3/15/2023 EnchantaVaughn Approved (AM) Upon arrival, client was observed sitting at his desk displaying active listening skills during morning announcements. Client appeared to be in an excited and upbeat mood as evidenced by him smiling and initiating a conversation with QMHP. Client expressed that he was feeling good and was going to have a good day. Client was observed settling into class and organizing his belongings to start his morning work. Client displayed good hygiene and clean attire. Client was in a good mood, as evidenced by his welcoming gestures and positive attitude while interacting with his teachers and classmates. Client shared positive thoughts about upcoming tests, exclaiming he studied and practiced all week. (PM) Client walked quietly in line with his peers heading to lunch and was seen showing excellent mannerisms by not pushing or running in the hallways. Client was supported and praised for his hard work and following school rules. Client presented himself with a positive attitude and remained on task. Client appears to grasp a clear understanding of whats expected of him and acknowledges his personal strengths and weaknesses through role playing exercises and psychoeducational activities. Client displays appropriate social skills in the community setting and does not have to be reminded of the rules and regulations. Client was rewarded for his hard work and encouraged to keep up the good work. (EOD) Client was well mannered throughout the day and recognized by his teacher for doing a wonderful job with learning his shapes. Client demonstrated a great attitude and was involved in team building exercise to engage with his peers. Client expressed insightful comments during group discussion and was respectful to authority. Client seemed to be having a good time and staying out of trouble. Client took small breaks throughout the day. Client ask for permission before leaving his assigned area. Client was able to transition smoothly to the next activity without conflict. Client was able to achieve all objectives, as supported and recognized by teachers and TDT staff. (AM) QMHP welcomed client to school and provided support and encouragement to ensure a good start to his day and to be on track with achieving his goals and objectives. QMHP inquired about weekend activities, asking what was exciting about your week. QMHP inquired about morning routine at home before coming to school. QMHP monitored client individualized behaviors in collaboration with his teacher and other mental health staff. QMHP encouraged client to make good choices and to utilize self calming techniques (i.e. counting to 10 and deep breathing skills) and processed with him about weekly behaviors, the good and bad, as well as, expectations. QMHP challenged client to continue displaying a positive attitude while employing positive reinforcement when client is able to achieve his goals and objectives. QMHP will teach client positive outlets and identify anger triggers. QMHP will assist client with developing effective focus techniques. QMHP will role play and demonstrate appropriate ways to interact with adults. (PM) QMHP provided praise when the client continued to display positive behaviors throughout the day, remaining on task and was very respectful to peers and authority. QMHP will teach positive alternatives to deal with anger. QMHP will provide opportunities for positive age communication. QMHP will verbally process with client ways to display improved impulse control. QMHP isolated client from distractions to decrease disruptive behaviors and to reduce excessive talking in class. QMHP explored the client’s capability to cope with his stressors. QMHP brainstormed how to resolve conflict without engaging in aggressive behaviors. QMHP offered help. QMHP encouraged client to continue having a good day. (EOD) QMHP monitored for acquisition of objectives. QMHP redirected client negative behaviors. QMHP encouraged client to stay in class and comply to rules and directives. QMHP encouraged client to be the example. QMHP encouraged client not to follow others that he see are doing wrong. QMHP intervened to assist in explaining behaviors to client. QMHP reflected with client on his day, both happy and frustrating experiences. QMHP encouraged client that tomorrow is a new day. QMHP processed client feelings. QMHP engaged in active listening. QMHP assisted client with recognizing his own personal strengths and how to apply them to reach his goals and objectives daily. QMHP reviewed several strategies for conflict resolution and positive social behaviors with client in efforts to increase client’s awareness. QMHP provided simple praises to client for his commitment to his progress. (AM) Client greeted QMHP by saying good morning. Client reflected on his weekend activities. Client said he woke up feeling good and was ready to have a good day. Client expressed positive thoughts about himself. Client stated he didn't need help with anything at the moment but would tell an adult if he needs help. Client communicated by nodding and exhibiting good eye contact. Client verbalized positive feelings about goals and objectives. Client communicated that he wants to work independently. Client displayed good participation in various settings and was responsive to all instructions, interacting well with his peers. Client responded in a positive manner acknowledging the positive reinforcement that the QMHP provided. (PM) Client said thank you and continued to do what he was told. Client said he was going to have a good day and decided to practice yoga poses with group member before returning to class. As the client has made more of his own decisions, he reported increased satisfaction and function. Client responded well to feedback, interacting well with his peers. Client agreed to behave and communicated a positive attitude when reviewing problem solving and self control strategies. Client promised he would try his best to correct himself when faced with conflict. Client was displaying respectful, non aggressive behaviors in lunch. Objectives were being met at this time, dispite stressful environment. Client demonstrates full understanding and capability of decreasing his symptoms associated with his mental illness and increasing his level of thinking, so that he can meet his objectives and make the right choices. Client appeared to be in a more calm mood, as evidenced by his upbeat spirit and enjoying himself during the activity. (EOD) Client avoided distractions in social setting, while utilizing anger management skills. Client seem to have a big influence on his peers. Client displays leadership skills by helping others and being a good citizen in school. Client acknowledged interventions and verbalized clear understanding. Client engaged in reflective thinking. Client communicated the do's and don'ts. Client was in a pleasant mood after feedback was given. Client was seen having a good evening. Client was able to identify the role he plays in each situation and continues to comply with authority rules and regulations. Client remembered to apply himself and utilize his strengths to focus on meeting his goals and objectives. Client administered positive behavioral expectations, reducing symptoms associated with his ADHD.