7/20/2023 EnchantaVaughn Approved (AM) Upon arrival to the summer day treatment program, client was observed in a frustrated mood according to his tense and angry facial expressions. When confronted by mental health professional, client communicated a negative attitude. Client expressed he did not want to finish morning work and threw it in his desk while teacher was collecting others. Client was given instruction to sharpen his pencils so that he can get back on track. Client was encouraged to listen and follow directions and make good choices. Client was content but behaviors continued. Client took a moment to cool off and refocused his attention in class. Client could not maintain his composure and found himself at the front of the school to process his feelings with his counselor. Client verbalized that he was upset because his teacher took his pencil away and wouldn’t give them back. Client was educated about being patient and understanding. After redirection was given, client was asked to proceed with normal activity if he wants to stay on green. Client stomped his feet and walked off to class. (PM) Client transitioned to the lunch setting, walking quietly and keeping his hands to himself. Client was respectful to staff and using his manners. Client was observed interacting with his peers and in a better mood. Client displayed appropriate gestures and behaviors. Client waved and smiled while going into session, support was provided at this time. Client exhibited good listening skills and ability to cope with stress and anxiety. Client displayed a pleasant attitude and praise and encouragement was given. Client expressed positive comments to group. The client reported that he has been successful in reducing levels of tension and increasing levels of relaxation. Client shared his feelings and thoughts. Client responded well to feedback and returned to class for pm studies. (EOD) Client was seen listening and following directions. Client was calm and quiet. Client displayed productiveness and patience when completing his assignment. Client was attentive to teacher and exhibited interest in all subjects. The client received positive feedback for his implementation of coping techniques. The client was directed to read during free time and utilize deep breathing skill and take small breaks. Client was acceptive. Client dismissed from school in a positive and upbeat mood, meeting his objectives. (AM) QMHP welcomed client to school. QMHP inquired about evening and morning. QMHP asked how client was feeling. QMHP asked if client needed help with anything. QMHP encouraged client to have a good day. QMHP monitored individualized behaviors for acquisition of objectives. QMHP encouraged client to listen to his teacher. QMHP encouraged client to be the example for others. QMHP encouraged client not to follow others he see that are doing wrong. QMHP reminded client of goals and objectives. QMHP intervened to assist in explaining behaviors to client and what he needs to work on if he wants to meet his goals and objectives. (PM) QMHP will provide strategies for coping and self control when faced with conflict. QMHP will review and give feedback regarding ADHD and its causes and effect to well-being and school performance. QMHP will teach client meditation skills to decrease anger and frustration. QMHP will implement a routine that will encourage client to be responsible and promote self confidence in academic and social settings. (EOD) QMHP reflected with client on his day, reviewing both good and bad experiences. QMHP processed with client, "what would you do different tomorrow”. QMHP encouraged client to have a good evening. QMHP encouraged client that tomorrow is a new day. QMHP praised client for utilizing coping strategies and being able to get back on track without episode. QMHP processed client positive responses and challenged client to maintain appropriate behaviors throughout the entire day. (AM) Client had one on one with QMHP. Client verbalized positive feelings about evening and morning. Client said he was feeling good and plans to have a good day. Client shook his head and returned to his work. Client displayed management of individualized behaviors. The client has not overreacted with anger to minor frustrations or irritants. Client responded in a pleasant manner acknowledging the positive reinforcement that the QMHP provided. (PM) Client was able to reevaluate himself and display a more positive attitude toward peers and authority. Client has become more involved in age appropriate social activities while being supportive of others. Client demonstrated expectations and responded well to feedback. Client reported a decreased stress level due to his modulation of social contact, and the success of this was reviewed. (EOD) As the client developed understanding of academic expectations, he reported increased satisfaction and function. Client responded well to feedback, interacting well with others. Client implemented his plan for restoring relationships, and this was reviewed. Client engaged in self reflection, discussing good and bad parts of his day. Client said "thank you". Client chose to get back on task, as observed by him listening and following directions.