2/15/2024 EnchantaVaughn Approved Behavior: Client openly discussed his feelings about his current state and how he feels. Client appeared to be in a good mood as evidence by him participating in family activity without conflict. Behaviors were maintained and managed at this time. Client displays the correct manners, saying please and excuse me when he had to ask a question. Client is seen conversing and responding well to feedback. Client was observed following rules and being compliant during the session. Client remained on task and in cooperation with home rules at which mother reports behaviors last up to 20 minutes in duration. Behavior: Client was showing a positive attitude in all areas today. Client was very attentive during interventions interacting with QMHP in a calm manner and did not raise his voice or display negative tone. Client was not involved with any incidents today and was supported by his mother and counselor for his behaviors during the second portion of the session. Intervention: QMHP implemented individualized behavior management techniques with client. QMHP observed client in his own space to determine if he required assistance. QMHP supported client displaying positive social interaction with authority. QMHP modeled proper positive behavioral expectations for the client to encourage additional layers of support. QMHP coached client to acknowledge and list his strengths, resilience and the positive outcomes that often occur when he makes informed decisions opposed to impulsive ones. QMHP supported client making good decisions and having positive behaviors at home. Intervention: QMHP processed with client about psychoeducational activity while assisting with directions. QMHP explained the importance of the activity. QMHP provided feedback to client in regard to questions asked. QMHP explored client’s responses and provided appropriate feedback. QMHP complimented client for utilizing acquired skills, paying attention, and focusing on the importance of the assignment. QMHP praised and recognized client for his hard work, efforts, participation, and working towards improvement by changing daily habits and implementing a positive and consistent routine. QMHP supported client with meeting his objectives. Response: 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 say something if he needed 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 instead of as a family some days so that he could gain clarity of his personal feelings without taking it out on someone he loves. Client displayed good participation and was responsive to all instructions, interacting well with mom and QMHP. Response: As the client has made more of his own decisions, he reported increased satisfaction and function. Client responded in a positive manner acknowledging the positive reinforcement that the QMHP provided. Client responded well to feedback. Client said thank you and continued to do what he was told. Client said he was going to end the day with good energy and decided to practice yoga poses when it was a break during the session and incorporate mental exercises. Client implemented the positive reinforcement provided by his counselor and was able to stay motivated and enjoy his evening.