3/15/2023 EnchantaVaughn Approved Behavior: Jahsim was present when QMHP entered the home. Jahsim exhibited great functioning and well-being. Jahsim appeared to be in a good mood and ready to talk. Jahsim communicated that he was feeling good about himself since he woke up this morning. QMHPC engaged mother in a discussion to determine behaviors since the last session. Mother reports she struggles with Jahsim not completing chores in the home and when he does she tries to reward him. Behavior: Jahsim was excited and communicated he was ready for his therapy activity. Jahsim struggled with being seated during the second portion of the session as he was leaving the room to see what his younger sibling was doing. He was redirected for his behavior and once redirected he was able to regain focus on the session. Intervention: QMHP provided simple praises and encouragement to continue the positive behaviors Jahsim was exhibiting. QMHP determined Jahsim was on task and did not require redirection. QMHP provided positive gestures to encourage Jahsim on his positive performance. QMHP supported Jahsim displaying positive social interaction in the home. QMHP implemented positive reward system regarding Jahsim behaviors and choices. QMHP recognized Jahsim for his hard work, efforts, participation, and working towards improvement by changing daily habits and implementing a positive and consistent routine. Intervention: QMHP engaged the Jahsim in a role reversal exercise and required the Jahsim to think about his goals. QMHP processed with Jahsim about what he learned from activity after the review. QMHP utilized empathetic listening skills as Jahsim expressed his understanding of ADHD. QMHP praised Jahsim for his cooperation and staying seated during the role reversal exercise. QMHP explored Jahsim’s responses and responded accordingly. QMHP encouraged Jahsim to continue being open with his emotions and don’t be afraid to share his feelings even if they are different from someone else’s. QMHP continued to support Jahsim with making healthy decisions in the home. Response: Jahsim transitions well between one on one discussion and family discussions, utilizing the correct voice volume and displaying positive body language the entire time. Jahsim exhibits good attention skills and remained focused during the session. Jahsim did a good job ignoring distractions and maintaining appropriate behavior in the session. Jahsim was supported for using positive techniques for obtaining attention and confirmation of caring. Jahsim continued to interact in a positive manner with his mother, siblings, and counselor. Mother praised Jahsim for being on his best behavior. Mother agreed to start focusing and acknowledging Jahsim’s positive behaviors. Response: Jahsim displayed management of individualized behaviors in the home. Jahsim implemented good communication skills by listening attentively and closely. Jahsim displayed full participation during family activity. It was noted that the interventions were successful. Jahsim appeared to have a clear knowledge of the interventions. The Jahsim has not overreacted with anger to minor frustrations or irritants. Jahsim understood his expectations and what ways he could utilize the session to best fit his learning style. Jahsim responded well to QMHP and appeared thankful for the consistent help and support. Jahsim was able to stay motivated and enjoy the rest of his day.