1/25/2023 EnchantaVaughn Approved Behavior: As the client prepared for family session, he was seen helping his father and displaying responsible behaviors. Family gave client time to talk to his counselor but remained nearby for support. Client was in a calm mood, as evidenced by his quiet and relaxed expressions. Client wore comfortable clothes and displayed good hygiene. Client was observed being a good listener while QMHP reviewed his objectives and goals. Client displays good social behaviors, laughing and playing safely in the home. Client was engaged and focused in the session. Client was observed being a team player and working well with others. Client shared positive thoughts concerning his expectations and responsibilities in the home, as he expressed that being the oldest meant he should take care of others and be a leader. Client admits that sometimes it can feel overwhelming but he has learned to be positive no matter what. Behavior: The client shared that he had a good day. Client has implemented interventions and strategies taught by QMHP in his daily activities. Client said that catching up with all of his work and spending more time with his mom has made things more loving in the home. Client realizes that doing things for others is what family is about. Client exhibits less hyperactive behaviors and seem to be in control of his actions. Client was excited for the last day of school so that he can enjoy his summer and attend summer camp with all of his friends so that he can get out the house more and do more fun stuff. The client was smiling and being playful toward counselor. Client’s communication skills seemed to improve throughout the session. Client was observed conducting himself appropriately without hyperactive behaviors. Client symptoms of ADHD have been decreasing due to avoiding distractions. Client shares his daily experiences in order to reflect during the session. Intervention: QMHP went to the home for the purpose of meeting with each family member for family session and meeting with client individually to discuss his mental health. QMHP engaged in conversation with each family member regarding client’s services. QMHP reiterated the expectations and rules for family session. QMHP also monitored effects of medication and coping practices and reported progress to mom. QMHP listened to mother verbalize any issues or concerns she had with his medication. QMHP explored the client’s capability to cope with his stressors and to get back on track. QMHP assisted client with finding and utilizing necessary resources at home. QMHP advised client to make the right choices and to keep up the good work. QMHP processed client positive behaviors. QMHP inquired about possible challenges client can experience with applying this skill. QMHP provided positive feedback. QMHP applauded client for making the big decision to want to work on changing his behavior. Intervention: QMHP motivated client to respond to exercise and express his feelings. QMHP inquired about client’s day and what things is he doing to make it a good day. QMHP probed client about his schedule in efforts to understand his daily routine. QMHP discussed with him the importance of working hard to make sure that he continues to stay focused on his goals. QMHP challenged client to continue displaying a positive attitude while employing positive reinforcement when client is able to achieve his goals and objectives. QMHP listened as the client communicated his feelings with his mom. QMHP supported client in approaching his mother with his ideas. QMHP encouraged the client to continue to work on understanding his feelings and making sure that he responds in a positive way. QMHP provided praise when the client continued to display positive behaviors throughout the day, remaining on task and was very respectful to all adult figures. Response: Client exhibited a positive attitude toward his family. Client smiled and hugged QMHP. The client responded in a positive manner acknowledging the positive reinforcement that the QMHP provided by saying “thank you” while presenting a smile. Client utilized relaxation strategies appropriately. The client showed his gratitude for being able to release physical tension stating that he felt relaxed. Client was able to cooperate and comply to rules and regulations due to positive reinforcement provided by the QMHP. Client was able to utilize coping skills to eliminate stressors and unwanted feelings. Client displayed self-determination to stay focused and pay attention. Client interacted well with others and demonstrated good team building skills. Client displays a good attitude when communicating his thoughts about himself. Client did an excellent job by showing interest in the session by asking appropriate questions. Response: Client communicated that he felt safe and comfortable talking to the in-home counselor. Client informed QMHP that he was coping and utilizing deep breathing techniques to stay calm and not overreact. Client demonstrates problem solving by staying calm and using his senses. Client displays good social behavior, as observed and supported by mental health professional. Client is reported building healthy relationships in the home. Mom enjoyed seeing client do the right thing for once. Mom and client promised to practice techniques and review and complete the in-home assignment. Client realized that he has made progress and is starting to express more passion for counseling, being at home, and getting the rest he requires on a daily basis. Client thanked QMHP for the support and assistance and helping him stay on track with his goals and objectives.