with verbal confrontations in the home and community settings. 2. Intervention: QMHP-C developed a plan to help Ben-Nita with the challenging areas. QMHP-C will work with Ben-Nita to identify parts of her body that hold tension and anger. QMHP-C established alternative responses that are more appropriate than ignoring an adult. QMHP-C explored non-verbal activities that can still benefit Ben-Nita without causing her to shut down. QMHP-C will review actions and consequences, as it pertains to home rules. QMHP-C intervened to prevent the negative behaviors from escalating. QMHP-C physically redirected Ben-Nita to an alternative activity. QMHP-C provided guidance on alternative behaviors and clear instruction on the alternative behavior. QMHP-C provided positive feedback when Ben-Nita engaged in the more appropriate behavior. QMHP-C will collaborate with mom regarding behaviors and performance in the home on a weekly basis. 1. Response: Ben-Nita participation level was low when practicing calming techniques, as evidenced by Ben-Nita flat mood and demeanor. Ben-Nita looked confused, indicating that she didn’t know the reason for her negative behaviors. Ben-Nita displayed a disinterest in the therapeutic activities, due to avoiding discussion and prompts. Ben-Nita was unable to relax when being instructed by the use of the calming and relaxing techniques. Ben-Nita was resistant and reluctant in regard to QMHP-C positive empathetic acceptance. Ben-Nita was inattentive and unfocused throughout the session. Ben-Nita informed QMHP-C of her behaviors after QMHP-C confronted her again about her behaviors. Ben-Nita understood the rules to the home but could not give QMHP-C an answer as to how come she could not follow the house rules every day. Mother verbalized that she would come up with defined rules for the home and agreed that the rules are probably what are needed in the home. 2. Response: Ben-Nita speaks about herself in a negative tone communicating that she feels ashamed and unhappy about her efforts and abilities. Ben-Nita later displayed quiet behaviors as she shrugged her shoulders and did not want to answer QMHP-C questions. Ben-Nita did not respond as information was shared on anxiety and stress. Ben-Nita continued to make poor choices in session as it pertains to verbal skills and communication. Ben-Nita displays challenges in a few areas, including but not limited to her goals and objectives.