6/5/2023 EnchantaVaughn Approved 1.Behavior: Ja’Carei greeted QMHP-C as QMHP-C arrived to the home. Ja’Carei appeared to be in a positive mood while discussing with QMHP-C how his day was going. QMHP-C informed Ja’Carei that this session would include his mother at which mother discussed with QMHP-C on how Ja’Carei is struggling with managing his anger. 2. Behavior: Ja’Carei displayed off-task behaviors evident by him starring off into the wall and or being distracted by others surrounding him such as people entering in and out of the home. 3. Behavior: Ja’Carei displayed a poor attitude toward mental health professional due to personal conflicts and external distractions. Ja’Carei refuses to participate or contribute to group discussion. Ja’Carei constantly complains and make excuses for his behavior. Ja’Carei was seen preoccupied, as he was involved in his own feelings, thoughts, and activities. 1.Intervention: QMHP-C utilized open communication with Ja’Carei to discuss any feelings and thoughts that may trigger his anger aggression and cause him to act out inappropriately. QMHP-C encouraged Ja’Carei to communicate feelings of sadness, hurt, and anger. QMHP-C supported Mrs. Shabazz with understanding and to communicate the respect of Ja’Carei feelings. 2. Intervention: QMHP-C assisted Ja’Carei with developing coping strategies when he is angered such as family involvement, peer interaction, music therapy and journaling. QMHP-C assisted Ja’Carei assisted in identifying positive and hopeful things in his daily routine at the present time. 3. Intervention: QMHP-C examined and evaluated Ja’Carei responses to feedback. QMHP-C focused on Ja’Carei ISP objectives and what he needs to do in order to achieve them. QMHP-C offered new ways to heighten Ja’Carei awareness of his ill-mannered behaviors, as well as helping him with functioning more constructively within his daily life. QMHP-C encouraged Ja’Carei to present healthier habits and routine by challenging himself to make better choices and try new things. QMHP-C questioned Ja’Carei on the statements he made about having difficulty expressing his feelings. 1.Response: While exploring Ja’Carei emotional state, Ja’Carei mentioned to QMHP-C that he was having a good day. Mother indicated to QMHP-C that she knows that Ja’Carei is not going to always do the right things because that is what children do. 2.Response: Ja’Carei discussed with QMHP-C that he does not do communicate like he should because if he did then he would have gotten his brother in trouble when he sent that picture but he didn’t say anything because he did not want his brother to get in trouble. 3.Response: Ja’Carei was reluctant and hesitant. Ja’Carei did not offer any forms of social or friendly rapport back to QMHP-C, remaining unemotional displaying an unresponsive and nonchalant attitude throughout the session. Ja’Carei took over 20 minutes to reduce hyperactive behaviors. Ja’Carei became more impulsive and started to cause more disruptions. Ja’Carei explored numerous ways to express her anger and negative behaviors during the role play with QMHP-C. Ja’Carei stated his difficulties in certain situations but displayed a negative tone. Ja’Carei required assistance as he was unable to lower his voice.