8/23/2023 EnchantaVaughn Approved Behavior: When QMHP came inside the house to speak to client, he was witnessed in a pleasant mood, treating his family with respect and expressing himself in a healthy manner. Client went straight to a quiet area to begin session. At the start of the session, client displayed hyperactive behaviors evident by client talking over top of QMHP while QMHP explained what was going to be discussed during the session. Behavior: Client interacted safely in the home, while QMHP was present. Client made constant eye contact with authority figures while communicating his thoughts and feelings concerning today’s topic of discussion. Client displayed appropriate behaviors while listening to QMHP. Client was attentive when completing the second portion of the session. Client was actively engaged with QMHP explaining to QMHP on how he can change his behaviors within the home to keep from getting in trouble in the home. Intervention: QMHP provided individual and family counseling based on specific treatment objectives. QMHP supported client with working toward his objectives and coping with stressors. QMHP encouraged client to continue displaying age appropriate behavior, and the benefits of this will be reviewed with parent. QMHP supported client with making good decisions and following directions. QMHP gave positive feedback and encouragement throughout the session especially during challenging or stressful tasks. QMHP prepared client for the next activity by suggesting mom help him and to work together. Intervention: QMHP monitored progress in demonstrating individualized pro-social skills. QMHP offered active listening skills and showed client respect while he was sharing his ideas and thoughts about services. QMHP thanked client for trying and working on a part of himself that he stayed away from for so long. QMHP reminded client to always be true to himself. QMHP used appropriate behavior modeling by pointing out someone that is demonstrating positive behavior to encourage him to do the same. QMHP praised and recognized client for his hard work, efforts, participation, and working towards improvement by changing daily habits and implementing a positive and consistent routine. Response: Client is striving for a good report from home and in school every day. Client recognized his triggers and was able to identify common interests and similarities him and other ADHD recipients share. Client was able to utilize coping skills to eliminate stressors and unwanted feelings. Client displayed self determination to stay focused and pay attention in session. Client responded well to the support provided by QMHP. Client said thank you and promised to treat others with respect. Client understands that he is expected to act civilized at all times so that he can have a better living environment. Response: Client asked appropriate questions related to his previous behaviors. Client shook his head in understanding. Client said okay. Client agreed to complete 2-3 tasks at home daily to keep himself busy and out of trouble. Client promised to respect others personal space and boundaries. Client said he was aware of his goals and objectives and would implement them to the best of his ability. Client agreed to follow the expectations and rules. Client displayed appropriate behavior in therapeutic area. Client displayed good interaction with QMHP as session came to an end.