2/22/2023 EnchantaVaughn Approved (AM) Upon arrival, client entered the school building with a negative attitude. Client stated he did not want to be in school and that he wanted to go home. Client appeared tired and upset. Client had a difficult time making it down the hallway. Client was redirected and ordered to get his act together and head to class. Client displayed hyperactive behaviors walking into class. Client appeared to be off task during morning academics, as evidenced by client being easily distracted by his peers. Client was observed attempting to whisper to his peers during instructional period. Teacher requested for client to stop talking and interrupting the class. Client was not recpetive and continued inappropriate behaviors. (PM) Client was sent to talk to his counselor before transitioning to the next activity. Client refused to participate with the rest of the class. Client did not want to join the class in demonstrating characters from the book so while everyone danced and moved around, client remained in place on the carpet. Client ignored authority prompts to participate and try to make the most of his day. Client displayed moderate aggressive behavior after being called out by both the teacher and mental health professional. (EOD) Client has been having a hard time opening up his feelings and reflecting on his day. Client pretends he doesn't know anything and has no recollection of anything being taught or reviewed in class. Towards the end of the academic day consumer appeared to be struggling to complete his assigned task. Client explained how the instructor usually provides them with word bank but without the word bank he did not know how to fill in the blanks. Client was observed attempting to look on his peers paper. Client was reprimanded for trying to cheat and points were deducted from his grade. Client failed to meet his objectives today, as evidenced evidenced and reported throughout the day. (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.