3/31/2023 EnchantaVaughn Approved Behavior: Upon arrival, client was confronted by his mom for talking back when she asked him to clean up and get ready for his session. Client was sent to have one on one with his counselor immediately following this altercation. Client tried to lie about talking back and said his mom was only mad because he was making a lot of noise in the house. Client finds himself off task and interrupting QMHP, indicating he wasn’t aware of his misbehaviors and misconduct. Behavior: After reviewing ISP, client shows difficulty in following home rules often choosing to act out on purpose. Reinforcement was provided to client during psycho educational. Mom also reports that client refuses to listen to her or do what she’s asked, and it has become toxic in the home. Client displays outbursts when confronted about negative behaviors he displays, as if he’s not responsible for these concerns. It is evident, client lacks respect for authority figures and cannot admit when he’s wrong. Intervention: QMHP observed client in session in efforts to determine whether he required assistance. QMHP engaged client in a conversation regarding his recent behaviors, progressions and setbacks. QMHP monitored progress in demonstrating individualized pro-social skills (e.g. anger management, problem-solving, conflict resolution, appropriate verbalization of feelings, and cognitive-behavioral programming). QMHP talked with client about the importance of adhering to rules and expectations at home and in the community. Intervention: QMHP held consultations with client and mom about effective intervention strategies that build on the client's strengths and compensate for his negative behaviors. QMHP explored client’s responses and responded accordingly. QMHP assisted client with problem-solving skills. QMHP encouraged client’s mom to provide frequent positive reinforcement in helping him complete his objectives daily. QMHP encouraged client to practice relaxation and coping techniques in social/virtual environment as often as possible. Response: Client engaged in self-reflection, discussing good and bad parts of his day. Client communicated that he wants to work independently. Client modeled different ways to walk away from a conflict when frustrated. Client demonstrated that he was able to process productive expressions of anger. Client exhibited how to verbalize her feelings without yelling and being aggressive, which allowed others to show empathy and support regarding his emotions. Response: Client was observed in session utilizing and learning new interventions and strategies with his family. Client realized his mom was trying to help him by pushing him to try first and then get more help from counseling. Client appeared to be learning from his mistakes and correcting them while QMHP went over his treatment plan with his mom and discussed information that provoked behaviors from today. Client learned to avoid negative and defiant behavior and comply to rules.