7/13/2023 EnchantaVaughn Approved Upon arrival to the summer program setting, the client appeared to be in a content state as evidenced by greeting QMHP-C with moderate emotions. During morning observations, the client followed directions given while cleaning up his area after eating breakfast. During midday observations, the client exhibited difficulty interacting with his peers in a positive manner by arguing repeatedly while on a field trip to the fire station. During afternoon observations, the client exhibited difficulty utilizing positive behavior management skills, utilizing positive anger management skills by interacting with peers in a positive manner, and utilizing self control during lunch. QMHP provided Therapeutic Day Treatment services for the client throughout the day. During morning observations, QMHP provided the client with verbal praise and encouraged him to continue utilizing self control. During midday QMHP redirected the client and reiterated the importance of interacting with his peers in a positive manner. During afternoon observations, QMHP redirected the client and reiterated the importance of utilizing positive behavior management skills, utilizing positive anger management skills by interacting with peers in a positive manner, and utilizing self control. The client responded well towards Therapeutic Day Treatment services as evidenced by positive engagement throughout the day. During morning observations, the client agreed to continue utilizing self control while cleaning up his area after eating breakfast. During midday observations, the client was receptive to redirection and agreed to interact with his peers in a positive manner while on field trip to the fire station. During afternoon observations, the client was unreceptive to redirection by interacting with QMHP in an inappropriate manner and refusing to follow directions. The client was able to calm down and regain focus.