1/14/2023 EnchantaVaughn Approved Behavior: Upon arrival, client greeted QMHP with welcoming gestures saying good afternoon. Client mood was viewed as vibrant, upbeat, and energetic. Client displayed optimism going into his session. Client was cooperative and polite, presenting safe behaviors. Client was encouraged to learn his stressors so that he can cope through any situation on his own. Client smiled and said he was going to talk about this with his family. Client was able to end the session on a positive note and utilize acquired skills provided by the QMHP to safely transition back into home routine. Behavior: Client transitioned smoothly between activity in a respectful manner, remaining quiet and being courteous to his dad and step mom. Client engages well, communicating positive affirmations in session. Client exhibits great participation, following rules and expectations the first time. Client was supported for increasing his involvement in social and recreational opportunities. Client continues to execute responsibility for his actions by making good choices and utilizing all strategies in session today. Intervention: QMHP observed client in his own space to determine if he required assistance. QMHP observed client complying with rules and expectations. QMHP talked to client about his confidence levels and how they can affect his thoughts and behaviors. QMHP encouraged client to utilize positive self-talk as a means of decreasing anxiety and managing frustration when encountering difficult or challenging circumstances. QMHP reminded client of his strengths and abilities. QMHP praised client for his efforts and being respectful to his family. Intervention: QMHP will monitor effects of meditation and coping practices daily and report progress to dad. QMHP explored the client’s capability to cope with his stressors and to get back on track. QMHP assisted client with finding and utilizing necessary resources in his personal environment. QMHP motivated client to respond to exercise and express his feelings appropriately. QMHP offered active listening skills as needed. QMHP provided client with encouragement to demonstrate the positive behaviors and expectations they had been talking about. Response: Client was open and transparent with his counselor. Client promised to follow his safety plan and reduce unnecessary tension/drama in the home. Client shown he was capable of having a successful day. Client exhibited a positive attitude toward father and counselor. Client said he is having challenges with certain activities and needs help. Client said he was being good but got in trouble for talking back to his grandmother. Client knows what is expected of him and is trying to make better choices. Client verbalizes positive feelings about himself but recognizes areas he needs to work on. Response: Client was acceptive of encouragement and decided to listen to his father and do the right thing. Client was seen following desired rules and expectations without requiring redirection or additional breaks. Client had one on one with QMHP. Client realized his mother was trying to help him by pushing him to try on his own first and she would correct his mistakes. Client focused on things he is good at and loves to do at home in order to stay motivated and make something out of himself. Client implemented the positive reinforcement provided by his counselor and was able to stay motivated and enjoy his evening.