3/14/2024 EnchantaVaughn Approved 1.Behavior: QMHP-C arrived at the home of JaCaeri. JaCaeri greeted QMHP-C with a firm hand shake. JaCaeri was completing some chores and mother was in the kitchen cleaning. Ms. Cosby stated she was not sure what was going on with JaCaeri however he had multiple excuses for reasons not to complete chore or listen to her directives. Ms. Cosby asked QMHP-C to assist with JaCaeri’s lying, manipulative behavior and the constant excuses. QMHP-C will assist Ms. Cosby with parenting strategies as outlined in ISP as well. Mother reports these behaviors last about 2 hours on a daily basis. 2.Behavior: JaCaeri appeared to be withdrawn at times within the session as mother and QMHP-C was discussing his behaviors of how he does not like to accept responsibility on a daily basis and he can shut down with behaviors lasting up to 20 minutes in duration. 3. Behavior: JaCaeri needed redirection from QMHP-C for displaying hyperactive behaviors as he was leaving the room when discussing his challenges for aggressive behaviors at which mother reports these behaviors last up to 10 minutes-30 minutes in duration at least 2-4 days a week. 1.Intervention: QMHP-C expressed to Ms. Cosby that kids believe that if they project blame onto someone or something else, this relieves them of the need to admit a mistake, as well as the need to solve the problem. But instead, making excuses takes power away from kids because it keeps them from owning problems and finding solutions. QMHP-C, family and JaCaeri discussed how we use “excuses” to try to deny responsibility for JaCaeri or the other sibling’s actions and what is happening in their lives. QMHP-C emphasized that we often try to project blame onto others, in an attempt to also deny our responsibility in fixing the situation. QMHP-C discussed how repeatedly making the excuses can lead us to feeling helpless. 2.Intervention: QMHP-C wrote six examples of “excuses”. QMHP-C then asked JaCaeri to generate ideas for how these can be re-stated in a way that reflects taking responsibility for both the problem and the solution. QMHP-C used suggestions for changes listed below as a guide. QMHP-C asked JaCaeri to think of three “excuses” they have used recently and write each one down. When he did so, he was asked to share some of the statements. QMHP-C discussed how each choice has consequences and how people are responsible for the consequences of their choices. 3.Intervention: JaCaeri was modeled calming skills and role-played several ways to demonstrate positive behaviors. JaCaeri was probed on his efforts to decreasing aggressive behaviors at home, school and community. JaCaeri was provided techniques that he will feel comfortable utilizing to assist him with his anger such as walking away and not using hurtful words, not talking back, and threatening gestures. 1.Response:. Ms. Cosby spoke openly about JaCaeri and the numerous excuses. QMHP-C explains to the family the reasoning for JaCaeri’s behavior and the reasons associated to misbehavior. JaCaeri appeared to understand the importance of not using excuses or exaggerating the truth. 2.Response: JaCaeri reported that he has outburst and has threatened others in the past and will continue to if he needs to when he feels “violated or disrespected” from these whack people in the world. 3. Response: JaCaeri reported that he walks away when angry, however JaCaeri indicated that his mother continues to argue which his anger and frustrations will increase. JaCaeri admitted that he verbalizes hurtful words to his mother and do not care about her feelings. Mrs. Brpwnh discussed this is the things that make her upset when they cannot have their way this is what she gets in return from all of her children.