9/16/2023 EnchantaVaughn Approved Behavior: Upon arrival, client was observed sitting down on the couch next to dad and grandma, eating a snack displaying a laidback attitude. Client appeared to be in an altered mood, as evidenced by his posture and tense look on his face. Behavior: Client presented off task behaviors as evident by him starring at the walls when disucssing his behaviors with his mother. Intervention: QMHP explored the positive behavior options he was exhibiting with client to support his willingness to continue to make good decisions and have positive behaviors in the home. QMHP engaged client in a conversation regarding his recent behaviors, progressions and setbacks. QMHP explored client’s responses and responded accordingly. QMHP talked with client about the importance of adhering to rules and expectations at home and in the community. QMHP held consultations with client and dad about effective intervention strategies that build on the client's strengths and compensate for his negative behaviors. Intervention: QMHP reminded client of ISP objectives. QMHP reviewed examples of alternative appropriate behaviors he could engage in. QMHP demonstrated the correct way to get someone’s attention without blurting out loud or talking over people. QMHP separated client from inappropriate interaction, in efforts to reduce tension and stress-provoking situations. QMHP praised client for his commitment in trying to meet his objectives this week. QMHP encouraged client to resist negative behaviors in efforts to refrain from requiring to be redirected by his dad over and over. QMHP observed client complying with rules and expectations. QMHP utilized empathetic listening skills as client expressed his understanding of stressful situations. Response: Client said “thank you” following the positive behaviors that QMHP represented in the session. Client only had to be shown once and he was able to repeat the behaviors in a safe and understanding way. Client continues to interact in a positive manner with his dad and counselor. Response: Client responded well to the review of his objectives. Client confirmed he was aware of each one and would do his best to follow through even if he’s having a bad day. Client was acceptive of the alternative behaviors and agreed to try and implement them each week. Client was observed in session adhering to rules and regulations and being respectful to QMHP. Client displayed self-control in his seat by keeping his hands in his lap and sitting calmly without impulsive or hyperactive behaviors while counselor reviewed his objectives and expected him to give an example of how he displayed each one in the home today.