1/17/2023 EnchantaVaughn Approved (AM) Upon arrival, client started off his day on a good note. Client spoke to peers and staff, greeted his counselor and went into his homeroom class smoothly and safely. Client was observed finishing his breakfast at his seat and listening to the morning announcements. During morning class time client appeared to be in a pleasant mood, as he was observed working diligently on his assigned task. Client seemed to be participating in the class discussion as he raised his hand and answered questions. Client was focused and attentive as he did not require any redirection. (PM) Client was observed in lunch conversing and eating with his class. Client displayed appropriate manners at the lunch table by keeping his hands to himself and staying seated. Client was polite to staff, saying please and thank you. Client demonstrated excellent social skills, at this time. Client transitioned to therapy session to take a 30 minute break. Client returned to class in a happy mood, as evidenced by his cheerful facial expressions. Client was monitored and supported with going straight to his seat and taking out his work. (EOD) Teacher reported that client had a good day and was able to participate in the dojo cart, earning a treat for displaying love, respect, and kindness. Client went to specials, needing little to no redirection from authority. Client recognized things he dislikes about school and expressed that with QMHP. Client exhibited appropriate social skills in the group setting. Client prepared for dismissal by cleaning off his desk, turning in his work, and packing up. Client was observed leaving class in a pleasant and stable mood. (AM) QMHP welcomed client upon arrival. 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. (PM) QMHP monitored individualized behaviors for acquisition of objectives. QMHP encouraged client to participate in class. QMHP encouraged client to be the example for others. QMHP reminded client of goals and objectives. QMHP praised client for his efforts and encouraged him to remain on task. QMHP commended client for utilizing age appropriate communication skills. (EOD) QMHP reflected with client on his day, reviewing both good and bad experiences. QMHP processed with client, "what could he have done better”. 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 ignore distractions. QMHP encouraged client to continue to use age appropriate skills. QMHP explained the positive outcome associated with doing so. QMHP challenged client to maintain appropriate behaviors through the entire week. (AM) Client had one on one with QMHP. Client expressed he was ready for today’s activities. (PM) Client was able to stay in class and finish his work on time. Client has a clear understanding of goals and objectives and agrees to work on making better decisions. Client smiled and promised to have a good rest of the day. (PM) Client was observed adhering to the rules and regulations and following his expecations for the new school year. Client is acceptive to support and encouragement. Client is happy when he is around his friends in school. Client behaviors are influenced by his peers who are doing wrong and client is observed initiating himself in ways that are unhealthy and inappropriate. Client was able to corrent his behaviors and get back on task. (EOD) Client utilized coping skills to decrease feelings associated with stress and anxiety. Client accepted the challenge by stating that he was going to try to do the right thing at all times and listen to his teacher so that he can have a successful week and share good reports with his family. Client said thank you. Client was confident he would meet his objectives and asked to be rewarded accordingly.