4/20/2023 EnchantaVaughn Approved 1.Behavior: Upon arrival to the home setting, Jahsim arrived to session on time and appeared to be having a conversation with father as QMHP-C entered. Jahsim started to shut down as QMHP-C implied his behaviors. Jahsim was refuses to express the situation and continued to respond nothing. Jahsim was shutting down as QMHP-C asked questions. Jahsim continues to struggle with engaging appropriate and showing positive self-esteem. Jahsim refuses to be support by others and continued to shut down when getting assisted. Jahsim struggled with having confidence when ask to complete a task as evidenced by Jahsim stating "I Can’t" and walked away from the activities. 2. Behavior: Jahsim struggled with having confidence when ask to complete a task as evidenced by Jahsim stating "I Can’t" and walked away from the activities. While stating he could not do this he was crying and screaming to the top of his lungs. 1.Intervention: QMHP-C introduced self as Jahsim and discussed methods for building therapeutic relationship through open communication and rapport-building exercises’-C addressed Jahsim’s behavioral issues on self-images. QMHP-C recommended Jahsim to express himself and refrain for being nonchalant. 2. Intervention: QMHP-C recognized Jahsim’s positive mood and behaviors and encouraged him to maintain his current mood with self-checks and positive self-talk. QMHP-C encouraged Jahsim to utilize his ability of being honest and taking responsibility. QMHP-C discussed with Jahsim on the ability to manage behaviors according to the classroom expectations with effective self-monitoring. 1.Response: Jahsim was receptive of feedback given and verbalized an understanding of advice. Jahsim acknowledged feedback and was able to express insight and spoke clearly. Jahsim was able to successfully follow directions and implemented skills without difficulties. 2. Response: Jahsim verbalized to QMHP-C on how he continues to try not to get in trouble on a daily basis by his mother but at times his sister is always “pissing” him off which makes him get in trouble.