7/15/2023 EnchantaVaughn Approved 1.Behavior: Upon arrival to the home setting, JaCaeri entered the session in an excited and eager demeanor, evidenced by his need to explain to the QMHP-C that he had been following his routine. Ms. Cosby discussed with QMHP-C on how JaCaeri continues to struggle with learning how to get along with his siblings as well as others within the community setting. 2. Behavior: JaCaeri displayed normal and cooperative behaviors throughout the session without needing redirection from QMHP-C but as the session continued he displayed off task behaviors evident by him leaving the room where the session was being conducted. After redirection he was able to engage in the session. 1.Intervention: QMHP-C began the session by inquiring about JaCaeri's emotional well-being. QMHP-C assisted JaCaeri on brainstorming all the positive effects of him following directions and completing his responsibilities by meeting the QMHP-C on paper. QMHP-C assisted JaCaeri in explaining why he always states to the QMHP-C that he was fine and well behaved at home and his parents explained how bad his behavior had been. QMHP-C reviewed JaCaeri’s behavior at home and if he had experienced any symptoms at home. QMHP-C assisted JaCaeri in expressing how he was acting and behaving at home. QMHP-C used active listening and supportive statements to encourage JaCaeri, as he shared his thoughts on his actions and progress. QMHP-C used positive feedback and compliments to support JaCaeri and urged him to get on task. QMHP-C assisted and brainstormed more thoroughly instances were JaCaeri was rude and had misbehaved such as yelling at his mother and sister again. 2. Intervention: QMHP-C discussed with JaCaeri some of the triggers he feels make him upset and angry like meeting QMHP-C and not being able to spend time with his older sister. QMHP-C elaborated for JaCaeri how he feels when he first gets upset and begins to recognize he is mad or hurt. QMHP-C educated JaCaeri on using some counting down from ten to calm down before reacting to his feeling when upset. QMHP-C used active listening and supportive statements to support JaCaeri while expressing himself and gave some suggestions to him. QMHP-C used suggestions to assist JaCaeri with understanding what to call his symptoms and how to work through them. 1.Response: JaCaeri was receptive to QMHP-C's suggestions for today's session. JaCaeri listened to encouragement and positive feedback from the QMHP-C. JaCaeri discussed some of the issues he has with listening to his parents directions and not being able to do whatever he enjoys doing before getting angry for being redirected, such as meeting with the QMHP-C. 2. Response: JaCaeri was able to participate and discuss his triggers after his parents demanded that he join QMHP-C in the session, he expressed that he enjoyed seeing QMHP-C and had followed directions, evidenced by his ‘do you think we can play magic cards after we do the activity. JaCaeri was able to draw and write his interpretation of how his parents would feel if he listened and spoke to them more respectfully. JaCaeri was able to draw his family with smiling faces as he explained that that is how they react when he listens and follows directions. JaCaeri was able to write down the pros and cons of listening and being respectful.