6/20/2023 EnchantaVaughn Approved Behavior: Upon arrival to the home setting, Ben-Nita was non-compliant for most of the session, refusing to conduct herself appropriately and show leadership skills during the activity. Ben-Nita is often observed showing frequent anger reactions, in which she exhibited oppositional defiance. It was difficult for Ben-Nita to stay on task. Behavior: Ben-Nita appeared very moody today for no reason neglecting her duties in the home and in the session. Ben-Nita did not take constructive criticism well and proceeded to walk away without permission. Intervention: QMHP-C developed a plan to help Ben-Nita with her challenges in the home. QMHP-C utilized role playing to demonstrate the calming effects of predicting the thoughts, feelings and actions of self and others prior to the outbreak of a conflict. QMHP-C prompted Ben-Nita to share anticipated thoughts and feelings and to indicate how this process reduces angry reactions. QMHP-C role played with Ben-Nita to assist her in bettering her social-emotional-mental skills. QMHP-C completed an activity with Ben-Nita that allowed her to write the words of the thoughts and emotions that she feels when she thinks of her family and close relationships. Intervention: QMHP-C discussed Ben-Nita’s responses with her and modeled for her how to approach her family/friends about her feelings, good or bad. QMHP-C educated Ben-Nita about using good manners in the home and offering alternative methods and suggestions to model appropriate language that Ben-Nita should use to ask for things or to get someone’s attention. QMHP-C processed Ben-Nita feelings and offered choices of what to do when faced with trauma and conflict. QMHP-C retrained Ben-Nita on relaxation skills, which included pace breathing, muscle relaxation, and calming imageries as a way for Ben-Nita to regain and control her rebellious and hyperactive conduct. Response: Ben-Nita participation level was under the required expectation when practicing calming techniques, as evidenced by Ben-Nita flat mood and demeanor. Ben-Nita looked disordered, indicating that she didn’t know the reason for her negative behaviors. Ben-Nita displayed a disinterest in the therapeutic activities provided by QMHP-C, 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. Response: Ben-Nita informed QMHP-C of her behaviors after QMHP-C confronted her again about her behaviors. Mother collaborated with counselor in coming up with consequences for certain behaviors displayed in the home. Mother verbalized that she is trying her best to implement consequences even if the principal is small to teach Ben-Nita the level of seriousness that comes with having mental issues.