2/15/2023 EnchantaVaughn Approved Upon arrival to the school setting, the client appeared to be in a content state as evidenced by greeting QMHP-C with moderate emotions. During morning observations, the client remained focused in class while completing his morning stations. During midday observations, the client interacted with his peers in a positive manner while in the cafeteria for lunch. During afternoon observations, the client exhibited difficulty with following directions on the first prompt when asked to complete his class work and to stay off of the computer. QMHP-C greeted client upon arrival to the school setting. During morning observations, QMHP-C provided the client with positive reinforcement and encouraged him to continue to remain focused in class while completing his work. Midday QMHP-C provided the client with verbal praise and encouraged him to continue interacting with his peers in a positive manner while at lunch. During afternoon observations, QMHP-C redirected the client and reiterated the importance of following directions on the first prompt from his teacher. The client responded well towards Therapeutic Day Treatment services as evidenced by positive feedback and engagement. During morning observations, the client agreed to remain focused in class while completing his morning stations. During midday observations, the client agreed to continue interacting with his peers in a positive manner while in the cafeteria for lunch. During afternoon observations, the client was receptive to redirection and agreed to follow directions on the first prompt. the client was then able to follow directions by staying off the computer and completing his class work. The client also agreed to continue to track his behavior on his self-monitoring chart.