5/22/2023 EnchantaVaughn Approved Behavior: Upon arrival to the home setting, Ja’Carei displayed good social skills throughout the session. Ja’Carei was supported for his cooperation and wanting to address challenges in school and at home. Ja’Carei admits to taking his frustration out on others and not giving his parents the respect, they deserve. Behavior: During the second portion of the session, Ja’Carei was defiant of QMHP-Cs prompts 4-5 times. Ja’Carei blamed his mom for his negative behaviors and appeared unapologetic for participating in disruptive actions. Intervention: QMHP-C reviewed Ja’Carei’s ISP objectives with him in efforts to reinforce his commitment to achieving them on a daily basis. QMHP-C aided Ja’Carei in recognizing his target behaviors in efforts to reinforce the importance of complying with social norms while in school, at home and in the community. QMHP-C facilitated activity to allow Ja’Carei insight on conflict resolution skills to utilize in social settings. QMHP-C provided strategies such as positive reframing. Intervention: QMHP-C assisted Ja’Carei with practicing reframing negative thoughts with more positive thoughts in efforts to reduce impulsive reactions to situations that usually trigger Ja’Carei's negative expressions. QMHP-C coached Ja’Carei to acknowledge and list his strengths, resilience, and the positive outcomes that often occur when he makes informed decisions opposed to impulsive ones. Response: Ja’Carei was receptive to all interventions given by QMHP-C. Ja’Carei displayed appropriate understanding of exercise. Ja’Carei was attentive while counselor assisted him with reviewing his schedule and preparing for the next day. Ja’Carei was able to recognize his target behaviors and implement a plan to reduce behaviors that were not helping him with his treatment. Response: Ja’Carei was very open and honest during his self-expression activity. Ja’Carei displayed full participation in the session, as observed. Ja’Carei demonstrated excellent understanding of being able to resolve personal conflicts within the home and community. Ja’Carei was able to conduct positive reframing skills with guidance from QMHP-C. Ja’Carei was observed communicating positive thoughts and avoiding negative thinking habits by changing “can’t” to “can” and “idk” to “let me try”.