6/25/2023 EnchantaVaughn Approved Behavior: Jacarei was cooperative throughout the remainder of the session presenting positive behaviors. Behavior: JaCaeri displayed withdrawn behaviors evident by him wanting to fight with his brothers during the session. He was redirected by QMHP-C several times for his behaviors. Intervention: QMHP-C engaged Jacarei in conversation to get his mind off things. QMHP-C practiced calming techniques by modeling examples for Jacarei to follow, such as walking away and cooling off and counting to ten when he found himself stuck in his feelings. QMHP-C assisted JaCarei with a series of calming imageries to reduce stressors and uplift JaCarei when he was down and out. QMHP-C inquired with JaCarei his feelings, moods, and behaviors and what he can do to make his life easier. Intervention: QMHP-C observed Jacarei’s digression and responded accordingly. QMHP-C reiterated the directives 3 times to ensure Jacarei understood the exercise. QMHP-C encouraged Jacarei to try to release his emotions so that he doesn’t bottle them up and become discouraged. QMHP-C prompted Jacarei to think about how his negative actions can affect others. QMHP-C reminded Jacarei that talking about his feelings is healthy and a natural part of therapy. Response: JaCarei utilized effective communication and assertiveness skills to express his anger more calmly and safely. JaCarei displayed low participation and low confidence as he processed with QMHP-C. JaCarei did not implement positive “I” statements but instead made inappropriate comments and refused to follow along with his individualized service plan. JaCarei displays challenges in a few areas, including but not limited to his mental health which have been addressed. Response: JaCarei continues to make poor choices in session as it pertains to verbal skills and communication. JaCarei stated that he has a hard time controlling his thoughts and words and speaks his mind even if it hurts someone feelings because a lot of his anxieties exist from other people saying mean things to him or teasing him for his lack of emotional intelligence. JaCarei agrees to journaling his feelings, as he reflects on actions and consequences.