5/22/2023 EnchantaVaughn Approved 1.Behavior: Jahsim appeared to be in a positive mood while discussing with QMHP-C how his day was going. He reported that his evening was going good. QMHP-C engaged mother in a discussion to determine behaviors since the last session. Mother reports Jashim continues to struggle with increasing his communication skills. 2. Behavior: Jahsim appeared to be withdrawn as he continues to be upset with not learning how to communicate effectively. 1.Intervention: QMHP-C processed with Jahsim and family on positive expressive comments. QMHP-C has Jahsim to verbalize positive feelings and utilized the feeling faces to support Jahsim with recognizing his feelings and thoughts. QMHP-C modeled appropriate behaviors for Jahsim to exhibit respectful behaviors toward his mother and siblings. 2. Intervention: QMHP-C utilized role play for Jahsim to be able to identify and process someone who displays good communication skills. QMHP-C conducted discussion for Jahsim to identify words that allow him to demonstrate good communication skills. QMHP-C requested that Jahsim think of words that may be controversial and challenged Jahsim to decrease his frequent usage of negative words. QMHP-C taught communication skills and being assertive. 1. Response: Jahsim appeared to be receptive to QMHP-C’s interventions and services that were provided to him during the session. Mother reported that it is difficult at times to talk to Jahsim as he struggles with actively listening and being defiant toward limits certain rules and etc. being displayed in the home and community setting. 2. Response: Jahsim reported that he has close relational ties with his mother however, Jahsim reported that he gets fused at a lot by his mother which he becomes reactive by displaying negative behaviors. Jahsim reported that he tries to talk and converse with his mother but when angry it has been difficult.