10/8/2023 EnchantaVaughn Approved Behavior: Client demonstrates excellent conduct in the home. Client spoke to QMHP and communicated healthy statements about being in session today. Client appeared to be motivated by Client demonstrates excellent conduct in his seat and reframing from kicking and making loud noises. Behavior: Client did not demonstrate any unsafe actions by trying to hit or attack others. Mom shared client has made some major improvements, but she wants him to put some effort into finding a hobby and being independent. Client responded with positive gestures and continued following along with each prompt. Intervention: QMHP applied positive self-talk strategies to help client think positively at all times and to talk about his actions and how they will make people feel. QMHP utilized active listening skills while client was verbalizing information about his day. QMHP explored the client’s capability to cope with his stressors and to get back on track. QMHP assisted client with finding and utilizing necessary resources at home. Intervention: QMHP went through program overview with family to reiterate key points and program objectives that would pertain to their specific situation. QMHP reviewed with mother the ability to limit the stress in the home and to utilize the reward system. QMHP utilized active listening skills while probing mother on the affect ways that she attempts to reduce client's negative behaviors. Response: Client responded in a pleasant manner acknowledging the positive reinforcement that the QMHP provided. Client discussed mental illness and its causes as a family. Client displayed interest in learning about ADHD. Client was able to reevaluate himself and display a more positive attitude toward peers and authority. Client demonstrated expectations and responded well to feedback. Response: Client participated in reviewing key concepts. Client showed good understanding of what it means to be respectful, encouraging, mindful, and fair to others. Client is observed correcting his mistakes and making good choices. Client utilized meditation and relaxation techniques. Client was seen decreasing anger and frustration.